Understanding Evidence-Informed Cupping Therapy
Cupping therapy, an ancient practice rooted in traditional medicine, has gained significant attention in recent years for its potential benefits in pain relief, anxiety and stress reduction, and athletic performance enhancement. As a licensed massage therapist in Virginia, I can incorporate evidence-informed cupping therapy into sessions to support clients in achieving their wellness goals.

Debunking Myths: What Do Cupping Marks Really Mean?
A common misconception is that the marks left by cupping are due to toxins being drawn out of the body or stagnant blood being brought to the surface. In reality, these marks result from broken capillaries beneath the skin, similar to bruises.
The suction force from cupping breaks open tiny blood vessels called capillaries under your skin. (Cleveland Clinic)
Evidence-Based Benefits of Cupping Therapy
Evidence-Informed Cupping for Pain Relief
Studies suggest that cupping may be beneficial for pain relief. Research has explored its effectiveness in conditions like musculoskeletal pain, chronic neck pain, and lower back discomfort.
Evidence-Informed Cupping for Anxiety and Stress Reduction
By promoting relaxation, cupping can help reduce stress levels and muscle tension. Many clients report feeling a deep sense of relief following cupping therapy, which may contribute to overall well-being.
Evidence-Informed Cupping for Athletic Performance
Athletes have utilized cupping to aid in recovery by potentially helping to relieve soreness in tired muscles. While more research is needed, some studies indicate that cupping may support post-exercise recovery.
Could It All Just Be Placebo?
The placebo effect refers to experiencing a benefit from an inactive substance or treatment due to the expectation of benefit. Critics argue that cupping’s effectiveness is attributed to this phenomenon.
Pain can be difficult to measure, and the placebo effect can be quite powerful. (Harvard Health)
While cupping has shown positive effects for many, researchers continue to study whether its benefits are due to physiological mechanisms or the power of belief.
Cupping Techniques: Tailoring the Approach
In my practice, I prefer using lighter suction (around 20% or less) and keeping the cups dynamic, moving them across the skin. This method provides clients with a sense of release without causing deep red marks, as fewer capillaries are broken.
While I limit the duration to less than 3 minutes for cupping therapy, often 60 to 90 seconds or less is sufficient. It’s important to note that some individuals are more susceptible to capillary breakage, which can result in more pronounced marks.
Contraindications: When to Avoid Cupping
While cupping is generally considered safe, there are situations it is contraindicated for:
- Individuals with bleeding disorders or who are on blood-thinning medications.
- Areas with skin infections, wounds, or inflammation.
- Pregnant individuals should avoid cupping on the abdomen and lower back.
- People with certain medical conditions should consult with a healthcare professional before undergoing cupping therapy.
Professional Training and Scope of Practice
I have completed Dr. Joi Edwards’ cupping courses through ABMP along with other courses, which have equipped me with comprehensive knowledge and skills to safely and effectively incorporate cupping into massage therapy.
In Virginia, cupping is within the scope of practice for licensed massage therapists. While we can assess whether massage therapy or cupping is appropriate for you, we do not diagnose or prescribe treatment. Always consult a healthcare professional for a diagnosis of your conditions.
Conclusion
Evidence-informed cupping therapy offers a range of potential benefits, from alleviating pain to reducing stress and enhancing athletic recovery. By understanding the mechanisms behind cupping and dispelling common myths, clients can make informed decisions about incorporating this therapy into their wellness routines.
Book an Exploratory Call
To explore how massage therapy, including cupping, can support your health and wellness goals, schedule an exploratory call with me to discuss your needs and determine the best approach for your well-being.
The information provided here is for educational purposes and not interpreted as medical advice. Consult with a qualified healthcare professional for personalized guidance regarding your health.