A postural support and exercise jacket according to the invention includes a pair of shoulder straps coupled to a waist strap which extends around the back of the user and terminates at the sides of the user. A pair of adjustable handles are coupled to opposite ends of the waist strap. The user dons the jacket by slipping arms through the respective shoulder straps and adjusts the handles according to arm length. With the jacket in place, several different exercises can be performed. Optional presser balls are provided and are adjustably coupled to the shoulder straps to overlie a muscle "knot".