It is additionally used in acute and chronic clinical conditions to relieve pain and symptoms of the disease rather than to treat it. It is based on results of clinical trials on its effect, any published guidelines, the clinical experience of the reflexologist and the individual needs, wishes and values of the patient.
Manipulations are based on the anatomy and physiology of the body's functional systems and endogenous control and regulation mechanisms. A diagnosis of a disease or syndrome by a medical specialist is necessary and, where it does not exist, it is recommended that it be investigated by medical specialists so that it does exist.