What is Cupping? What is Gua Sha?

If you've seen round marks on someone's back and wondered what on earth happened to them, you're in good company. It's one of the first things people ask about, usually some version of "does that hurt?" or "do you do that here?"

Cupping uses suction to draw fresh blood flow to muscular region, which is what leaves the circular marks. Most people find the treatment relaxing and many request it. The marks fade like a bruise over a week or two.

Gua sha is a similar therapy. It's a deep-tissue massage technique done with a smooth-edged tool, often along the back, for tension and recovery.

Is Gua Sha the Same as Cupping? What to Expect

They're cousins, not twins. Cupping uses cups and suction; gua sha uses a tool pressed deeply along the muscle, closer in feel to firm deep-tissue massage. Both target muscle tension, poor circulation, and recovery, and neither one involves needles.

What surprises most first-timers is how ordinary it feels in the moment, more like sustained pressure than anything sharp. The dramatic part is only the marks afterward, and those are temporary.

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How I Use Cupping and Gua Sha

I use both as part of how I treat muscle tension, circulation, and recovery, sometimes on their own and sometimes alongside acupuncture in the same visit. In my experience they aren't just for one type of person: athletes use them for recovery and old injuries, and plenty of people come in simply because their shoulders or low back have been tight for months and nothing has loosened it.

  • Both techniques used for muscle tension, circulation, and recovery
  • Gua sha performed as a clinical, deep-tissue technique, not the cosmetic version
  • Offered on their own or combined with acupuncture, depending on what you want
Meet Hannah Perlkin, LAc

What to Expect: Your First Visit and a Realistic Timeline

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Your free 15-minute phone consult

A short call to talk through what's going on and whether cupping or gua sha is a reasonable fit.
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Your 90-minute initial visit

A full consultation, so I understand your history before treatment, whether that's cupping, gua sha, acupuncture, or a combination.
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Your ongoing care

Some people use cupping or gua sha as a one-off for a specific issue; others build it into regular sessions alongside acupuncture.

Why People Come Back for It

An approachable way into this kind of care. If acupuncture needles feel like a big first step, cupping and gua sha are often an easier place to start.

Real help for tension and recovery. Whether it's a training schedule, an old injury, or tightness that has quietly built up over time.

No needles required. Both techniques work without them, which matters if that's the thing that's kept you from trying before.

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Frequently Asked Questions About Cupping and Gua Sha

Most people describe it as firm pressure rather than pain. The marks look like a bruise and usually fade within a week or two. They're a normal part of how cupping works, not a sign anything went wrong.

No. What I do is a clinical, deep-tissue technique, most often along the back for muscle tension and recovery, not the at-home facial routine that gets much of the attention online.

A wide range of people. Athletes use it for recovery, folks with old injuries use it for ongoing tightness, and plenty of people come in with everyday tension and no specific injury at all.

Yes. It can be a standalone session or combined with acupuncture in the same visit, whichever fits what you're looking for.

Curious Enough to Try It?

You don't need to be an athlete or have a specific injury to try cupping or gua sha, and you don't have to commit to ongoing acupuncture to start. A free 15-minute phone consult is an easy way to ask your questions and find out if it's a fit. Book online, serving Sebastopol and throughout Sonoma County, whenever it works for you.

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