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This back brace is carefully designed to provide relief from back pain using compression support. It offers superb comfort and provides superior back support. The high quality material provides excellent support for your back and waist while letting your skin breathe. In addition to the wide hooks and loops attachments on the under layer, it also features wedged and double banded elastic compression straps. The brace will adjust to the contour of your back, allowing the belt to be worn at different heights on your back. Sizes: When measuring size please measure around the area where you will put the back support belt (which is usually larger than size of pants/trousers), usually around the belly button (please REFER TO PRODUCT PICTURE SHOWING HOW TO MEASURE) S: For belly circumference between 62-77cm (24.5-30.25”); M: For belly circumference between 72-87cm (28.25-34.25”); L: For belly circumference between 82-97cm (32.25-38”); XL: For belly circumference between 92-107cm (36.25-42”); XXL: For belly circumference between 102-117cm (40-46”); XXXL: For belly circumference between 112-127cm (44-50”); XXXXL: For belly circumference between 122-137cm (48-54”). Width for all sizes: 9 inch (22.5cm).