Peace, Mammabear,
I think, in my limited experience, that an interesting point is that if Reiki knew where to go on its own it wouldn't need the intuitition and intention of the one channeling the Reiki to direct it to any particular area.
Of course, that said, there is the business of directing Reiki to the person "in general, for their greatest good," which seems to imply that the Reiki will find its own way where the recipient needs it.
And then there is the issue of the recipient's conscious or unconscious desire to receive Reiki in a deficient area.
I suppose any or all of the above can be true to some degree when working with Reiki, but I don't think it's any one answer alone.
Just food for thinking.
Peace.
Alice