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Understanding The Cupping Therapy Marks

27 minutes ago
3 min read

So you just had an amazing cupping therapy session but you notice there are marks and discolorations left behind in the form of colorful circles. It's important we understand what these are so we can explain to others and so you can understand what your body is going through so you feel more comfortable.


What is Cupping Therapy and What are the benefits?

Cupping Massage uses devices called "cups" that use suction to create an upward lift of the tissue. This would be considered a "negative pressure" as opposed to deep tissue which is positive pressure (towards the body). The main purpose is to try and create space and separate all those sub-dermal layers under the skin like fascia, adipose, water, and more to create space for the nerves, arteries, veins and lymphatics. This leads to a variety of benefits including:

  • Relaxation of the Muscles

  • Mobilize Fascia

  • Improve Range of Motion

  • Decrease Pain

  • Improve Blood-flow

  • Stimulate Lymphatics

  • Remove Stagnation from the Body (Marks)


cupping therapy on the back of a client

What are the Cupping Marks?


Cupping Marks typically come from 1 of 2 things in the body:


1) Initials sessions we can have delicate capillaries near muscle tissue that break easily under negative pressure. This can call small ruptures leading to blood being drawn out and to the surface

2) Tight muscles can restrict blood flow and cause an accumulation of cellular waste. Cupping can help draw this to the surface and to arrive at the lymphatic layers and drain out of the body.


Why Cupping Marks decrease with sequential sessions:


1. Vascular Adaptation and Capillary Resilience

During initial sessions, delicate or compromised capillaries near tight muscle tissue break easily under negative pressure. As tissue receives regular treatment, local capillaries undergo micro-repair and become more resilient and elastic, making them less prone to rupturing under similar suction levels.


2. Clearance of Interstitial Stagnation

Persistent muscle tension restricts blood flow, leading to an accumulation of cellular waste, fluid, and deoxygenated blood in the interstitial spaces (the gaps between cells and muscle fibers). Early cupping draws this stagnant fluid to the surface. As consecutive sessions draw out these accumulation deposits, there is simply less cellular debris and trapped fluid left to pull upward.


3. Increased Local Circulation and Lymphatic Drainage

Cupping triggers an influx of fresh, oxygenated arterial blood to the area and stimulates local lymphatic drainage. With enhanced baseline blood and lymph flow between sessions, metabolic byproducts are cleared continuously through normal physiological routes rather than accumulating in the tissue.


4. Reduced Fascial Restriction and Hypertonicity

Chronic muscle tightness causes the surrounding fascial layers to stick together (adhesions), restricting healthy fluid movement. Repeated decompression from suction loosens these adhesions, relaxes hypertonic muscle fibers, and restores normal fluid glide through the tissue layers.

Cupping marks on client during a massage

What a Cupping Mark Looks Like:

A mark can look like:


  • Light pink rings

  • Bright red circles

  • Dark red or purple patches

  • Turn Brown/Yellow as they fade

  • Speckled dots called petechiae


Layout of cupping marks

The marks usually match the size and shape of the cups. They may be perfectly round, slightly oval, or uneven if the cup moved or the skin stretched differently in one area.


How They Differ from Impact Bruises

Unlike standard traumatic bruises caused by blunt force impact (which crush tissue and cause blunt damage), cupping marks are created by decompressive force. The tissue is pulled upward rather than compressed inward. While they can feel slightly tender to the touch, they generally do not involve muscle trauma or structural tissue damage.

The body reabsorbs these extracellular blood cells and fluids over several days through the lymphatic system.



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Level Up's mission is to deliver the best treatment work in Seattle rooted in a combination of: Functional Neurology, Massage Therapy, Photobiomodulation and more. My goal is to help you reach your potential. Using my ever expanding skills and techniques I can help you take your health, mind, and body to the next level.

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