I have lumbar stenosis which has been made worse by a recent fall injury. After a fall, wearing a leather belt somehow causes severe pain that radiates to the left thigh and leg. This woven elastic waistband allows me to adjust the pressure created by wearing the belt. The adjustment is almost infinite, changing the pressure pattern from hard skin to a much softer and gentler feel. This doesn't fix the problem, but it makes it a lot more bearable.