A hand-held massage device is provided for soft tissue treatment, the device operable to be applied with variable amounts of force to the body surface of a patient or subject. The device includes a central portion operable to be gripped by a user, with multiple treatment heads extending from the central portion. The treatment heads may be the same or different to perform a different treatment function. The treatment heads may be removably attachable to the central portion, such as by press or friction fit, screw-type attachment, quick release attachment, or the like. The treatment heads may be subjected to heating or cooling prior to attachment to the central body.