Abstract: A tool uses leverage, gravity, and/or lower body strength to apply enhanced deep pressure to trigger points and other distressed muscles while minimizing user effort. A cord extending from at least one end of a generally hook-shaped main body tethers the end to an external structure such as a chair or door knob, or the user's foot, while a pressing segment is placed against the trigger point. The untethered end is then manipulated to create leveraged pressure, or the user leans away or extends a leg to apply gravitational pressure or lower body strength. The pressing segment can include a fixed or removable pressing knob. In embodiments the pulley cord extends from both ends of the main body, and some embodiments include exchangeable pressing segments for reconfiguration between pressing on distributed regions and/or applying focused pressure to specific locations, and for switching between leverage, gravity, and lower body strength enhancement.