An orthopedic support apparatus is provided in the form of a substantially elongate support element sized and configured to provide back support to the wearer. In one embodiment, the support element is affixed inside the back of a garment, such as a shirt. Belt flaps are provided to encircle the wearers torso and maintain the support element against the users back. The belt flaps are connected only to the base of the support element and not to the garment, such that the garment can be worn without the support element being noticeable.