The shoulder girdle is the demarcation of everything in the body from the shoulders and above. The toes are the face, with the big toe reflecting the major reflexes and the other toes offering support with secondary reflexes. The great toe has reflexes for the pineal and pituitary glands, as well as points for the nose, eyes, ears, brain, forehead, and inner ear. All the toes have reflexes for sinus, teeth, lymph, hair, and the back of the head. The toe necks are equally as important as they represent the neck area and the glands found there. Of course, the shoulder is also represented.

The great toe is also divided into five zones, denoting all the zones found on the foot and in the body. Remember, in zone therapy the ten zones run through the body meeting in the head, hands, and feet. The head holds all ten zones, while the feet and hands each have five.

There are many key meridian points above the shoulder line as well. The liver meridian starts at the back of the great toe. The gallbladder meridian passes through the body, ending at the fourth toe. The bladder meridian ends at the little toe. The spleen meridian starts at the center of the great toe. Lastly, the stomach meridian ends at the top of the second toe, with branches to the great toe and third toe.