The present invention relates to a therapeutic cranial wrap for use with a thermal contrast therapy systems and methods for providing a temperature regulated fluid. The cranial wrap includes an active thermal exchange bladder and an active compression bladder, adapted to fit the cranial therapy site. The thermal exchange bladder may be coupled to the thermal contrast therapy system. The compression bladder may compress the therapy site. In some embodiments, the compressive bladder may be integrated into the thermal exchange bladder, or may be omitted. The cranial wrap also includes a contoured shell, known as a hood shaped therapy pad, which is adapted to snugly fit the cranial therapy site and provide neck support. Adjustable straps, including at least one strap that circumvents the cranium, secure the cranial wrap in a fitted position adjacent the therapy site. The cranial wrap couples to the thermal contrast therapy system which includes a hot and cold fluid reservoir, a mixing valve, and a fluid pump.