A percussive massage device (100) includes an enclosure having a cylindrical bore that extends along a longitudinal axis (116). A motor (310) has a rotatable shaft (312) that rotates about a central axis perpendicular to the longitudinal axis. A crank (360) coupled to the shaft includes a pivot (370), which is offset from the central axis of the shaft. A transfer bracket (510) has a first end portion coupled to the pivot of the crank. A flexible transfer linkage (512) has a first end coupled to a second end portion of the transfer bracket. A piston (514) has a first end coupled to a second end of the transfer linkage. The piston is constrained to move within a cylinder along the longitudinal axis of the cylindrical bore. An applicator head (516) has a first end coupled to a second end of the piston and has a second end exposed outside the cylindrical bore for application to a person receiving treatment.