i didn't have fot masseage for the first 3 mths. theni went to one that is fully qualified. the small triangular area under your ankle bone is the reflective point to your uterus, so they shouldn't massge your ankles. and & the whole foot massage should be dine gently. i had a foot massage every week. towards the end, maybe atarted around 20th wk, i had it twice a week. my legs where never swollen, no leg cramps. It was awesome!!