Not really. Those knobs and groves are ergonomically designed to be placed on the muscles knots. NeckFitt uses gravity and your own body weight to create the pressure. Nothing Fancy. No electricity, no motors. If you feel the tension or pain using it, it proves that your neck has been holding that much pressure over the years. Use NeckFitt regularly on a sofa while sitter or on a bed while rested. It will help your neck release stress & tension.