Cupping
Cupping uses cups to apply suction to the skin. It may be considered as an adjunct for a relevant presentation, with pressure and application discussed according to your comfort.
Research on cupping has limitations. It is not a replacement for medical assessment or evidence-based rehabilitation, and a visible mark is not evidence that an underlying problem has been resolved.
Gua sha
Gua sha uses a smooth-edged tool with repeated strokes over a selected skin area. It has a traditional role and may be used selectively as an adjunct, rather than as a necessary step in every appointment.
The area, pressure and potential for skin marking are discussed before use. Tell Rory if the technique feels painful or you would prefer a different approach.
Why can temporary marks occur?
Suction or repeated pressure can cause redness and bruise-like skin changes. Marks can vary in appearance and duration. They are not the treatment goal and do not measure how much treatment you needed.
Discuss upcoming activities and any concern about visible marks before agreeing to treatment. Report unusual pain, blistering, persistent irritation or signs of infection rather than assuming these are required effects.
Supporting manual techniques
Manual soft tissue techniques use hands-on pressure or movement around relevant muscles and other soft tissues. Cupping and gua sha are particular adjuncts, not synonyms for this whole area of care.
The amount of pressure is agreed and adjusted to comfort. A painful technique is not automatically more effective. Soft tissue care may be used without cups, tools or needles.
Acupressure
Manual pressure applied to selected acupuncture points and related areas, used where appropriate as part of treatment or self-care guidance.
Self-care advice should suit the person and presentation. Avoid applying strong pressure to a new injury or unexplained symptom without assessment.
What should I mention before treatment?
Discuss medicines affecting clotting, easy bruising, fragile or irritated skin, reduced sensation, recent surgery and other relevant health concerns. Skin problems or other risks may make a technique unsuitable.
Possible risks include bruising, skin irritation, burns with heat-based techniques and infection. Every adjunct requires a reason for use, informed consent and a review of response.