I feel your pain!
I have lower back pain, and it was first diagnosed twenty years ago when I was commuting around the M25, 38miles each way each day. GP sent me to the hospital the first time it hit, and the fresh keen young Doc in Casualty did all the same tests as the GP and then admitted I really was in pain, to such an extent that I was in a cold sweat, had no knee-jerk reflexes, and had shut down all sensation below the pelvis, as he demonstrated by sticking pins in me which I did not feel even when I saw them going in. He also asked two key questions the GP didn’t.
“Do you drive a lot?” - Yes. An hour each way each day on the M25.
“Do you have a really comfortable car?” - Yes. Astra LS with fully adjustable seats made by Recaro and adjustable steering wheel.
And the diagnosis and treatment.
“Then you have osteo-arthritis. This is because of the inflammation caused by the subtle vibration pressure applied to the same spots in the spine all the time.”- What can I do?
“Take these pills - Diclofenac Sodium three times a day at meal until the pain goes away.” - (They were miraculous.)
“More importantly put the seat in a different position for EVERY journey, to move around the pressure points in the spine.” - OK, easily done. (And surprisingly it works for me).
“Most importantly take plenty of non-load bearing exercise, to stimulate the circulation and healing. Avoid jogging until the pain has gone completely.” - I hate running, but swimming for an hour a few times a week is OK.
“Swimming is excellent, but avoid breaststroke!” - So a couple of times a week instead of lunch I swim Front Crawl and Trudgeon for a few kilometres with proper warm-up and warm-down. My back never goes away completely, but then it does not hurt so much as to make me shut down. And after the swim it feels great.
Current cars then. My NC with the leather seats is great, I can do many hours at a time in it, but I am still in the habit of moving the seat around a bit (reach, rake, height) for each longer journey. The Mazda3 is less good despite the adjustable lumbar support and I cannot get comfortable in that and need to stop after an hour to ease out my back and reset the seat, but SWMBO thinks it is just perfect, and if she is happy, then I am very happy.
When I tried the 1.5l ND (twice, Goodwood and then Hughes)) my back was hurting after only five minutes, the 2l ND (Hughes) after about ten minutes. In each case I needed a ten minute walk and stretch to ease my back off again.
I always carry with me some controlled release Diclofenac (Motifene version) and sometimes it is needed - long-haul flight, long coach transfer to the ski resort, dreadfully soft hotel bed, etc. But I can go for years without needing it, so long as I keep up the swimming!