A back support vest may include a vest body having a bottom portion, a front portion, a rear inner portion, a rear outer portion, a first side and a second side. The first side may have an arm hole and the second side may have an arm hole. A plurality of padding may be attached to the rear inner portion of the vest body. The vest body may be tightened by a tightening component attached to the rear outer portion of the vest body. A closing component may be attached to the front portion of the vest body. The back support vest may comprise a fastener attached below the arm hole on the first side of the vest body down to the bottom portion of the vest body.