Abstract: A garment worn on the upper body is provided with a back support system that can be selectively actuated as needed, and otherwise remains relatively unobtrusive when not actuated. The back support system includes a selectively inflatable and deflatable air bladder positioned at a desired location on a rear part of the garment opposite a portion of the wearer's back that needs support. Preferably, the air bladder is disposed within a pocket or compartment, preferably defined on an interior side of the garment, thereby leaving the exterior of the garment relatively unaltered in a visual sense. In a particular example, the air bladder of the present invention has a physical configuration designed to support specific portions of the spinal column as well as adjoining musculature.