It is one aspect to provide a novel trigger point therapy device which is effective for pain management with the treatment of trigger points, releasing tight and painful myofascial fascia, and general self massage. In preferred embodiments, the apparatus comprises: a flexible strap; a first knob mounted to the strap and protruding out from a side of the strap; a second knob mounted proximate to the first knob and protruding out from the side of the strap in the same direction as the first knob; and a strap adjustment means; and wherein the device is configured so that a user may apply varying degrees of pressure to tight and painful myofascial fascia providing hands free self massage.