i am a practising reflexologist and can say that all therapists work differently. i firmly believe that reflex should never be painful. sensitive yes, and tender but agony is not something i would want to inflict. we work on many levels during treatment, the deeper the pressure the more of on impact on the physical being. very light touch is often seen as working more on the ethereal, subtle energies.
IF you tell her it hurts and you dont like it, she should use less pressure. its that simple. we all should work within our clients tolerance levels.
areas of sensitivity do usually indicate imblance in the corresponding part of the body. after 18 months i would have hoped to see an improvement in the tenderness to your big toe.... but i do not know your medical history.
complementary therapy is an holistic approach and as such each one can complement and enhance another therapy. suggesting diet changes is not unusual within a treatment but if not qualified in another area of therapy, specific supplements should not be recommneded. you say she is a dietician so she should know about supplements etc and i wouldnt necessarily say she is getting a commission. health food stuff is way expensive.
i agree that on the surface complementary therpies make you pay through the nose but unfortunately, despite many of us training at length and paying lots for our education, the NHS dont fund us. if it makes you feel any better ;o), check out chiro and osteo prices!!
hope this helps and do ask anything else you may want to know.
regards
rosie