My client has horrific pain from peripheral neuropathy as a result of diabetes. Pain is felt 24 hours a day in his feet mostly at the MP joints dorsal aspect. He cannot take medications for it due to side effects.
Reflexology sometimes causes the pain to be worse later in the day or evening.
I do apply a lighter pressure. You might want to try working the hands first and then concentrate on working the feet with a lighter pressure. Working the hands first has been known to subside the sensitivity and discomfort when working the feet in situations like your clients. 4012 Rainbow Ste. Copyright 1999-2001 Reflexology Association of America.