Massage therapists work "from the outside in" manipulating specific muscle groups or fascia to release tension.Reflexology is different because reflexologists work "from the inside out", directly on the nervous system by applying pressure to reflex points, through the feet, hands, face, and ears. This enhances overall relaxation, brings internal organs and their systems into a state of optimum functioning, homeostasis. Increases blood supply which brings additional oxygen and nutrients to the cells and enhances waste removal. It positively affects the circulatory, respiratory, endocrine, immune and neuropeptide systems in the body.