Back Braces

Back Injuries: What to Do When You're in Pain

Back injuries are often caused by car accidents, overexertion, falling, or simply bending down to pick something up. If you've injured your back and the pain hasn't subsided after a week or two, you might be wondering what to do next.

Fortunately, back injuries are common and easy to treat. A back brace can support your back so it can heal faster.

At this point you might be thinking, "don't back braces make your back weak?" "If I wear a back brace, will I become dependent on it?"

Nope – back braces are clinically proven to be an effective treatment method.

Get the Facts About Back Braces

The right back brace will hold your back up so your injured muscles don't have to work as hard while you stand, walk and bend over. Once the pressure is off those injured muscles, they can heal faster. Here's how it works:

 

INJURY

When you injure a muscle or group of muscles in your back, the muscles around the injury naturally tighten to prevent further damage.

PAIN

This muscle‑guarding phenomenon can overwork the muscles surrounding the injury, leading to muscle spasm, fatigue and pain.

BRACE

A back brace helps relax overworked muscles, increase trunk stability, prevent muscle spasms, and allow injured muscles to heal.

RECOVERY

The back brace is no longer needed once the overworked muscles have relaxed, the injured muscles have healed, and the pain is gone.

Fast Stats About Back Braces

  • 65% of patients given a brace to use in conjunction with physical therapy reported clinically significant pain relief.
  • 88% of patients would recommend a back brace to a colleague.
  • Patients who use back braces experience up to 93% increases in mobility levels.
  • Physical therapy (PT) patients who received a low back brace were 4.7 times more likely to have a clinically significant improvement vs PT only group.

What About Muscle Atrophy?

The idea that back braces cause muscle breakdown is a common misconception. In the past 45 years of research, there has been no scientific evidence that lumbar bracing causes muscle atrophy.

Thirty-five studies were reviewed, two recent systematic reviews were done, and a meta-analysis was conducted concluding that there is no research supporting the common misbelief that bracing with a corset style lumbar brace leads to muscle atrophy.

Unlike casting an extremity where a joint is completely immobilized and atrophy is known to occur, spinal bracing does not immobilize the spine. By supporting these structures, the brace reduces muscle guarding, promoting dynamic contractions. Because the trunk muscles continue to work, there is no atrophy. The pain relief provided by the brace assists patients in becoming active again.

Current research shows that supporting the lower back can:

  • Reduce pain
  • Improve functional status
  • Lower the need for medication

Bio-mechanical research indicates that back braces provide significant relief to patients by reducing excessive trunk muscle co-contraction, which prevents muscle fatigue and spasms while helping spine stability.

Back Braces for Pain Relief

We carry three pulley-system back braces that are ideal for back injuries.

Low Back Lacer Brace

This is a basic brace that's best for minor injuries, as it relieves lower back pain caused by sitting for extended periods of time, overuse strains, and muscle fatigue.

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Dynamic High Profile Brace

This brace has a back panel that provides extra stability to the spine. It's better for injuries that need a higher level of support, like car accident trauma and falls.

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Aspen Summit 456 TLSO

This back brace supports the spine from top to bottom. It's best for patients with more serious injuries like compression or burst fractures, kyphosis and fusions.

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Innovative Tightening System

These back braces are designed with a pulley lace system, which allows you to get more compression than you would be able to by simply pulling the brace around yourself. It also lets you customize the compression level to your needs. The tab on the right side tightens the top of the brace and the tab on the left tightens the bottom.

References

  1. The American Academy of Pain Medicine. American Academy of Pain Medicine. Available at: http://www.painmed.org/patientcenter/facts_on_ pain.aspx#refer. Accessed May 16, 2016.
  2. Azadinia F, Ebrahimi E Takamjani, Kamyab M, Parnianpour M, Cholewicki J, Maroufi N. Can lumbosacral orthoses cause trunk muscle weakness? A systematic review of literature. The Spine Journal. 2017 Apr; 17(4): 589-602. doi: 10.1016/j.spinee.2016.12.005. Epub 2016 Dec 14.
  3. Calmels P, Fayolle-Minon I. An update on orthotic devices for the lumbar spine based on a review of the literature. Revue Du Rhumatisme (English ed.). 1996 Apr; 63(4): 285-91.
  4. Calmels P, Queneau P, Hamonet C, Le Pen C, Maurel F, Lerouvreur C, Thoumie P. Effectiveness of a lumbar belt in subacute low back pain: an open, multicentric, and randomized clinical study. Spine. 2009 Feb 1; 34(3): 215-20. doi: 10.1097/BRS.0b013e31819577dc.
  5. Cholewicki J. The effects of lumbosacral orthoses on spine stability: what changes in EMG can be expected? Journal of Orthopaedic Research. 2004 Sep; 22(5): 1150-5.
  6. Cholewicki J, Lee AS, Peter Reeves N, Morrisette DC. Comparison of trunk stiffness provided by different design characteristics of lumbosacral orthoses. 2010 Feb; 25(2): 110-4. doi: 10.1016/j.clinbiomech.2009.10.010. Epub 2009 Dec 9.
  7. Cholewicki J, Reeves NP, Everding VQ, Morrisette DC. Lumbosacral orthoses reduce trunk muscle activity in a postural control task. Journal of Biomechanics. 2007; 40(8): 1731-6. Epub 2006 Oct 18.
  8. Fayolle-Minon I, Calmels P. Effect of wearing a lumbar orthosis on trunk muscles: study of the muscle strength after 21 days of use on healthy subjects. Joint Bone Spine. 2008 Jan; 75(1): 58-63. Epub 2007 Aug 30.
  9. Jellema P, Bierma-Zeinstra SM, Van Poppel MN, Bernsen RM, Koes BW. Feasibility of lumbar supports for home care workers with low back pain. Occupational Medicine. 2002 Sep; 52(6): 317-23.
  10. Kawchuk GN, J Glass BKin, C Knight B Sc Kin, S Third BHK, D Timmermans. The effect of lumbar bracing in response to standardized multi-axial movements created by a parallel robot. Faculty of Rehabilitation Medicine, University of Alberta. ISSLS. 2011: Poster
  11. Kawchuk GN, Edgecombe TL, Wong AY, Cojocaru A, Prasad N. A non‑randomized clinical trial to assess the impact of nonrigid, inelastic corsets on spine function in low back pain participants and asymptomatic controls. The Spine Journal. 2015 Oct 1; 15(10): 2222-7. doi: 10.1016/j. spinee.2015.06.047. Epub 2015 Jun 19.
  12. Morrisette DC, Cholewicki J, Logan S, Seif G, McGowan S. A randomized clinical trial comparing extensible and inextensible lumbosacral orthoses and standard care alone in the management of lower back pain. Spine. 2014 Oct 1; 39(21): 1733-42. doi: 10.1097/BRS.0000000000000521.
  13. Penrose KW, Chook K, Stump JL. Acute and chronic effects of pneumatic lumbar support on muscular strength, flexibility, and functional impairment index. Sports Medicine, Training and Rehabilitation. 1991; 2(2): 121–129.
  14. Prateepavanich P, Thanapipatsiri S, Santisatisakul P, Somshevita P, Charoensak T. The effectiveness of lumbosacral corset in symptomatic degenerative lumbar spinal stenosis. Journal of the Medical Association of Thailand. 2001 Apr; 84(4): 572-6.
  15. Press Release. Centers for Disease Control and Prevention. 2013. Available at: http://www.cdc.gov/media/releases/2013/p0702-drugoverdose.html. Accessed May 16, 2016.
  16. Reeves NP, Everding VQ, Cholewicki J, Morrisette DC. The effects of trunk stiffness on postural control during unstable seated balance. Experimental Brain Research. 2006 Oct; 174(4): 694-700. Epub 2006 May 25.
  17. Takasaki H, Miki T. The impact of continuous use of lumbosacral orthoses on trunk motor performance: a systematic review with meta-analysis. The Spine Journal. 2017 Jun; 17(6): 889-900. doi: 10.1016/j.spinee.2017.03.003. Epub 2017 Mar 18.
  18. van der Hulst M, Vollenbroek-Hutten MM, Rietman JS, Schaake L, Groothuis‑Oudshoorn KG, Hermens HJ. Back muscle activation patterns in chronic low back pain during walking: a "guarding" hypothesis. The Clinical Journal of Pain. 2010 Jan; 26(1): 30-7. doi: 10.1097/AJP.0b013e3181b40eca.
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