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Have you ever wondered what those circular purple marks on Olympic athletes' backs really mean?

Dr. Priya Sammani (MBBS)
Medically Reviewed by Dr. Priya Sammani (MBBS) ✓ Medically Reviewed
📅 Updated: Oct 22, 2026 • ⏱ 10 min read • Editorial Policy
Have you ever wondered what those circular purple marks on Olympic athletes' backs really mean?
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Have you ever watched an Olympic swimming event and noticed strange, dark purple circular marks on the backs of top athletes? Or perhaps you have heard a family member talk about using cups on their back or shoulders to soothe a stubborn backache or stiff neck. This popular practice is known as cupping therapy. It has captured global attention and sparked plenty of curiosity.

Cupping therapy is an ancient healing art with roots stretching across thousands of years in traditional Chinese and Middle Eastern cultures. Today, millions of people worldwide use it as a complementary approach to manage everyday aches and pains. If you are wondering how placing glass or plastic cups on your skin could possibly make you feel better, you are in the right place.

Let us take a detailed, easy-to-read look at what cupping therapy involves, how it works in your body, the different types available, and what you should know before trying it. Whether you are dealing with chronic muscle tension or simply curious about alternative medicine, this guide will walk you through everything you need to know in simple, everyday language.

Key Takeaways at a Glance

  • Ancient Practice: Cupping therapy uses suction cups placed on the skin to help ease pain, reduce stiffness, and boost blood flow.
  • Main Types: Practitioners use dry cupping, running or moving cupping, and wet cupping depending on your personal health needs.
  • Temporary Marks: The treatment often leaves harmless circular red or purple bruises that fade naturally within one to two weeks.
  • Safety First: Cupping is not safe for everyone. Pregnant people, people with bleeding disorders, and heart patients must avoid it.
  • Always Consult Your Doctor: Talk to your primary doctor before trying any new alternative therapy to ensure it is safe for your body.
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What Is Cupping Therapy?

Simply put, cupping therapy is an old healing practice used to ease pain, reduce muscle tension, and improve overall comfort. While it has become famous recently thanks to athletes and celebrities, it has been practiced in China, the Middle East, and various European traditions for thousands of years.

During a session, a trained practitioner places specialized cups made of glass, plastic, bamboo, or silicone onto specific areas of your body. This often includes your back, shoulders, stomach, arms, or legs. Next, the practitioner creates a vacuum or low-pressure environment inside the cup. This suction pulls your skin and superficial muscle tissue slightly upward into the cup.

People most often turn to cupping therapy to manage chronic pain conditions and stubborn muscle tightness. While modern conventional medicine relies heavily on pills and physical therapy, many people use cupping alongside their standard medical care to find extra relief from everyday physical stress.

Common health concerns and conditions where people often try cupping therapy include:

  • Arthritis and joint inflammation, especially rheumatoid arthritis.
  • Lower back pain, neck stiffness, knee pain, and shoulder aches.
  • Respiratory issues such as asthma or chronic chest congestion.
  • Carpal Tunnel Syndrome, which causes wrist and hand numbness or pain.
  • Digestive tract issues, including irritable bowel syndrome.
  • Frequent tension headaches and severe migraines.
  • High blood pressure or hypertension.
A professional physiotherapist applying glass suction cups to a patient's back during a treatment session.

A practitioner carefully placing glass suction cups along a patient's upper back to help relieve muscle tension.

How Does It Work Inside Your Body?

Medical researchers are still studying cupping therapy to fully understand all the exact biological mechanisms behind how it reduces pain. Because large-scale clinical trials are still limited, scientists rely on observed physiological reactions to explain its effects.

When the cup creates a vacuum on your skin, the negative pressure pulls body fluids toward that specific area. This strong suction causes tiny blood vessels under your skin, known as capillaries, to expand and sometimes rupture. This creates a mild, controlled bruise beneath the surface.

Your body naturally responds to this mild trauma by signaling its internal healing systems. Your immune and circulatory systems rush fresh, oxygen-rich blood and vital nutrients to the treated area. This localized rush of blood stimulates cellular repair and helps relax tight muscle fibers.

Many traditional practitioners also believe that this increased blood flow helps flush out built-up cellular waste products or toxins from deep within the muscle tissue. However, medical scientists emphasize that your liver and kidneys handle your body's natural waste removal.

"Always remember that cupping therapy serves as a helpful complementary practice alongside standard medical care, rather than a total replacement for proven medical treatments."

What Are the Main Types of Cupping?

Practitioners use a few distinct methods to perform cupping therapy. Your practitioner will evaluate your specific symptoms and comfort level before choosing the most appropriate technique for your body. Typically, a session involves placing between three and five cups at once, though sometimes up to seven are used.

Cupping Method How It Works in Simple Terms
Dry Cupping This is the most common method. The practitioner warms the inside of a glass cup—often using a flame with alcohol-soaked cotton—and places it quickly on the skin. As the air cools inside, it creates suction. Modern clinics often use a hand-held suction pump instead of fire to remove air.
Running or Moving Cupping Similar to dry cupping, but the practitioner first applies massage oil or lotion to your skin. They then glide the suction cup smoothly across the aching muscle area. This provides a deep tissue massage effect combined with suction.
Wet or Bleeding Cupping Before placing the cup, the practitioner makes very tiny, shallow scratches on the skin surface using a sterile medical lancet. When the suction cup is applied over these scratches, a small amount of blood is drawn into the cup. Practitioners believe this helps release localized inflammation.

What Kinds of Cups Are Used?

Glass and clear plastic cups are the most popular choices in modern clinics because practitioners can easily monitor the skin underneath. However, traditional and alternative practitioners may also use cups fashioned from bamboo, ceramic, heavy metal, or flexible medical-grade silicone.

Transparent plastic and glass cupping therapy cups of varying sizes arranged on a dark surface.

Transparent cups come in different sizes to fit comfortably across various muscle groups on your back, legs, and arms.

What Does It Feel Like After Treatment? Does It Hurt?

Getting cupping therapy should not cause sharp or severe pain. When the practitioner places the cup and creates suction, you will feel a tight pulling or stretching sensation on your skin as it rises into the cup.

Right away after your session, you will notice distinct round, red, or deep purple marks where the cups rested. Although these marks look identical to bruises from an injury, they are completely painless tissue marks created by suction. These marks usually fade away on their own within one to two weeks. The treated area might feel slightly sore or tender, much like a mild workout soreness, but intense pain should never occur.

What Are the Benefits and Risks of Cupping?

Like any health treatment, cupping therapy offers several potential benefits alongside certain physical risks that you should keep in mind.

Potential Benefits

Many patients who try cupping therapy report having positive outcomes:

  • Noticeable reduction in localized muscle pain and inflammation.
  • Relief from tight, knotted muscles and chronic stiffness.
  • Enhanced blood circulation in targeted muscle tissues.
  • Improved joint flexibility and a greater range of physical movement.

Potential Risks and Side Effects

Cupping is generally considered safe when performed by a licensed, trained professional. However, minor side effects can happen:

  • Visible circular skin bruising and temporary discoloration.
  • Risk of skin burns if heated glass cups are applied incorrectly.
  • Mild fatigue, lightheadedness, or tiredness after the session.
  • Dull muscle aches or tightness in surrounding areas.
  • Occasional nausea or mild dizziness.
  • Skin irritation, itching, or scarring—especially if strict hygiene is not maintained during wet cupping.

In very rare cases, some people experience a reaction called vasovagal syncope. This causes a sudden drop in blood pressure and heart rate, leading to fainting. This reaction is more common among people who feel severe anxiety around needles or medical procedures during wet cupping.

Who Should Avoid Cupping Therapy?

This is a critical safety point. Cupping therapy is not suitable for everyone, and certain medical conditions make the practice unsafe.

Important Safety Warning

If you have any underlying medical conditions or take blood-thinning medicines, always speak with your primary doctor before scheduling a cupping session to prevent serious health complications.

You should completely avoid cupping therapy if you fall into any of the following categories:

  • You are currently pregnant.
  • You have low red blood cell counts or severe anemia.
  • You have an implanted cardiac pacemaker or defibrillator.
  • You suffer from bleeding disorders such as hemophilia.
  • You have blood clotting problems, a history of deep vein thrombosis (DVT), or a previous stroke.
  • You live with active cardiovascular disease or severe heart conditions.
  • You have active skin conditions like severe eczema, psoriasis, or open wounds on the treatment site.
  • You suffer from seizure disorders or epilepsy.

When to Call Your Doctor

After receiving cupping therapy, you should monitor your body closely. Contact your doctor right away if you notice any unusual or concerning symptoms:

  • Painful skin burns or blisters developing on the treatment site.
  • Severe, worsening pain or intense muscle stiffness that does not go away.
  • High fever, chills, or obvious signs of skin infection—such as severe redness, swelling, warmth, or yellow pus draining from the marks.

If you have even the slightest doubt about how your skin is healing, contact a qualified doctor right away rather than relying solely on the practitioner who performed the session.


❓ FAQ

Frequently Asked Medical Questions (FAQ)

Evidence-based clinical answers to common patient questions

Why do cupping marks turn purple or red?

The suction from the cups pulls blood close to your skin surface and causes tiny capillaries to expand or break. This creates a temporary bruise that is completely painless and fades naturally within one to two weeks.

Is cupping therapy painful during the session?

No, cupping should not cause sharp pain. You will feel a strong pulling or tight stretching sensation on your skin as the suction lifts the tissue inside the cup. If anything hurts too much, tell your practitioner right away.

How long do cupping results usually last?

The pain relief and muscle relaxation benefits vary from person to person. Some people feel looser and more comfortable for several days up to a couple of weeks, depending on their underlying physical condition.

Can I take a shower after getting cupping therapy?

Yes, you can usually shower after dry cupping. However, if you received wet cupping, you must keep the tiny skin punctures clean and dry for a short period to prevent any risk of skin infection.

Should I talk to my doctor before trying cupping?

Yes, absolutely. Always consult your primary doctor before starting cupping therapy, especially if you have chronic health issues, take blood thinners, or have skin sensitivities.

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Verified Scientific & Medical References (PubMed / WHO)

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