Bought a large size (38 straps) to help move boxes from my apartment. It worked, my back pain (which I already had) didn't get worse (with proper lifting technique, which this belt reminds you to use based on what it carries). I chose this or the standard Ergodyne ProFlex 1600 back brace, elastic, black, large, with better straps and more support, but ended up with this model instead. Although the straps didn't seem to loosen after a week, most of the time the strap stayed where it should have been tightened. In the end I only needed the straps to put the strap on and hold it in place when loosening the tension. I suppose if you have to lift things every day you might be better off with a more expensive model.
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