Cupping Therapy

Cupping therapy at Physio Clinic Suchánek applies glass or silicone cups to the skin to create negative pressure — the opposite of massage compression. The suction lifts the soft tissues, separates adherent fascial layers, draws blood and lymph into the area, and provides a decompressive release that no compression technique achieves. Static cupping holds cups in place for localised deep release; sliding cupping moves the cups across the skin surface for a broader myofascial decompression effect across the back, hamstrings, or thighs.

Cupping has a multi-thousand-year history in traditional medicine, but its mechanism has been substantially clarified by modern physiotherapy research. The negative pressure created by the cup — between 150 and 400 mmHg depending on placement and cup size — produces several simultaneous physiological effects: **Myofascial decompression**: compression-based massage techniques push tissue together; cupping pulls it apart. For fascia that has become adherent due to repetitive loading, scar formation, or chronic postural compression, the decompressive lift created by a silicone or glass cup separates the tissue layers in a way that compression cannot achieve. **Circulatory stimulation**: the suction draws blood into the capillary bed beneath the cup. The characteristic circular marks (ecchymoses) that appear after cupping represent extravasated red blood cells from this process — not bruising from trauma. The reabsorption of this material is accompanied by a localised anti-inflammatory response as the immune system clears it. **Neurological pain modulation**: sustained suction activates mechanoreceptors in the deep fascia and creates a descending inhibitory effect on pain signalling — similar in mechanism to other forms of sensory stimulation used in pain management. At Physio Clinic Suchánek the therapist selects between two primary techniques based on the presentation: - **Static cupping**: cups are placed and held in fixed positions for 5–10 minutes per site. Used for localised deep tension, specific trigger points, and areas of dense fascial restriction. Common sites include the upper trapezius, rhomboids, lumbar paraspinals, and piriformis area. - **Sliding cupping**: after applying a small amount of oil, cups are moved across the skin surface. Produces a broader myofascial decompression across the back, posterior thigh, or calves. Often incorporated into sports massage sessions to complement compression techniques. Cupping marks (the circular discolouration) are expected, especially at the first session or in areas of significant tension. They are not painful once the cups are removed and resolve within 3–7 days. Athletes should schedule cupping sessions at least 48 hours before competition to allow the marks to fade. Contraindications: inflamed or broken skin, severe varicose veins, sunburned skin, active skin infections, bleeding disorders, anticoagulant medication, pregnancy over the abdomen. Preparation: avoid heavy meals before. The treatment area should be clean and free of creams. Expect marks — communicate with employers or family if skin appearance is a concern.