According to acupuncture and acupressure theory, there are 7,200 sensory nerve endings in each foot, which are connected to the internal organs of the body. Thai foot massage is based on the belief that there are zones and reflex areas in the feet which correspond to the systems of the body. Reading signs on the feet, understanding the client, and applying combinations of pressure using the thumb, finger and hand is the foundation and art of this highly reputed technique.

In a typical session, the lower legs and feet are stretched and massaged to open Sen (energy). Then specific pressure points, which stem from 10 major energy lines that run throughout the body, are stimulated. These pressure points provide a map of the entire body and organs. Through skillful manipulation of the soles of the feet, Thai foot massage helps the body restore its own natural healthy balance.