A percussive massage device (100) includes an enclosure havinga cylindrical bore that extends along a longitudinal axis (116). A motor (310)has a rotatable shaft (312) that rotates about a central axis perpendicular tothelongitudinal 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)hasa first end portion coupled to the pivot of the crank. A flexible transferlinkage(512) has a first end coupled to a second end portion of the transfer bracket.Apiston (514) has a first end coupled to a second end of the transfer linkage.Thepiston is constrained to move within a cylinder along the longitudinal axis ofthecylindrical bore. An applicator head (516) has a first end coupled to a secondend of the piston and has a second end exposed outside the cylindrical boreforapplication to a person receiving treatment.