What is a back brace?
A back brace is a support which is designed to protect the lower back and reduce stress on the joints and muscles of the lower back during activity. It achieves this roll by restricting end-of-range spinal movements and provides stability and support during general movement.
When should I use a back brace?
Back braces are generally beneficial for people who are suffering from lower back pain or injury, particularly those patients who are in the acute phase of their condition or suffer from chronic back pain. They can assist in accelerating healing and recovery from injury by reducing the amount of aggravation during every day activities.
As a general rule, patients with back pain should avoid aggravating activities, however, if unavoidable, back braces can provide support and stability to reduce injury aggravation caused by these activities. In these instances, a brace should be used during aggravating activities or during those activities that are likely to aggravate the condition.
It is important to note, however, that it is generally not advisable to constantly use a back support or brace as your body can become dependent on it. This typically occurs gradually over time, with excessive use, and may be due to a loss of lower back strength and stability resulting from reduced muscular activation during brace use (since the brace already provides support). Weaning off the brace is generally recommended as strength, range of movement and function improves and symptoms reduce.
When should I avoid using back braces?
Back braces generally should not be used if they are uncomfortable or result in an increase in symptoms. However, it is important to note that this may occur in the initial phase of a lower back injury when the lower back is particularly ‘sensitive’ to minor movements and light touch. In these instances, the brace may still be beneficial for the condition although it should only be used once the initial sensitivity subsides and it is comfortable to wear.
If you are performing an activity that does not aggravate your condition or result in an increase in symptoms, then there is generally no reason to continue wearing a back support or back brace.
