Modality Guide

Cupping Therapy in Physiotherapy: Benefits, Risks & Results

Cupping has moved from ancient practice to modern physiotherapy clinic. But does it actually work? Here's an honest, evidence-based review from Dr. Maitri Kothari.

What Is Cupping Therapy in Physiotherapy?

Physiotherapy cupping (myofascial cupping or dry cupping) uses plastic or silicon cups applied to the skin to create negative pressure (suction). Unlike traditional Chinese cupping, physiotherapy cupping is applied using modern cups and is based on musculoskeletal science rather than meridian theory. The suction lifts the skin and superficial fascia, creating a mechanical effect on the underlying tissues.

How Does Cupping Work in Physiotherapy?

The proposed mechanisms include decompression of fascia and myofascial tissues (the opposite effect to deep tissue massage, lifting rather than compressing), increased local blood flow promoting healing, stimulation of the autonomic nervous system for pain modulation, release of tight fascial restrictions. Cupping marks (the characteristic circular marks) are not bruises but petechiae, small bleeds from capillaries in the lifted tissue. They typically resolve in 5–10 days.

💡 The evidence base for cupping is still developing. Most quality RCTs show short-term benefits for pain and function, particularly for neck pain, lower back pain, and myofascial pain. Dr. Maitri Kothari uses it as an adjunct tool within a broader physiotherapy programme.

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Conditions Cupping May Help

Who Should NOT Have Cupping?

Cupping is contraindicated over open wounds, bony prominences, varicose veins, inflamed or infected skin, in patients on blood thinners, and over active malignancy sites. Dr. Maitri Kothari screens all patients before cupping application.

Frequently Asked Questions

Is cupping therapy painful?

Most patients describe cupping as feeling like a strong suction or tight pulling sensation, not painful. The marks left afterward can be tender to touch for 2–5 days.

Does cupping therapy have scientific evidence?

Growing evidence supports cupping for pain management, particularly for neck and back pain. It is not a standalone treatment but a useful adjunct within a physiotherapy programme.

How many cupping sessions are needed?

Typically 4–8 sessions as part of a broader physiotherapy programme. Dr. Maitri Kothari reassesses response after each session.

Is cupping therapy available at PhysioBuddy Ahmedabad?

Dr. Maitri Kothari uses cupping as a clinical tool at PhysioBuddy when clinically indicated. WhatsApp +91 78619 29326 for more information.

Dr. Maitri Kothari, BPT · MPT (Musculoskeletal & Sports)

Pain Management Specialist | Founder, PhysioBuddy Ahmedabad | 10+ Years | 2,000+ Recoveries

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About the author: Dr. Maitri Kothari, BPT, MPT (Musculoskeletal & Sports), is a physiotherapist and pain management specialist with 10+ years of experience and 2,000+ recoveries. She practises at Physio Buddy, Chandkheda, Ahmedabad. Full profile →
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