A dorsal spine support device has a support element that is a single strap with a closure assembly. The single strap intersects itself in exactly three discrete locations. The single strap has a first end and a second end. The closure assembly has a buckle with a first portion and a second portion. The first portion of the buckle is connectable to and disconnectable from the second portion of the buckle. The first portion of the buckle can be secured to the first end of the single strap and the second portion of the buckle can be secured to the second end of the single strap. A pad can be positioned in a pouch. The pouch can be secured to the strap.