Lumbar Back Brace w/Removable Pad This premium back brace helps relieve lower back pain from strains, sprains and muscle spasms. Double layer design allows for custom fit and adjustable compression to abdomen and lower back. Helps provide relief from injuries and strenuous activity to keep you active. Breathable fabric for comfortable all-day wear. Removable lumbar pad cushions and compresses the lower back for concentrated support Internal molded plastic component eliminates brace rolling or bunching Custom fit with dual, outer elastic tension straps Listed: 255 Black - Fits waist sizes 28 - 50" (71 - 127 cm) Also available: 64179 Black - Plus Size fits waist sizes 50 - 70" (127 - 177 cm). Note: Consult with your medical professional, before purchase, if you have questions if this item is appropriate for your condition. Please be very aware that the information we provide about the products we sell is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider/therapist before starting any new treatment or exercise regimen with any questions you may have regarding a medical condition. Medical braces, supports and certain other health care/rehabilitation .Packaging may vary