Therefore, reflexology must be considered as a complementary treatment modality in rheumatoid
arthritis. It should be introduced to nursing and medical students, and in postgraduate staff development programs.
Further research is recommended for the long-term effects of this treatment modality in terms of pain and
disablement. Research may also extend to assess the effectiveness of as a useful modality in geriatric care and for
patients with other chronic conditions.
The reflexology intervention:
Reflexology therapy is not massage, and it is not
a substitute for medical treatment. Source: The
reflexology manipulations in this intervention have
been adapted from the techniques taught in David
Vennells' book entitled Healing Hands: Simple and
practical reflexology techniques for developing good
health and inner peace (David Vennell 2007). A
reflexology session involves pressure treatment that
is most commonly administered in foot therapy
sessions of approximately 20 minutes in duration.
The foot therapy may be followed by a brief 15-
minute hand therapy session and 5 minute for video
film on reflexology treatment. No artificial devices or
special equipment are associated with this therapy. If
the part of the body corresponding to the reflex area
is out of balance then a degree of tenderness will be
felt in the foot when pressure is applied. Treatment to
all of the reflex areas in both feet takes about 40
minutes and during this time the patient is sitting in a
comfortable, reclining position with the feet raised.
Treatment is not applied to inflamed or painful joints.
After receiving a massage treatment, the patient is
instructed to drink water to eliminate toxin and lactic
acids developed during the massage process.