What Can I Expect in a First Reflexology Visit?

The following section walks you through a typical appointment and answers some common concerns.

The intake

practitioner will conduct a brief health history, checking in case reflexology may not be the best choice of therapy for you.

The practitioner will explain how reflexology works and what to expect in the session. The reflexologist also informs you that reflexology does not treat specific illnesses and is not a substitute for medical treatment. You may be asked to sign a consent form.

It is okay, and even expected, for you to ask questions. You should feel comfortable communicating with the reflexologist. If the practitioner is not forthcoming with information, or is dismissive of questions or concerns, this could be a “red flag,” and you have every right to terminate the appointment.

Starting the session

The practitioner may choose to work only on the feet, or the hands, or the ears, depending on your specific health issues. Some problems respond better to the reinforcement of work on all three—hands, ears, and feet.

Everyone’s needs are different—for example a patient in the hospital may have IV’s and multiple tubes and wires, so a reflexology session may be limited to the feet by necessity.

Reflexologist examining a patient’s feet

If the reflexologist chooses to work on your feet, you will lie or sit down, remaining fully clothed except for your shoes and socks. The practitioner may wash your feet and soak them in warm water, then position them at his or her chest level.

Reflexologist hands on a patient’s foot

The practitioner will begin by assessing your feet for open wounds, rashes, sores, plantar warts or bunions and will ask you about any foot or leg pain that could hinder treatment.

Generally a session lasts between 30-60 minutes. You can rest or talk during the session at your discretion. If you fall asleep during the session, you will still receive the benefits of the treatment.

Feedback during the session is encouraged, and of course, you can request that the session stop at any time.

The focus of the session

Regardless of your health condition(s) (for example, migraine, nausea, sciatica, etc.), the reflexologist focuses on the entire pattern of the reflexology therapy, starting at the toes and working down the foot. A complete reflexology therapy session uses many different techniques and includes all of the points on both feet (and perhaps the hands and ears).

By working all of the points, the reflexologist addresses internal organs and glands as well as muscle groups, bones, nerve ganglions (solar plexus, brachial plexus) and nerves (sciatic) during a session.

If you have a specific condition, such as migraines, the reflexologist will carefully feel and work the area corresponding to the presenting problem. However, they will also work all areas of the foot with gentle pressure, because, according to reflexology theories, this allows the nerve pathways and congestion to release and promotes the relaxation response for the entire body.

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