It does help with back pain if your doing a physical job. My pain prior to the belt was a 8 and a half, and after it went down to a 4 to 5 pain level wearing the belt while working.The sticky velcro straps are really good, they don't wear out, even if you don't buy this belt make sure you buy a belt with the new velcro not the old school velcro. As far as the heating and cooling pad, its ok. The heat only last for about 30 mins, haven't used it cold yet. Would definitely recommend.
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