Air travel can be an exercise in frustration and discomfort when you're wearing a back brace--from getting through security to enduring hours in the air without adding to your pain. However, if you do a little advance planning and adjust your expectations, you can help to ensure a smooth flying experience.
Talk to your doctor, physical therapist or chiropractor. A medical professional who is familiar with your medical history and needs may be able to recommend ways to make air travel with a back brace easier and less painful. He or she may suggest that you bring a special cushion or supportive device to make the airline seat more comfortable. Your medical professional may also recommend stretches or medications to minimize pain and discomfort.
Call the airline ahead of time and explain your situation. It is particularly important to tell the airline at least 48 hours before your flight if you will need special assistance boarding the plane or if you will need to check additional equipment, such as a wheelchair or crutch.
Choose your seat carefully. If you will need to stand and stretch at regular intervals, select an aisle seat that will give you greater freedom of movement without disturbing the other passengers in your row. If you can remain seated for long periods, choose a window seat, especially if you find it painful to climb into and out of your row; those in aisle seats often must stand up to let other passengers out of the row.
Getting through the airport security checkpoint with a back brace may be the most uncomfortable part of your travel experience. The Transportation Security Administration, which oversees airport security in the United States, requires passengers who cannot remove assistive devices such as a back brace to undergo a thorough pat-down. If you can remove your back brace and put it through the X-ray scanner, you may not be subject to a pat-down, but this is completely at the discretion of the TSA screening personnel. Be polite, patient and prepared for anything. In 2008, an undercover TSA agent was able to smuggle a fake bomb hidden in a back brace past an airport security checkpoint--screeners may pay particularly close attention to back braces as a result of that test.
If possible, travel in first or business class. You'll get more room, a more comfortable seat and more attentive service. Many airlines' first- and business-class seats carry extra lumbar support options and far better cushioning. If you can't afford the cost of a premium-class ticket, ask if you can upgrade with miles or by paying a surcharge--some airlines allow you to do this in advance or at check-in.
