A physical therapy apparatus includes an elongated body support sized to substantially support the users torso with the users spinal column oriented and aligned in positions which maximize the intervertebral spacing along the anterior regions of the spinal column. The body support is provided with a support pad which extends from a forward end to a rearward end having a longitudinal length of between about 0.6 and 2 meters. An upwardly curving convex portion is positioned adjacent each of the forward and rearward ends, with an upwardly middle concave saddle portion connecting each convex portions. A first convex portion has a curvature selected to provide supporting contact to the users lumbar and thoracic regions of the spine in the performance of one procedure, and the sacral and pelvic regions in another procedure. Optionally, the concave saddle portion may be scalloped or otherwise contoured to facilitate the proper alignment of the users buttocks and legs in one procedure and the upper back and shoulders in another procedure thereon.