Abstract: A trigger point therapy device for applying pressure to a localized area of myofascial tissue that is accessed from the exterior of a patient's body. The therapy device includes a base portion has top and bottom surfaces that define a width dimension for the base portion. The therapy device also includes a pressure applicator that is connected to the base portion. The device allows an equivalent amount of pressure to be applied while the patient is lying on a soft surface as compared to lying on a hard surface. This increases the length of time that a patient will can comfortably use the device and promotes usage of the device by the patient. A method includes placing the device on a soft surface and positioning a patient on the soft surface to place the pressure applicator in engagement with the localized area of myofascial tissue.