Cupping: what it is and what to expect
Cupping therapy is widely recognised but often misunderstood. A brief look at what it is, the variations practitioners use, and what those circular marks actually mean.
Cupping is one of the more recognisable TCM techniques — those circular marks have appeared on Olympic swimmers and elite athletes — but it is also one of the more misunderstood. Here is a brief introduction.
What cupping involves
A cup (traditionally glass or bamboo, today often silicone) is applied to the skin with light suction. The suction draws the skin and superficial tissues slightly upward into the cup. The cup may be left stationary, moved across the skin, or applied briefly and removed in repeated motions.
The variations practitioners use
Different techniques suit different situations:
- Flash cupping — the cup is applied and quickly removed, repeated rapidly. Used for relatively superficial concerns and sensitive areas.
- Sliding (moving) cupping — oil is applied to the skin and the cup is slid across an area. Often used over broader regions like the back or thighs.
- Ironing method — a warmed cup is moved with a stroking motion.
- Stationary cupping — the cup stays in place for several minutes.
The choice depends on the area being treated and the practitioner’s clinical aim.
About those circular marks
A common question: why do the marks sometimes look so dramatic, and are they bruises?
In TCM terms, the marks are not the same as a bruise from impact. Their colour and pattern actually give the practitioner information about the underlying state of circulation in that area. They typically fade over a few days to about a week, depending on the individual.
That said: marks are not the goal of treatment. Treatment is calibrated to the person, and not every session leaves visible marks.
Who is and isn’t suitable
Cupping is not appropriate for everyone or every area. People with very thin skin, certain skin conditions, bleeding disorders, or who are on blood-thinning medication should mention this so the practitioner can advise. Cupping is also generally avoided directly over varicose veins, recent injuries, and certain areas during pregnancy.
Your practitioner will discuss whether cupping is suitable for your situation as part of the consultation.
Combining with other modalities
Cupping is rarely used in isolation. It is more often combined with acupuncture and, where appropriate, herbal medicine — as one element of an individualised treatment plan.
If you would like to discuss whether cupping might be appropriate for you, you are welcome to call to arrange a consultation.