Cupping

Overview

What is cupping?

Cupping is an ancient healing therapy that some people use to ease pain. A provider places cups on your back, stomach, arms, legs or other parts of your body. Inside the cup, a vacuum or suction force pulls skin upward.

Cupping is a form of traditional Chinese and Middle Eastern medicine. People have practiced cupping therapy for thousands of years.

How does cupping work?

Experts are still exploring how cupping eases pain and disease symptoms. There isn’t a lot of research on the therapy.

Suction from cupping draws fluid into the treated area. This suction force expands and breaks open tiny blood vessels (capillaries) under the skin. Your body treats the cupping area like an injury. It sends more blood to the area to stimulate the natural healing process. Some people theorize that cupping clears the pores and releases toxins.

Who performs cupping?

A variety of professionals can receive training to perform cupping, including:

  • Acupuncturists.
  • Chiropractors.
  • Massage therapists.
  • Medical doctors.
  • Physical therapists.

What does cupping treat?

People mostly use cupping to relieve conditions that cause pain. Some people say it also helps with chronic (ongoing) health issues. Cupping may ease symptoms of:

What are the types of cups?

Most providers use glass or plastic cups, but cups may be:

  • Bamboo.
  • Ceramic.
  • Metal.
  • Silicone.

Procedure Details

How is cupping performed?

There are different ways to perform cupping. The steps vary slightly depending on the chosen method. Your provider will leave the cups in place for several minutes. Some treatments involve briefly moving the cups to stretch and massage the area.

Depending on the treatment, your provider may place multiple cups on your skin. Cupping methods include:

  • Dry: Your provider heats the inside of each cup — typically with an alcohol-soaked cotton ball that is set aflame. The heat sends oxygen out of the cup, creating a vacuum. Some providers use a suction device to remove air from cups. Once placed on your skin, the vacuum force pulls skin up into the cup.
  • Wet: Your provider uses a needle to lightly puncture your skin before, and sometimes after, cupping. Toxins leave the body through the puncture wounds during the cupping procedure.

What should I expect after cupping?

The suction force from cupping breaks open tiny blood vessels under the skin. You will have round bruise-like marks that fade in a week or two.

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Risks / Benefits

What are potential risks or complications of cupping?

Cupping is a relatively low-risk therapy. Still, you may experience:

Who shouldn’t get cupping?

Because researchers know little about cupping’s effects on pregnancy, moms-to-be shouldn’t get the therapy. You should also forego cupping if you have:

Recovery and Outlook

How effective is cupping?

There aren’t many high-quality studies about the effectiveness of cupping. And researchers don’t know a lot about why or how cupping might help people. Cupping may provide a placebo effect, meaning it helps because people believe it does.

When to Call the Doctor

When should I call the doctor?

You should call your healthcare provider if you get cupping and experience:

  • Burns.
  • Extreme pain or soreness.
  • Fever or other signs of skin infection (redness, tenderness, yellow discharge).

A note from Cleveland Clinic

Cupping therapy may help ease certain symptoms, such as pain. Not much is known about the therapy’s effectiveness, how it works or what conditions it treats. While cupping is relatively safe, you should talk to your healthcare provider before trying the therapy.

Last reviewed by a Cleveland Clinic medical professional on 08/19/2020.

References

  • Aboushanab TS, AlSanad S. Cupping Therapy: An Overview from a Modern Medicine Perspective. (https://www.sciencedirect.com/science/article/pii/S2005290117302042?via%3Dihub) Journal of Acupuncture and Meridian Studies. 2018;11(3):83-87. Accessed 8/19/2020.
  • American Physical Therapy Association. Cupping: Why We’re All Seeing Spots. (https://www.apta.org/article/2016/08/15/cupping-why-were-all-seeing-spots) Accessed 8/19/2020.
  • Furhad S, Bokhari AA. Cupping Therapy. (https://www.ncbi.nlm.nih.gov/books/NBK538253/) Accessed 8/19/2020.
  • National Center for Complementary and Integrative Health. Cupping. (https://www.nccih.nih.gov/health/cupping) Accessed 8/19/2020.

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