The desk pattern
There is a shape this takes and it is remarkably consistent. Shoulders that have crept up since mid-morning. A neck that only announces itself when you turn your head to reverse the car. A jaw doing something it has no business doing while you read email.
None of that is dramatic enough to see anybody about, which is precisely why it accumulates for years.
Where neck and shoulder tension shows in the feet
The neck reflex is a narrow band running across the base of all five toes — it is one of the most anatomically precise zones on the map and often the most tender on a first visit. The shoulder reflex runs along the outer edge of the foot below the little toe.
The spine reflex runs the whole inner edge of the foot from the big toe to the heel, and the cervical portion sits nearest the toes. Where tension is doing something to your upper back as well, that is the part worked.
Why the feet rather than the shoulders
It is a fair question and the honest answer is that reflexology is not a substitute for having someone work directly on your shoulders. If you want tissue worked, book a massage.
What reflexology offers instead is an hour where the whole system settles, which is a different route to the same place. Clients who find direct massage uncomfortable or invasive often prefer it, and only your feet are involved.
What tends to happen
The neck band is usually tender at the start of a first session and noticeably less so by the end. Many clients report becoming aware of how much they were holding, which sounds like a small thing and generally is not — you cannot put down something you have not noticed you are carrying.
How long that lasts depends almost entirely on what you go back to. Reflexology does not fix your chair.
Alongside other care
Reflexology is a complementary therapy. It does not diagnose or treat musculoskeletal problems. Persistent neck pain, pain radiating down an arm, numbness or weakness need a GP or a physiotherapist rather than a reflexologist.
For ordinary accumulated tension, it sits alongside whatever else you do perfectly well.