Abstract: A lumbosacral support system comprising a belt and an orthopedic pad carried by the belt. The pad has a contoured template surface with a transversely extending central trough portion for accommodating the protruding spinal processes of the wearer when the pad is pressed against the lumbar region, and a pair of raised plateau regions flanking the central trough portion for contacting the erector spinae muscles of the wearer to provide support. The template surface of the pad has a vertical surface contour through the central region approximating the average lordotic curve of a wearer. The belt is longitudinally tapered so the pad is arranged at an angle to vertical to optimally engage the lumbar region of the wearer.