The present invention relates to a therapeutic spinal column brace system, comprising an active thermal exchange layer for providing thermal contrast therapy to a therapy site, an active compression bladder for providing compression to the therapy site, at least one cushion layer for comfort, a rigid shell including at least one rigid support brace, and an adjustable strapping system to secure the therapeutic spinal column brace system to the spinal column therapy site. In some embodiment an active amalgamated bladder or a thermal exchange and compression bladder may be used in lieu of the thermal exchange bladder and the compression bladder. By regulating the pressure within the bladders the compression may be steady or pulsating to achieve a therapeutic effect. A contrast therapy system comprising a hot reservoir, a cold reservoir, a mixing valve, and a fluid pump for delivering the therapy fluid to the therapeutic spinal column brace system may be utilized.