This is a very comfortable belt that doesn't slip off your hips. It's also very thin, even with the added stabilizer. There are rubber-like lines on the inside of the belt that keep it in place. The instructions say to wear over underwear. I also wore it over skinny jeans. I can wear it all day and not feel uncomfortable. For reference, I'm 5'5, 125 pounds and have stenosis and pain in my sacroiliac joint. While this doesn't completely eliminate the pain, it does stabilize you in the hip area, reducing the pain compared to traditional methods. wear a belt.
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