Low back pain (LBP) is a very common condition that many North Dallas patients try to self-manage prior to seeking treatment in our chiropractic clinic.
Pain Prevention
One approach some patients try first is a low back belt or brace. A 2008 systematic review concluded that lumbar braces are not likely to prevent new back pain. However, can a low back belt/brace benefit the LBP patient or does it unnecessarily prolong the patient’s pain and disability?
Pain Reduction
In a 2021 study, researchers asked 30 office workers (15 with LBP and 15 without LBP) to perform sit-to-stand movements while wearing either an extensible lumbar brace, a non-extensible lumbar brace, and no lumbar brace at all. With the aid of 3D motion analysis and a force plate, the research team observed that lumbar brace use provided benefits with respect to lumbar lordosis and total trunk range of motion in all participants. Brace use reduced pain intensity, pain-related anxiety, and fear or movement. Interestingly, the results did not favor one type of lumbar belt over another.
Dependence
It’s important to note that prolonged use of a lumbar belt may not benefit the patient in the long-term. This is because bracing can restrict normal movement and weaken the deep muscles that help to stabilize the spine. This is similar to the reasoning in treatment guidelines for back pain that encourage movement and discourage prolonged bed rest and inactivity.
Combine with Chiropractic Care
The authors of the study note that the average person performs sit-to-stand movements over 60 times a day, which accounts for 56-64% of total lumbar mobility. Because a low back condition can make sitting and standing painful and/or difficult, the temporary use of a lumbar belt may benefit the LBP patient while they’re under chiropractic care.
Conclusions
Additional studies are needed before firm conclusions can be made regarding the use of lumbar belts. It is worth noting that treatment guidelines recommend that providers assess each patient individually and apply treatment strategies they feel will benefit the patient. Chiropractors tailor a patient’s treatment recommendations based on examination findings, the patient’s history, and other factors unique to the patient. This may include the use of a lumbar belt if it may help a patient return to their normal activities.
If you or someone you know is suffering from low back pain we invite you to call or visit our office. We offer same or next day appointments and in many cases back pain is significantly improved after the first session.
