A therapeutic device comprises an upper massage surface having a generally central spinous channel, a first domed portion on a first lateral side of the central spinous channel and a second domed portion on a second lateral side of the central spinous channel. The device has a lower base surface, a front edge, and a rear edge, with the upper massage surface extending between front edge and the rear edge. The device further has a first lateral edge on one side of the therapeutic device and a second lateral edge on an opposing side of the therapeutic device, such that the distance between the first and second lateral edges is greater than the distance between the front edge and the rear edge.