Here is some of the information I recently shared in the August newsletter. Each newsletter has a specific focus.  This newsletter is focused on cupping therapy. If you would be interested in receiving my newsletters, which include links to the studies as well as special offers and sales coupons, please head over to my contact page and sign up.


  1. Effect of cup size on skin blood flow response
  2. Effect of pressure and duration on skin blood flow response
  3. Impact on skin blood flow under moving cupping
  4. Cupping in the treatment of carpal tunnel syndrome
  5. interscapular cupping effect on blood pressure, oxygen saturation, pulse rate, and chest expansion
  6. Cupping with ginger aromatherapy for reducing cholesterol levels
  7. Dry cupping for knee osteroarthritis
  8. effects of ear acupuncture with cupping for chronic back pain


1. A study, titled Using reactive hyperemia to investigate the effect of cupping sizes of cupping therapy on skin blood flow responses, published in J Back Musculoskelet Rehabil in 2021, compared the effect of 3 sizes of cups, (35, 40, and 45 mm) on skin blood flow. Their conclusion: all three cup sizes can significantly increase skin blood flow. The 45 mm cup is more effective compared to the 35 mm cup.

2.  A study titled Effects of Pressures and Duration of Cupping Therapy on Skin Blood Flow Responses, published in Front Bioeng Biotechnolin Dec 2020 compares 4 different treatments:  -225 mmHg at 5 and 10 minutes and -300 mmHg at 5 and 10 minutes.  The results showed that -300 mmHg caused a significant increase in peak skin blood flow compared to -225mmHg under 5 minutes. A higher value of negative pressure is more effective on increasing skin blood flow compared to a lower value and shorter duration causes a larger peak and total skin blood flow compared to a longer duration.

3. A study titled Impacts on skin blood flow under moving cupping along meridians in different directions, published  in Mar 2013 in Zhongguo Zhen Jui concludes: Blood flow was increased significantly and was more apparently increased in the moving cupping area. The local effects are similar between moving cupping following the meridian running direction and that against the running direction.

4. A discussion titled Is There a Role of Cupping Therapy in the Treatment of Carpal Tunnel Syndrome in Primary Care Setting, published in Jan 2021 in Cureus states:
    a.  cupping consists of application of quick, vigorous, and rhythmical strokes on the skin with the help of suction cup which stimulate cutaneous, subcutaneous muscles and increases blood flow in that area.
    b.  In the primary care setting where resources are limited for surgical intervention, the usage of cupping therapy as add-on therapy along with medial management can be an effective method of treatment.
    c.  there is a need of regulatory body for cupping therapy. A standardized procedure with established protocols will be beneficial as well as defining contraindications and complications for cupping therapy.

5. A study titled Immediate effect of interscapular cupping on blood pressure, oxygen saturation, pulse rate and chest expansion in sedentary smoker students, published in J Complement Integr Med Feb 2021 concludes: Both wet cupping and dry cupping showed improvements in all measurements (systolic and diastolic BP, upper and lower chest expansion, O2 saturation, and pulse rate) in sedentary male smoker students after a single cupping session. 

6. A study titled Application of Cupping Therapy with Ginger Aromatherapy on Reducing Cholesterol Level among Patients with Hypercholesterolemia published in International Journal of Nursing and Health Services in Feb 2021 concludes: The intervention group received the cupping therapy with ginger aromatherapy while the control group only received 10 gr simvastatin drug per day. The result showed a significant difference between the experimental group and the control group. Cupping therapy with ginger aromatherapy for 21 days was effective in reducing lipid profile levels among hypercholesterolemia patients.

7. A study, titled Effect of dry cupping versus soft and prolonged massage (with Chamomile oil ) in the management of knee osteoarthritis—a randomized controlled clinical trial, published in J Complement Integr Med in 2021 concludes:  Soft and prolonged massage with chamomile oil and dry cupping both were found safe and effective in the management of osteoarthritis. 

8.  A study titled Effects of ear acupuncture combined with cupping therapy on severity and threshold of chronic back pain and physical disability: a randomized clinical trial ,published in Journal of Traditional and Complementary Medicine in July 2021 concludes: pain severity, pressure pain threshold, and physical disability improved over time in both groups. However, for the patents being treated with both ear acupuncture and cupping therapy, significant changes were seen in pain severity, pain relief, and physical disabilities between the initial and final sessions. For the “ear acupuncture and cupping therapy” group, significant changes were also seen for pain relief and physical disability in the follow up session (7 days after treatment).

Here is some of the information I recently shared in the January newsletter. Each newsletter has a specific focus.  This newsletter is focused on cupping. If you would be interested in receiving my newsletters, please head over to my contact page and sign up.


  1. Effect of dynamic cupping on neck pain
  2. Optimal treatment time of dry cupping to change local blood flow
  3. Comparison of cupping therapy to foam roller on hamstring pathology
  4. Cupping therapy for plaque psoriasis
  5. Effect of cupping size on stiffness of triceps
  6. Effect of cupping pain level and neuromuscular variables in low back pain
  7. Effectiveness of cupping on plantar fasciitis


1. A study, titled Immediate Effect of Dynamic Cupping on Pain in Teachers with Mechanical Neck Pain: An Experimental Study, published in IJPOT in Apr 2020 beginning on page 154 concludes: there is a significant reduction in pain after the treatment with dynamic cupping (combined cupping and massage) in teachers with mechanical neck pain. So, dynamic cupping can be used clinically in patients with mechanical neck pain

2.  A thesis titled The Optimal Treatment Time of Dry Cupping Therapy to Induce Changes in Local Blood Flow at the Upper Trapezius, published in Illinois State University ReD: Research and eData—Theses and Dissertations in April 2020, concludes: Dry cupping therapy increased deep and superficial oxygenated, de-oxygenated, and total hemoglobin levels at treatment times of 5, 7.5, and 10 minutes. This indicates that clinicians may be able to apply cupping therapy for a shorter period of time and maintain a significant increase in blood flow at the upper trapezius. 

3. A study titled Acute outcomes of myofascial decompression (cupping therapy) compared to self-myofascial release (foam roller) on hamstring pathology after a single treatment, published in International Journal of Sports Physical Therapy in Aug 2020, concludes: Both treatments are beneficial in increasing hamstring length. Patients though felt an enhanced treatment effect using MFD over SMR for perceived benefits to hamstring flexibility

4. A study titled Moving cupping therapy for plaque psoriasis: A PRISMA-compliant study of 16 randomized controlled trials, published in Medicine in Oct 2020, concludes: moving cupping therapy could be an effective treatment either alone or as a combination therapy for plaque psoriasis.

5. A study titled Using elasto-graphic ultrasound to assess the effect of cupping size of cupping therapy on stiffness of triceps muscle, published in American Journal of Physical Medicine and Rehabilitation in Oct 2020 concludes:  The overall stiffness of triceps significantly reduced after cupping therapy with the 45 mm and 40 mm cups, but not the 35 mm cup. The stiffness of the superficial layer did not show significant difference in all three sizes of cup. The stiffness of deep layer significantly reduced with the cupping therapy with the 45 mm and the 40 mm cups. This is the first study demonstrating that cupping therapy significantly reduced muscle stiffness, especially at the deep layer.

6. A study titled Effect of cupping therapy on the level of pain and neuromuscular variables in women with low back pain, published in Manual Therapy, Posturology & Rehabilitation Journal in 2020 concludes: After 10 sessions of cupping therapy, there was a decrease in the level of pain, an increase in the isometric strength of the trunk and less co-contraction between Rectus Abdominus and Lumbar Iliocostalis in young women with low back pain.

7. A thesis, titled Effectiveness of dry cupping on Plantar fascia pain and function: A Thesis, presented to the Department of Kinesiology at California State University in Sacramento in 2020 concludes: Cupping the plantar fascia in patients with plantar fasciitis can significantly improve function even if the participant is not aware of it.

Here is some of the information I recently shared in my August newsletter. Each newsletter has a specific focus.  This month is focused on the cupping technique. If you would be interested in receiving my newsletters, please head over to my contact page and sign up.


  1. Dry cupping, ischemic compression or combination for treatment of trigger points
  2. Manual therapy, dry cupping or dry needling for myofascial trigger points
  3. Dry cupping for plantar heel pain
  4. Wet cupping and dry cupping effect on decreasing blood pressure
  5. Using a graph to show efficacy of cupping treament locations for 3 different conditions
  6. Single cupping therapy session improves pain, sleep, and disability for low back pain
  7. Attentional bias toward cupping therapy marks
  8. Cupping therapy for chronic urticaria
  9. Dry cupping for nonspecific neck pain and subcutaneous hemodynamics
  10. Effectiveness of dry cupping on chronic fatigue syndrome


I receive a weekly update on anything published on the internet that includes information about cupping.  I try to glean the best of the information and provide a brief synopsis of the information. If you come across any information that you think would be good to share, please also feel free to pass that information along to:

1. A study, titled Dry cupping, ischemic compression, or their combination for the treatment of trigger points: a pilot randomized trial, published in the Journal of Alternative and Complementary Medicine in Jan 2020 suggests: results showed a statistically significant improvement in Neck Disability Index, Pressure Pain Threshold and Neck Range of Motion compared with values before the treatment in all groups. Although no significant difference was detected between ischemic compression and dry cupping, the combination approach showed significantly higher and faster improvement.

2.  A study titled A systematic review of manual therapy techniques, dry cupping and dry needling in the reduction of myofascial pain and myofascial trigger points, published in Journal of Bodywork & Movement Therapies in Jul 2019, concludes: there is moderate evidence for manual therapy in myofascial pain treatment, the evidence for dry needling and cupping is not greater than placebo. Future studies should address the limitations of small sample sizes, unclear methodologies, poor grounding, and lack of control groups.

3.  A study titled Effects of myofascial trigger point dry cupping on pain and function in patients with plantar heel pain: A randomized controlled trial, published in the Journal of Bodywork & Movement Therapies in Jul 2019, concluded:  Adding dry cupping on calf MTrPs to self-stretching and ankle dorsiflexion exercises for patients with plantar heel pain was superior to only self-stretching and active ankle dorsiflexion exercises in pain, ankle dorsiflexion ROM, and plantar flexor strength.

4.  A paper titled The Effectiveness of Wet Cupping and Dry Cupping on Back Points Against Decreasing Blood Pressure in Hypertension Patients in Wonopringgo Village, Pekalongan Regency and presented at the International Nursing Conference on Chronic Disease Management Pekalongan, Indonesia, August 7-8, 2019 concludes:  1)  Dry cupping has provided significant benefits in reducing blood pressure with hypertension.  2)  Wet cupping therapy is more effective than dry cupping therapy for lowering blood pressure.

5.  3 studies focused on identifying appropriate treatment points for cupping treatments for 3 different conditions created graphs to show the efficacy of points for each condition. 1)  Optimal medicinal cupping points selection for asthma disease via graph coloring: a preliminary study   2)  Efficacy of cupping in the treatment of hypertension disease using graph coloring, and 3) A preliminary study of optimizing back pain medicinal cupping points disease via graph coloring. 

6.  A study titled Single Cupping Therapy Session Improves Pain, Sleep, and Disability in Patients with Nonspecific Chronic Low Back Pain, published in Journal of Acupuncture Meridian Studies in Apr 2020 concluded: patients showed a significant improvement in all pain severity items and sleep and a decrease in disability. No significant differences were found in pressure pain threshold or skin temperature. No significant differences were found in any outcome of the placebo cupping therapy group. patients in the experimental groups receive 15 minutes of cupping bilaterally at points: Bl23, BL24, BL25.

7.  A study, titled Attentional Bias Toward Cupping Therapy Marks: An Eye-Tracking Study, published in Journal of Pain Research in 2020 concludes: The skin reactions caused by cupping therapy evoked negative emotional responses as well as attentional bias to the reaction sites. Our findings suggest that the emotional and attentional responses to cupping therapy might reflect potential reluctance to this therapy.

8.  A study titled Cupping therapy for patients with chronic urticaria: A systematic review and meta-analysis, published in Journal of Integrative Medicine in July 2020 concluded:  Wet cupping may be as effective as treatment with antihistamines. When cupping therapy is used as an adjuvant therapy to antihistamines or acupuncture, it may enhance the efficacy. Results drawn from these studies should be interpreted with caution and applied with care to clinical practice, because of the poor quality among the studies that we’re reviewed.

9.  A study titled Dry cupping therapy for improving nonspecific neck pain and subcutaneous hemodynamics, published in Journal of Athletic Training in July 2020, concluded: a single session of dry cupping therapy (directly over the most painful area for 8 minutes) may be an effective short-term treatment method for immediately reducing pain and increasing oxygenated and total hemoglobin levels in patients with non-specific neck pain.

10.  A study titled The effectiveness of cupping therapy on chronic fatigue syndrome: a single-blind randomized controlled trial, published in Complementary Therapies in Clinical Practice in August 2020 concludes: cupping therapy has significantly relieved fatigue symptoms and improved emotion and sleep condition of CFS patients, and 10 sessions of treatment had superior results compared with 5 sessions in each group. Moreover, in 5 sessions of treatment, cupping with high pressure showed better improvement in fatigue syndromes and sleep condition according to effective rates.


Here is some of the information I recently shared in my February newsletter. Each newsletter has a specific focus.  This month is focused on cupping information. If you would be interested in receiving my newsletters, please head over to my contact page and sign up.

Tidbits, Updates and Resources:

1. Science Direct published a very thorough article in the Journal of Acupuncture and Meridian Studies in Jun 2018, titled “Cupping Therapy: An overview from a Modern Medicine Perspective" which gives an overview of cupping therapy practice and includes a new classification of cupping therapy sets, a new classification of cupping therapy adverse events, and an updated classification of cupping therapy types.

2. An oral presentation and paper, presented in 2015 by Graduate nursing students at the Brawijay University in Indonesia, titled “The effect of wet cupping therapy on total cholesterol level in patients with hypercholesterolemia at Grajagan Health Center in Purwoharjo, Banyuwangi in 2015" concluded: …Wet cupping to decrease total cholesterol level to be lower than that before undergoing the therapy.


I receive a weekly update on anything published anywhere on the internet that includes information about cupping (dry, massage). If you have any problems with the links, please let me know, or if you come across any information that you think would be good to share, please also feel free to pass that information along:

1.A study titled “Efficacy of cupping therapy in patients with fibromyalgia syndrome - a randomized placebo-controlled trial” published in Sci Rep in 2016, concludes:... five cupping treatments were more effective than usual care to improve pain intensity and quality of life in patients diagnosed with fibromyalgia syndrome. Given the effects were small, and cupping was not superior to sham cupping treatments, currently no recommendation for cupping in the treatment of fibromyalgia can be made.

2. A 12-minute video, provided by Complementary Health Seminars, demonstrates how using cupping with burn scars can be effective. The video is titled “Myofascial Cupping with Burns Victims Documentary" and can be seen on vimeo.

3. A study titled “Hypertension and its management from the perspective of traditional regime cupping therapy” published in Indian Journal of Applied Research in 2018 concludes: WCT (Wet Cupping therapy—Al-hijamah) is a minor surgical excretory procedure that has medical and scientific basis in clearing blood and interstitial spaces…applying cupping is the best solution to prevent and treat such cases, as cupping decreases the level of fat (triglyceride, cholesterol) in blood to normal one, gets rid of hypertension and increases the good flow through heart tissues after cleaning the arteries and preventing them from atherosclerosis.

4. A study titled “Is cupping blister harmful? - A proteomical analysis of blister fluid induced by cupping therapy and scald" published in Complement Ther Med in Feb 2018, concludes: cupping induced blisters contain several proteins which related to the activation of certain immune pathways including anti-oxidation, anti-apoptosis, tissue repairing and metabolic regulation.

5.  A case study with literature review, titled “Is dry cupping as effective as a traditional exercise program in reducing shoulder pain in competitive swimmers” and published through the University of New Mexico Digital Repository concludes: Studies have shown that cupping may be able to decrease pain by an average of 20mm on the Visual Analog Scale. This suggests that in the painful shoulder it may be used as an adjunct to exercise therapy but should not replace it as cupping does not address the underlying impairments that swimming induces not he shoulder.

6. A study presented at the International Conference on Applied Human Factors and Ergonomics, titled “ The influence of dry cupping of differing intensities on heart rate variability" concludes: Cupping at a pressure of -100mmHg did not significantly change the Heart rate variability, but cupping at both -300 and -500 mm Hg caused a significant improvement in HRV. The HRV responses did not differ significantly between cupping at -300 and at -500 mmHg, however. The significant increase in HRV occurred only during the recovery period after the cups were removed.

7. A study titled “Negative pressure therapy in the management of lymphedema” suggests: Historically, conservative lymphatic therapy treatments have consisted of treatments that predominate via offering positive pressure; a pushing force onto the tissues. Compression bandaging, pressure garments, including wraps and chip bags, and massage, including manual lymphatic drainage and pneumatic compression devices, represent examples of positive pressure therapy and technology. Negative pressure, on the other hand, is a new means of offering treatment, whereby a pulling of opening force is applied to the tissues. Treatment can be targeted to specific areas, such as areas of radiation-induced fibrosis and scar tissue, or the technology can be used as an adjunct to massage and manual lymphatic drainages. This article introduces the concept of negative pressure technology to lymphedema management and the proposed mechanics of action.

Here is some of the information I recently shared in my February newsletter. Each newsletter has a specific focus.  This month is focused on cupping information. If you would be interested in receiving my newsletters, please head over to my contact page and sign up.

Tidbits, Updates and Resources:

1.Dr. Ross Turchaninov posted an article on the Science of Massage Institute titled “The Horrors of Improper Massage Therapy” but the article actually dealt with cupping therapy. The article includes pictures of the client following a cupping session that actually causes increased pain for the client as well as significant tissue damage. You can read the article on the Science of Massage website.

2.  A paper, published in Complement Ther Med in Oct 2012, titled Safety protocols for gun she (press-stroking) and baguan (cupping)” states: …instrument assisted mechanical stimulation of the body surface that intentionally creates therapeutic petechiae and ecchymosis representing extravasation of blood in the subcutis. Blood and ‘other potentially infectious material’ (OPIM) can sometimes be drawn through the surface of the skin leading to potential contamination of instruments and to risk of bloodborne pathogen exposure….Presents the nature of the potential risks and applies current hospital safety standards as proposed protocols for Gua she and Baguan.”

3.  Veterinary Medicine is just beginning to use negative pressure in treatment of animals. In a paper by Vlaams Diergeneeskundig Tijdschrift, titled Negative Pressure Wound Therapy: the past and the future, the faculty of veterinary medicine at Ghent University concludes: Negative pressure for the treatment of wounds has been applied for centuries. Positive and promising results have been documented (in veterinary medicine) but more controlled studies are needed to clarify the exact mechanism and beneficial effects of NPWT in animal patients.”

4. An article in Nov 2017 Complementary Therapies in Clinical Practice by Duane Lowe concludes: Negative pressure causes stretching of the skin and underlying tissue and dilation of the capillaries. This stimulates in increase in tissue blood flow, eventually leading to capillary rupture and ecchymosis. Macrophages phagocytize the erythrocytes in the extravascual space which stimulates the production of Heme Oxygnase-1 (HO-1) to metabolize the heme. Heme catalysis results in the production of carbon monoxide(CO), biliverdin (BV)/bilirubin(BR) and iron. HO-1, BV, BR and CO has been shown to have antioxidant, anti-inflammatory, antiproliferative, and neuromodulatory effects in animal and human systems. These substances also stimulate a shift of macrophages to the anti-inflammatory M2 phenotype. This could account for many of cupping therapy’s claims local and systemic health benefits.


I receive a weekly update on anything published anywhere on the internet that includes information about cupping (dry, massage). If you have any problems with the links, please let me know, or if you come across any information that you think would be good to share, please also feel free to pass that information along:

  1.  A study titled “Dry cupping for plantar fasciitis: a randomized controlled trial” published in J Phys Ther Sci in May 2017, concluded:  …Both dry cupping therapy and electrical stimulation therapy could reduce pain and increase function in the population tested (patients with plantar fasciitis).
  2. A study published on NISCAIR Online Periodicals repository, in Jul 2015, titled “Dry cupping therapy decreases cellulite in women: A pilot study” concluded:  …indicated for the first time in humans that dry moving cupping therapy might be effective on cellulite. Dry moving cupping therapy may cause the drainage of interstitial fluid and its elements into blood and lymphatic capillaries, especially lipids in cellulite.

  3. A study published on PLOSOne in Jun 2013, titled Effectiveness of Home-Based Cupping Massage Compared to Progressive Muscle Relaxation in Patients with Chronic Neck Pain-A Randomized Controlled Trial” concluded:  Cupping massage is not more effective than progressive muscle relaxation in reducing chronic non-specific neck pain. Both therapies can be easily used at home and can reduce pain to a minimal clinically relevant extent. Cupping massage may, however, be better than Progressive Muscle Relaxation in  improving well-being and decreasing pressure pain sensitivity but more studies…are needed.

  4. A study titled “Dry cupping in children with functional constipation: a randomized open-label clinical trial”, published Jul 2016 in Afr J Treat Complement Altern Med, concluded: …dry cupping of the abdominal wall, as a traditional manipulative therapy, can be as effective as standard laxative therapy in children with functional constipation.

  5. A study titled “Treatment of shoulder myofascial trigger points in amateur athletes with ERGON IASTM Therapy, cupping and ischemic pressure techniques: a randomized controlled clinical trial” by Department of Physiotherapy, Technological Education Institute of Western Greece in 2017 concluded: The Ergon-IASTM technique and ischemic pressure technique produced a significantly larger effect (pain and sensitivity reduction) compared with cupping therapy after the 2nd treatment.

  6. A case study, titled “Utilization of Cupping Therapy in the Treatment of Vascular Thoracic Outlet Syndrome in a Collegiate Pitcher: A CXase Study, published in The Journal of Sports Medicine and Allied Health Sciences concludes:  Cupping therapy may be a  viable treatment option when seeking to address tight musculature.

© 2020 Advanced Holistic Healing Arts 
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