TCM6 min read

Cupping Therapy: Why Those Circular Marks Are Actually a Good Sign

Dr. Balreet Kaur, DAc, LAc

NCCAOM-Certified Acupuncturist · Germantown, MD

Cupping Therapy: Why Those Circular Marks Are Actually a Good Sign

The circular marks left by cupping are not bruises — they're a therapeutic response.

If you've ever seen photos of Olympic athletes with circular reddish-purple marks on their backs and shoulders, you've seen the results of cupping therapy. The marks caused a media stir — but they tell a story about one of Traditional Chinese Medicine's most effective tools.

What is cupping therapy?

Cupping involves placing cups — traditionally glass, now often silicone — on the skin and creating suction either by heating the air inside (fire cupping) or using a mechanical pump. The suction pulls the skin and superficial tissue upward into the cup, creating a decompressive force opposite to the compression muscles are always under.

At our Germantown clinic, we use both traditional techniques and modern smokeless cupping, depending on the patient's needs and comfort.

Why the marks appear — and why they're not bruises

The distinctive circular marks are often called bruises. They're not. Here's the difference:

A bruise occurs when trauma breaks blood vessels and blood leaks into surrounding tissue. The tissue is damaged, which is why bruises are tender.

Cupping marks are caused by blood being drawn upward toward the skin's surface through capillary dilation — not broken vessels. The blood hasn't leaked; it's been directed to the surface.

What the color tells you

The color of cupping marks is diagnostically meaningful in TCM:

  • Light pink to no mark — good circulation, minimal stagnation
  • Red — heat, acute inflammation, or recent injury
  • Dark purple or near-black — significant stagnation, often in an area with chronic tension or old injury
  • Brown or dark red — moderate stagnation with some cold

The marks typically fade within 3–7 days and are rarely tender.

What cupping actually treats

Cupping is particularly effective for:

  • Chronic muscle tension and "knots" in the back, neck, and shoulders
  • Athletic recovery — it's why elite athletes use it
  • Respiratory congestion — back cupping loosens chest muscles and helps mobilize mucus
  • Digestive issues — abdominal cupping stimulates digestive organ function
  • Anxiety and stress — the parasympathetic activation from cupping is deeply relaxing

What a session feels like

Most patients describe cupping as an unusual but pleasant sensation — a deep pull and warmth that's the opposite of the compressive pain they're used to feeling. Many fall asleep during treatment.

If you're curious whether cupping could help with what you're dealing with, book a consultation. Dr. Kaur will assess whether it's appropriate for your specific situation.

Dr. Balreet Kaur, DAc, LAc

NCCAOM-Certified Acupuncturist · Germantown, MD

Dr. Kaur brings over 20 years of holistic health experience to her practice. She earned her Doctorate in Acupuncture from Virginia University of Integrated Medicine and completed oncology acupuncture training at Memorial Sloan Kettering Cancer Center.

Learn more about Dr. Kaur →

Book Online

Begin Your Healing Journey Today

Safe, simple, and confirmed instantly. Choose your service, select a convenient time, and secure your appointment online.

Choose a Service

Select from our 7 healing modalities

Pick a Time

Mon–Fri 10am–6pm, Sat by appt

Confirm & Pay

Secure online booking — instant confirmation

No credit card required to book · Free 15-min new patient consultation available