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This systematic review and meta-analysis contributes to the body of existing literature and provides evidence for the effectiveness of cupping therapy in the treatment of low back pain. This review is the first to investigate the immediate and sustained effects of cupping, compares the effectiveness of wet and dry cupping over time, evaluates pain improvement across different low back pain classifications and treatment locations, evaluates the effectiveness of cupping on sensory and emotional pain and measures the effect on disability. The study emphasized that cupping outperforms medication and usual care in reducing pain

A German study emphasized that 77.4% of patients with low back pain preferred complementary or alternative medicine (CAM) in their treatment decision. Cupping therapy This intervention has been widely used in Asia, the Middle East, and many European countries to manage chronic pain and musculoskeletal disorders. Complementary or alternative medicine (TCM) theory, TCM believed that cupping can improve blood flow and relieve the intensity of pain caused by blood stasis, thereby improving physical function. Applying high negative pressure during cupping can accelerate blood and lymph flow, increasing oxygen and metabolism in local tissues, ultimately reducing inflammation and removing toxic substances.

The technique is generally classified according to two approaches: dry and wet cupping. Dry cupping involves placing cups directly on the painful area or acupuncture point, using negative pressure suction or heat to create a vacuum environment inside the cup. In contrast, wet cupping involves scarification of the skin before applying the cup to the treatment area usually located at the most painful acupuncture point or muscle region. The effectiveness of cupping for low back pain varies depending on treatment duration, cupping types, treatment sites, and low back pain classifications. Various impacts on pain and disability are seen depending on cupping manipulations (wet vs. dry, acupuncture points versus lumbar area), the classification of low back pain and the duration of the intervention.

Cupping improves sensory and emotional pain immediately, after 24 hours and 2 weeks after the intervention.

https://www.sciencedirect.com/science/article/pii/S0965229924000013 (2024).-

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Cupping therapy to some extent disrupts tissue structure, causing some cells to die, resulting in visible red marks and bruising for cupping recipients. In my view, the effectiveness of cupping therapy lies in its ability to disrupt a portion of the body's tissues and cells, triggering the body's self-regeneration process. The regeneration of cells will lead to a uniform replacement with younger cells, resulting in a body composed of more youthful cells. This concept aligns with the logic behind laser skin rejuvenation.

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