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Cupping Therapy: Unveiling the Benefits, Evidence, and Application

Updated: Jan 8





Introduction: Cupping therapy, an ancient technique with roots in traditional Chinese medicine, has gained popularity in recent years for its potential benefits in promoting healing and relieving pain. As a physiotherapist, I often encounter questions about the efficacy of cupping in the context of modern rehabilitation. In this blog, we'll explore the benefits, evidence, and application of cupping, illustrated through a case study.


Understanding Cupping: Cupping involves placing cups on the skin to create suction, drawing underlying tissues upward. Traditionally performed using glass or bamboo cups, contemporary cupping may use silicone or plastic cups. The negative pressure created by cupping is believed to enhance blood circulation, reduce muscle tension, and promote overall tissue healing.


Benefits of Cupping:


  1. Improved Blood Circulation: Cupping is thought to increase blood flow to the treated area, facilitating the delivery of oxygen and nutrients to tissues. This may enhance the body's natural healing processes.

  2. Muscle Relaxation: The suction created by cupping can help release tight muscles and fascia, promoting relaxation and relieving muscle stiffness.

  3. Pain Relief: Cupping is often employed to alleviate pain, particularly in musculoskeletal conditions. The mechanism involves stimulating nerves, which may affect pain perception.

  4. Reduced Inflammation: Some proponents suggest that cupping may have anti-inflammatory effects, potentially aiding in the management of conditions characterized by inflammation.

Evidence Behind Cupping: While cupping has a long history, scientific research supporting its effectiveness is still emerging. Several studies have explored its impact on pain and musculoskeletal conditions. A systematic review published in the Journal of Alternative and Complementary Medicine in 2019 found that cupping therapy demonstrated potential benefits for pain relief in various conditions, including lower back pain and knee osteoarthritis.


Case Study: Mary's Journey to Pain Relief: Mary, a 45-year-old office worker, presented with chronic neck and shoulder pain resulting from prolonged hours of computer use. Traditional physiotherapy interventions had provided minimal relief. Intrigued by cupping's potential benefits, we decided to incorporate it into Mary's treatment plan.





Application of Cupping in Mary's Case:


  1. Assessment: A thorough physical assessment was conducted to identify trigger points and areas of muscle tension.

  2. Cupping Technique: Silicone cups were applied to Mary's upper back and shoulders. The cups were left in place for about 5-10 minutes, creating a gentle suction.

  3. Combined Approach: Cupping was integrated with other physiotherapy techniques, including manual therapy, dry needling acupunctre and exercise. This holistic approach aimed to address the underlying causes of Mary's pain.

  4. Progress Monitoring: Mary's progress was regularly monitored through subjective reports of pain levels, range of motion assessments, and functional tasks related to her work.

Results: After a few sessions incorporating cupping therapy, Mary reported a noticeable reduction in pain and increased flexibility in her neck and shoulders. Objective assessments also revealed improved range of motion and decreased muscle tension. While cupping played a role in Mary's progress, it was complemented by a comprehensive physiotherapy approach.


Conclusion: Cupping therapy, when applied judiciously within a physiotherapeutic context, may offer benefits for certain individuals dealing with musculoskeletal pain. While evidence continues to accumulate, it's essential to view cupping as one tool within a broader toolkit of physiotherapy interventions. The case of Mary illustrates the potential positive impact of cupping when integrated into a tailored treatment plan. As always, individuals seeking pain relief should consult with a qualified healthcare professional for personalized advice and guidance.


Dan Morwood Physiotherapist, DPT, CAFCI. CGDNT

Peak Performance Physiotherapy & Sports Rehab

text/phone (807) 407-4003





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