Love this shoe horn.  It is long enough so you don't have to bend to get your shoes on.  I have less flexibility in my left hip and that makes putting on shoes sometime difficult and this long handled shoe horn is perfect.  I would imagine if you have back problems too it would help.  You don't have to struggle pulling on shoes.  I love it so much I have three of them in strategic spots 1) near my closet; 2) near the front door for boots; and 3) at work. It has also proven to be durable and of excellent quality.  I highly recommend.