Instead of soaking the feet in a basin, the therapist uses a cream-based treatment enclosed in a small plastic "bootie" or glove. The cream, rich in ingredients like , deeply hydrates the foot while the nail is filed and shaped.

Practitioners of BTMT associate each toe with a specific emotion. For example, the big toe is often linked to grounding and security, while the little toe corresponds to communication. By working on these points, the technique can help release emotional memories and reduce anxiety.