Are Backpacks with Wheels Worth It? (When you have back issues)

Hey everyone!

I'm planning a month-long trip through South East Asia and need some advice. Normally, I'd stick with a regular backpack, but I’ve been dealing with some bad back pain lately, and I'm wondering if a backpack with wheels might be a better option.

Has anyone here travelled with one? Do they hold up well on varied terrain (think city streets, trains, maybe a bit of hiking)? Or do they just end up being more of a hassle/heavier? Also, how comfortable are they to carry when you do need to strap them on your back?

I’m a bit torn because I like the mobility of a backpack, but I don’t want to regret not having wheels when my back starts acting up. Any advice or experiences would be super helpful!

Thanks in advance!