The round marks left by cupping can attract more attention than the treatment itself. If you are considering cupping, it helps to understand why those marks appear, what discomfort to report and how you and your provider will judge whether the treatment is useful.
Orlando City Health & Wellness magazine, Volume 3, introduces cupping as a soft-tissue treatment that uses suction. The practical questions begin with your symptoms and health history, rather than the appearance of someone else’s treatment marks.
Why does cupping leave circles?
Cups create suction against the skin. That suction can affect small blood vessels underneath, leaving round areas of discoloration. Cleveland Clinic notes that marks commonly fade within a week or two, although individual skin responses vary. Tell your provider if a mark is not improving or you are concerned about it. Read Cleveland Clinic’s cupping overview.
A photograph cannot tell you whether cupping is right for you. The useful follow-up questions concern your symptoms and daily function: Is reaching easier? Is walking more comfortable? Has the benefit lasted long enough to matter? Marks alone do not answer those questions.
Know which type is being discussed
Dry cupping uses suction without piercing the skin. Wet cupping includes piercing the skin and drawing blood, so it involves additional considerations. Ask the practitioner to explain the exact method before agreeing to treatment. This article does not suggest that OCHW provides wet cupping or every technique described here. NCCIH explains the differences and risks.
Also ask who will perform the treatment, what training they have and how equipment is cleaned or replaced between people. You should understand what will happen before the first cup is placed.
Speak up about discomfort and skin changes
A pulling or tight feeling may occur, but severe discomfort is not something to endure for a better result. Tell the practitioner immediately if treatment hurts. Afterward, burns, extreme pain, fever or signs of infection such as increasing redness, tenderness or discharge warrant contacting a health care professional. Review when to call a provider.
The National Center for Complementary and Integrative Health lists possible problems including persistent discoloration, scarring, burns and infection. Cupping can also worsen eczema or psoriasis. Share skin conditions, bleeding or clotting problems, pregnancy, medications and other relevant medical history before treatment so your provider can assess suitability. Read the NCCIH safety information.
Give the treatment a clear purpose
NCCIH reports that cupping may help reduce pain, but the supporting evidence is not strong. That makes a specific care goal especially useful. A discussion might cover:
Which symptom are we trying to change?
What daily activity will we use to check progress?
What other options fit this problem?
When will we review whether continuing makes sense?
Keep a brief note of how you felt before and after treatment, including any skin reaction. For example, “I could turn to look over my shoulder more comfortably that evening” gives your provider more information than “the circles were darker this time.” If the treatment does not help, say so. The plan can be reconsidered.
Start with an assessment of the problem
Persistent muscle or joint discomfort can have different causes. Choosing a technique from a photo should not replace an evaluation. OCHW offers physical therapy and other care options for movement and recovery goals.
If you are in Orlando or Winter Park, contact OCHW to discuss your symptoms and ask which appointment fits. Confirm current cupping availability and the appropriate provider before scheduling that specific treatment.
Inspired by Volume 3, Dr. Michael Gampolo edition, “Cupping Therapy,” page 16. General education, not a diagnosis or treatment recommendation. Individual suitability and results vary.

