Everything You Need To Know To Find The Best Pulley Waist Back Brace

Flexible elastic braces are primarily used for the lower back. They typically include vertical stays (plastic) at the front, back, or sides of the brace to provide gentle immobilization and to help the brace retain it's shape (prevent it from rolling when you put it on). 

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They are made from elastic knitted fabrics designed to be breathable, skin friendly, and with soft edges that won't dig into your skin to allow for more comfortable wearing times. Most designs include velcro fastening, side pulls, and/or hand straps that make it easier for you to put the brace on (as you wrap it around you at the front).

Some designs include a lumbar pad (at the back) to provide a massage effect to the muscles of the lower back with every movement to help to stimulate blood flow to reduce tension in the lumbar region. Relaxation of these muscles can also aid in pain management.

Understand Your Diagnosis

Back braces are used to manage a wide range of conditions so it's important that you see your doctor or physiotherapist before using a brace to confirm your diagnosis and location of injury.

Many people assume that the most 'immobilizing' brace is best, but that is not always the case. It is important to select a brace that is suitable for your specific diagnosis and for that reason, we do not recommend an immobilizing back brace unless a specific diagnosis warrants it.

If you have general low back pain, try a flexible, elastic brace. For a diagnosis like a herniated disc, a semi-rigid immobilization brace would be recommended in addition to exercise.

In selecting a back brace, the area of injury should be closer to the centre of where the brace would sit on your spine so that stabilization can occur above and below the injury site. Wearing a brace where the upper edge of the brace just touches the site of injury would not assist you, and could even cause more discomfort. If you know the specific vertebrae that is affected, we can assist you in locating the best option. Contact our Healthcare Team for assistance. 

Keep Your Back Strong!

Back braces can help you manage pain, recover from an injury, and protect your back during activity. However, if you rely on a back brace too much you risk weakening your core and back muscles. It's important to keep your back strong, and follow an exercise or rehab program for strengthening and stretching given to you by your doctor or physical therapist. This is important to help you support your spine, avoid poor posture, lower back pain and future muscle injuries.

Length of Use

We recommend using the braces only during activities that typically cause you pain. The general recommendation is not to wear your back brace all day long. However for more serious diagnoses, a physiotherapist or physician may approve the use of the brace for longer duration use. 

Protect Your Skin

It's important to keep the skin under the brace as dry as possible. Excess moisture can cause irritation and lead to sores. Avoid using creams and lotions on the skin beneath the brace. If skin irritation is a problem for you, wear a thin t-shirt or other tight fitting clothing underneath the brace. 

Keep it Clean

It's a good idea to keep your back brace free of dirt and bacteria. Most back braces can be cleaned with water and mild soap, washing by hand. Before you clean your brace remove any panels and padding to clean those parts separately. Never use bleach or harsh detergents on your brace. Make sure your brace is dry before using it again.

Many of the materials used in the construction of back braces can collect debris around areas like velcro straps. Use a lint roller to remove lint from your back brace to ensure that the straps work properly and can secure the brace properly.

A back support belt is a belt that wraps around the lower back to support the lower spine and improve posture. They may benefit people with lower back pain or chronic conditions affecting the lower back.

When purchasing a back support belt, a person must consider certain factors, such as the type of medical condition or pain they have, and the type of support they need.

This article outlines six of the best back support belts available online. We also describe what a back support belt is, outline its pros and cons, and provide tips on what to look for when purchasing. Finally, we answer some frequently asked questions about back support belts, and offer advice on when to see a doctor.

A quick look at some of the best back support belts

• Best for posture support: RiptGear Back Brace
• Best for hot or cold therapy: Flexguard Lower Back Support Belt
• Best for firm lumbar support: Mueller Adjustable Back Brace
• Best for back and stomach support: Deluxe Comfort FLA Lumbar Sacral Back Support
• Best for compression: Sparthos Back Brace
• Best for muscle strains: King of Kings Lower Back Brace

A back support belt is a belt that a person wears to provide support to the lower back or 'lumbar' region.

Back support belts are usually adjustable, lightweight, and comfortable to wear. Some feature added compression for additional support, though these types may limit a person's movement.

Some potential advantages of back support belts include:

• limiting movement, which may reduce the risk of additional injury and promote healing
• providing extra lumbar support
• alleviating pain
• improving posture

Some potential disadvantages of back support belts include:

• increased risk of skin irritation and lesions if a person wears the belt incorrectly
• inappropriate level of support if the belt is too tight or does not fit properly

How we choose products

Medical News Today chooses products that fit the following criteria:

• Budget: Products that are available in a range of budgets.
• Features: Products that have different features, such as adjustable size, pockets, and additional support.
• Materials: Products with a range of materials, such as lightweight and breathable fabric.

Below are some back support belts available to buy online.

Please note that the writer of this article has not tried these products. All information presented is purely research-based and correct at the time of publication.

Medical News Today follows a strict product selection and vetting process. Learn more here.

Best for posture support: RiptGear Back Brace

The RiptGear Back Brace is a unisex belt available in black or blue, and in sizes ranging from small to 3XL.

The brace contains comfortable and lightweight and breathable materials, including neoprene, nylon, and spandex. As such, the belt is suitable to wear for extended periods.

RiptGear states that the brace is firm, flexible, and adjustable, and notes that it contains four back support stabilizers for extra support. The company recommends the brace for people who require lumbar and posture support.

At the time of publishing, the RiptGear Back Brace has a list price of around $39.

Key product characteristics

• Materials:
  • neoprene
  • nylon
  • spandex
• Adjustability: adjustable straps
• Size range:
  • small
  • medium
  • large
  • XL
  • XXL
  • XXXL
• Pricing: around $39

Best for hot or cold therapy: Flexguard Lower Back Support Belt

This unisex support belt is available in two sizes; medium/large and XL.

The belt contains neoprene, which the company claims is both comfortable and firm.

People can adjust the belt with a pulley system. It also contains vertical metal bars to help keep the back straight.

Additionally, the belt features mesh pockets for inserting hot or cold packs. This may benefit those who require heat or cold to soothe aches and pains.

The company states this product is suitable for the following:

At the time of publishing, the Flexguard Lower Back Support Belt is available for around $30.

Key product characteristics

• Materials: neoprene
• Adjustability: pulley system
• Size range: medium/large and XL
• Pricing: around $30

Best for firm lumbar support: Mueller Adjustable Back Brace

This brace consists of neoprene, which Mueller claims is lightweight and breathable. People may find this brace comfortable to wear for longer periods.

The product contains eight steel springs that mold to a person's back shape to provide firm lumbar support. The adjustable cut can reportedly fit most adults.

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Mueller states this back brace is most suitable for people with lower back pain and back strains and sprains.

At the time of publishing, the Mueller Adjustable Back Brace has a list price of around $17.

Key product characteristics

• Materials: neoprene
• Adjustability: adjustable compression
• Size range: one size, which fits a 28- to 50-inch waist
• Pricing: around $17

Best for back and stomach support: Deluxe Comfort FLA Lumbar Sacral Back Support

This back support belt is available in only one size: XXL.

Deluxe Comfort states that the product's tapered front and V-shaped back provides a comfortable fit for most people. The product also features a 10-inch wide elastic band that people can use to adjust the fit.

This product features a hook and loop closure system for a secure fit. It also features an overlapping abdominal belt for additional stomach support and lift.

At the time of publishing, the Deluxe Comfort FLA Lumbar Sacral Back Support has a list price of around $35.

Key product characteristics

• Materials: elastic
• Adjustability: adjustable hook and loop closures
• Size range: medium to XXL
• Pricing: around $35

Best for compression: Sparthos Back Brace

This back support brace is available in three sizes; small, medium, and large.

The brace features the following:

• breathable polyester material to help ensure comfort during wear
• elasticated mesh for stretchiness and comfort
• firm support stays
• heavy-duty Velcro to keep the belt in place
• a removable lumbar pad that provides extra support to the lower back

Sparthos states this product is suitable for people with the following:

• back pain
• muscle soreness
• herniated disks
• scoliosis
• sciatica

At the time of publishing, the Sparthos Back Brace has a list price of around $35.

Key product characteristics

• Materials:
  • breathable mesh
  • nylon
  • polyester
• Adjustability: removable and adjustable lumbar pad
• Size range:
  • small
  • large
  • XXL
• Pricing: from around $35

Best for muscle strains: King of Kings Lower Back Brace

This unisex design is available in four sizes, ranging from small to XL. It comprises breathable non-neoprene and nonelastic knit fabric.

The company claims the design allows for natural movement while providing comfortable support.

This product also features a pulley system, so a person can adjust the fit and apply the right amount of pressure they require. The belt also has two nylon bars to support the lumbar muscles in the waist.

King of Kings states this product is suitable for individuals with a range of back injuries, including muscle strains.

At the time of publishing, the King of Kings Lower Back Brace has a list price of around $50.

Key product characteristics

• Materials: non-neoprene and non-elastic knit
• Adjustability: adjustable pulley system
• Size range:
  • small
  • medium
  • large
  • XL
• Pricing: from around $50

The following tables compares the back braces in this article

RiptGear Back BraceFlexguard Lower Back Support BeltMueller Adjustable Back BraceDeluxe Comfort FLA Lumbar Sacral Back SupportSparthos Back BraceKing of Kings Lower Back BraceMaterialsneoprene, nylon, spandexneopreneneopreneelasticbreathable mesh, nylon, polyesternon-neoprene and non-elastic knit Adjustabilityadjustable strapspulley systemadjustable compression adjustable hook and loop closuresadjustable lumbar padadjustable pulley system Size rangesmall'3XLmedium/large , XL28- to 50-inch waistone size (XXL)small, large, XXLsmall'XLPricingaround $39around $30around $17around $35around $35around $50

A person may wish to consider the following when purchasing a back support belt:

• Material: A back support belt may contain inbuilt structures or compression materials for additional support. Types with breathable and lightweight materials may also reduce the risk of skin irritation or lesions during wear.
• Flexibility: Some back support belts are soft and flexible, while others are rigid and constrict movement.
• Additional features: Some belts offer extra features that may be useful for some people, such as pockets for heat or cold packs, or extra supportive materials. These additional features may increase the product cost.

A study investigated the effectiveness of a back brace among 22 female participants with chronic back pain. In this study, participants who wore a back brace for 8 weeks experienced significant improvements in back muscle stabilization and a significant reduction in pain compared to participants who did not wear a brace.

Back support belts may also help with the following conditions:

• post-operative healing
• osteoarthritis
• spondylitis
• herniated disks
• vertebral compression fractures
• muscle strains

Additionally, a study suggests that back braces may be useful for older patients undergoing a colonoscopy. The researchers note that the device compresses the abdomen in a way that aids insertion of a colonoscope. This may help to reduce both the difficulty and duration of the procedure.

An individual should seek advice from a doctor if their back pain does not go away after a few weeks, becomes severe, or interrupts their daily activities.

People should seek emergency medical advice if any of the following symptoms accompany their back pain:

• numbness or tingling in the genitals
• difficulty urinating
• a loss of bladder or bowel control
• chest pain
• high temperature
• unintentional weight loss
• swelling of the back
• pain that is worse at night
• pain that worsens when sneezing, coughing, or going to the toilet

Below are some answers to frequently asked questions about back support belts.

Do lumbar supports work?

Research into lumbar supports yields mixed results.

A study investigated the effects of flexible lumbar supports on lower back pain in assembly-line workers. It found no significant difference in reported pain measures between participants in the experimental group versus the placebo group.

However, a separate study suggests that wearing flexible lumbar support may slightly decrease back pain. The study authors found that participants who wore an abdominal belt reported less pain after 1 week compared with participants who did not wear the belt.

How can a person choose the right back support?

The back support a person requires depends on various factors, including:

• the type of back condition or back pain they have
• the tissues involved, which may include bones, muscles, or tendons
• the location of the pain

People need to consider whether they need lower, middle, or upper back support, and whether the affected tissues may also benefit from heat or cold therapy.

People who need to wear the back support for a long period of time should purchase a product made from lightweight and breathable materials. Doing so will help reduce skin irritation.

Are there alternative options to back support belts?

Some alternatives to back support belts include back braces and back support cushions, both of which may help alleviate lower back pain.

If a person's back pain does not go away by itself, they should contact a doctor, who may recommend physical therapy and back exercises.

How does a back support belt work?

• support the tissues of the lower back
• limit range of motion to aid healing and help prevent additional injury
• align the back to promote healthy movement and posture
• alleviate back pain

Are back support belts good for you?

Excessive use of a back support belt can reduce muscle strength in the trunk, which could make a person's back pain worse.

Can a back brace cause constipation?

Some people who use back braces complain of digestive problems caused by pressure on their abdomens. For others, using a back brace improves their alignment and supports healthy bowel movements.

The key is for people to avoid wearing a back brace so often that the stomach and back muscles weaken, which could make constipation more likely.

When should I wear a back support belt?

A back support belt is not designed for long-term or all-day use. A person who wears a back support belt too frequently can actually weaken their core muscles, or cause them to atrophy, which could worsen their back problems. Spending too much time in a back support belt can irritate the skin, causing chafing or sores.

It can be helpful to wear a back support belt when doing strenuous activities or anything a person knows might make their back hurt. It is best to limit use of a back support belt to a few hours a day, for a few days, or under the guidance of a physician.

Back support belts provide lumbar support and may reduce lower back pain associated with various conditions, including muscle strains and sprains, osteoarthritis, and herniated disks.

There are several back support belts available to purchase online, and some of these have additional features at extra cost.

Anyone who experiences continuing or worsening back pain should contact their doctor, who may be able to provide a diagnosis or offer other treatments.

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