Dr. Dawna Ara, DACM

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The Wonderful World of Cupping

If you’ve been watching the Rio Olympics by now you’ve probably seen red circular marks on several Olympians. American swimmer Michael Phelps won his 19th, 20th, and 21st gold medals proudly displaying the markings all over his body. These marks are from an ancient therapy called Cupping where negative pressure cups are placed on and/or moved around different parts of the body.

The earliest record of it’s use can be found in the Ebers Papyrus from Egypt which dates back to 1550 BC (1). It is also mentioned in the Bo Shu, an ancient book found in a tomb that was sealed shut in 168BC during the Han Dynasty (2). Cupping has been used by practitioners for thousands of years to promote healing from various conditions and relieve tension and muscle aches.

 How does cupping work?

The ancient practitioners would accomplish a vacuum suction by adding a flash of heat or fire inside a cup commonly made of bamboo, then immediately place it on the body. As the air inside the cup cools, suction is created and the skin and the surrounding tissues are drawn upwards bringing blood flow and oxygen to the area to promote healing. Today acupuncturists still use fire cupping but we also use modern materials such as glass, plastic or silicone cups that can create the same response without the use of heat or fire.

What is a typical cupping session like?

Cupping can be done anywhere on the body but most commonly it is done on the back, neck and shoulders. As an acupuncturist we would first ask questions about your medical history and the main reason why you are seeking cupping.

If deemed appropriate then according to your diagnosis we would place one or more cups on various areas of the body. Sometimes the cups are left in place for a few minutes, other times massage oil is applied and the cups are moved around creating a massage like sensation. Acupuncturists commonly perform cupping immediately before or following an acupuncture session. We also combine it with other techniques such as gua sha and massage but it is not uncommon to have a cupping only session.

Depending on the individual and the condition being treated, the longer the cups are left in place the darker the marks will be on the body. You can expect the marks to disappear within two weeks.

What can cupping treat?

Acupuncturist use cupping to treat a wide variety of conditions including muscle aches and pains, migraines, arthritis, the common cold, bronchitis, cough, asthma, indigestion, skin issues such as eczema, rashes, acne and herpes. Cupping is also used to treat scars, cellulite, and to tighten the skin on the face, abdomen, buttocks, and thighs.

Cautions and contradictions

As with any form of therapy cupping has many cautions and contradictions. Cupping requires an advanced level of training and knowledge of the body as well as an understanding of the patient and his or her medical conditions. Be wary of practitioners with little or no training or those claiming they invented a “new technique” or form of cupping therapy. If you are going to get cupping seek out an acupuncturist or an equally trained and experienced professional that takes the time to address your needs and medical history.


1. Ebers-papyrus

2. Bo Shu Silk Text

3. Cupping Therapy: An Essential Guide to Cupping Therapy, How it Works, and It's Benefits

About Dr. Dawna Ara, DACM
Dawna is an acupuncturist, herbalist, functional medicine practitioner, a mom, wife, writer, nature lover, chef and whole foods advocate. She teaches her patients how to live a healthy lifestyle.