Cupping therapy side effects: a complete, honest guide
Short answer: most people have only circular marks that fade within 7–10 days and mild tenderness for a day or two. Wet cupping (hijama) breaks the skin, so it also carries a small, real risk of infection. Serious problems are rare and are mostly linked to unscreened patients or reused equipment. This guide covers everything — what is normal, what is not, how recovery goes day by day, what research shows, and who should not have cupping at all.
Check if hijama is safe for you in 1 minute (below)
135 trialsReviewed — no serious side effects reported (Cao 2012)
7–10 daysTypical time for cupping marks to fade
Single-useCups and blades, every patient
ScreenedEvery patient assessed before treatment
1-minute self-check
Is cupping likely to be safe for you?
Answer these honestly. Your answers stay on your phone — nothing is sent anywhere.
After a session
Normal after-effects vs warning signs
Knowing the difference is the most useful thing you can take home. Most complications come from aftercare, not from the session itself.
Normal — expected, settles on its own
Round marks where the cups sat — a controlled, temporary bruise, fading in 7–10 days
Mild tenderness or stiffness at the site for a day or two
A slight pinch during wet cupping, often described as an ant bite
A warm, flushed feeling at the site for a few hours
Occasional tiredness on the day of treatment
Small incision lines (wet cupping) that close on their own in 1–2 days, without stitches
Not normal — call us the same day
Fever or chills
Redness, heat or swelling that is spreading
Pus or discharge from an incision
Bleeding that does not stop with gentle pressure
Blisters that are large, painful or weeping
Marks that have not faded after two weeks
Dizziness or weakness that lasts after you have eaten and rested
Call +91 99117 66622. If you feel very unwell, go to the nearest hospital emergency department.
Recovery
What recovery looks like, day by day
A typical course after a standard session. Wet cupping follows the same pattern, plus care of the small incision sites.
During
A firm pull, then warmth
Suction feels like a firm pull. In wet cupping, the incisions feel like a slight pinch. If you feel light-headed, tell us — the session is stopped and you rest.
Day 0
Marks appear, the site is dressed
Round red to purple marks appear where the cups sat. Wet cupping sites are cleaned and dressed. Keep the area clean and dry for 24 hours; drink water and rest.
Days 1–2
Tenderness peaks, then eases
Mild soreness, like after a deep massage, is common. No gym, swimming pool or sauna for 48 hours. Small incisions close on their own.
Days 3–7
Marks begin to fade
Marks turn lighter — sometimes yellow-brown at the edges, like any healing bruise. Normal daily activity is fine.
Days 7–14
Most marks gone
Most marks fade in 7–10 days. Darker marks can take a little longer. If a mark is still clearly visible after two weeks, let us see it.
Sessions are usually spaced one to three weeks apart so the tissue fully recovers. Facial cupping, which leaves little or no mark, is the usual exception.
By method
Side effects compared: dry, wet and fire cupping
Side effect
Dry / fire cupping
Wet cupping (hijama)
Skin
Suction only, no cuts
Small superficial incisions
Marks
Round marks, fade in about a week
Round marks plus small incision lines
Tenderness
Mild, a day or two
Mild, a day or two
Light-headedness
Uncommon
Occasionally, during or just after — the session is stopped
Infection risk
Very low (skin not broken)
Low but real — controlled with single-use, sterile technique
Burns
Possible with fire cupping if done carelessly
Not applicable (pump cups)
Blood loss
None
A small, controlled amount — far less than a blood donation
Who performs it
Trained therapist under Dr. Siddiqui’s supervision
Dr. Siddiqui personally, always
Many patients are treated with dry cupping alone. Wet cupping is used only when Dr. Siddiqui judges it more appropriate. Read about fire cupping.
What research shows
Research confirms cupping is safe when done properly
Across hundreds of clinical trials, cupping has a strong safety record. The few problems reported are almost always linked to poor technique, reused equipment or patients who were not screened — exactly what our protocol prevents.
Published research
135 clinical trials reviewed
A review of 135 randomised trials found cupping — alone or combined with other treatment — effective for conditions including herpes zoster, facial paralysis, acne and cervical spondylosis, with no serious side effects reported.
A meta-analysis of 18 trials found cupping reduced neck pain and improved function compared with no treatment. Side effects were mostly mild and temporary.
The US National Institutes of Health notes possible side effects such as skin discolouration, scars, burns and infection, mostly with poor technique — and that marks are temporary.
These are uncommon. Almost all are linked to poor technique, reused equipment or patients who were not screened.
Infection
Bacterial skin infection at incision sites; and, where equipment is shared without sterilisation, blood-borne infections such as hepatitis B and C (NCCIH).
Prevented by: single-use cups and blades, gloves, cleaning before and after, written aftercare
Anaemia
Reported after repeated wet cupping (NCCIH).
Prevented by: screening for anaemia, sensible spacing between sessions, small controlled amounts
Burns and scars
Burns with careless fire cupping; occasionally scarring or long-lasting skin discolouration.
Prevented by: flame kept inside the cup, pump cups where heat is not needed, shallow incisions
Skin flare-ups and fainting
Eczema or psoriasis can flare where cups are placed; anxious or unfed patients can faint.
Prevented by: avoiding affected skin, eating beforehand, stopping at the first sign of light-headedness
NCCIH also reports very rare severe events such as bleeding inside the skull after cupping on the scalp. Cupping marks can be mistaken for injury — tell your doctor about recent cupping if you need medical care.
Myths vs facts
What people get wrong about cupping safety
Tap a card to see the fact.
Special situations
If you have one of these, read this first
Blood thinners or bleeding disorders
We decline to treat. Do not stop your medicine to have hijama.
Pregnancy
We do not treat pregnant patients — several cupping points are avoided entirely. Tell us if you might be pregnant.
Diabetes
Controlled diabetes is often fine, with care around wound healing. Uncontrolled diabetes is not. Bring recent sugar readings.
Anaemia
Severe anaemia rules out wet cupping. Mild anaemia is assessed case by case — bring a recent blood report.
Eczema, psoriasis, skin infection
We never cup over affected or broken skin. Other areas may still be possible.
Children
Under 12s are treated only if referred by their doctor.
Recent surgery or implants
We do not cup over surgical sites or recent implants. Tell us about any operation.
Fear of blood or fainting
Tell us. Dry cupping may suit you better, and you lie down throughout.
Our protocol
How we keep the risk low — every session
Before
History and examination by Dr. Siddiqui
Medicines and reports reviewed
Screening for bleeding disorders, anaemia, pregnancy and skin problems
You are told the number of cups and the cost first
During and after
Fresh single-use cups and sterile single-use blades — nothing reused
UV sterilisation; gloves for all wet cupping
Clinical waste disposed of separately
Written aftercare and a number to call
If hijama is not right for you, Dr. Siddiqui will tell you and refer you to a conventional doctor. We would rather lose a booking than treat someone we should not.
The marks are a controlled bruise, and they fade. What we watch for is infection, and that risk is managed by using nothing twice and by telling you exactly what to do for the next two days.
Dr. Saeedul Hasan Siddiqui, B.I.M.S.On aftercare · Practising since 1981
FAQ
Cupping side effects — every question we are asked
Is cupping therapy safe?
Done by a qualified practitioner with single-use equipment on a screened patient, the risks are low. Done without screening, or with reused equipment, they are not. That is why the consultation and our disposables policy exist.
What are the most common side effects?
Round marks that fade in 7–10 days, mild tenderness for a day or two, and occasionally light-headedness during the session.
Dry cupping feels like a firm pull. In wet cupping the small incisions feel like a slight pinch, often compared to an ant bite.
Can cupping cause an infection?
Wet cupping can, if equipment is reused or aftercare is poor. We use single-use blades and cups, gloves, clean the site before and after, and give written instructions.
Can I faint during hijama?
Occasionally, especially if you are anxious or have not eaten. If it happens the session is stopped and you rest. Eat a light meal beforehand unless fasting.
How much blood is removed in wet cupping?
A small, controlled amount — far less than a blood donation. If you feel light-headed, we stop.
Can cupping cause anaemia?
Anaemia has been reported after repeated wet cupping. We screen for it, space sessions sensibly and avoid wet cupping in severe anaemia.
Is it safe with blood thinners?
No. Blood thinners and bleeding disorders are a reason we decline. Do not stop prescribed medicine to have hijama.
Can I have cupping with diabetes?
Controlled diabetes, often yes, with care around wound healing. Uncontrolled diabetes, no. Bring recent readings.
Is cupping safe during pregnancy?
We do not treat pregnant patients.
Can it make eczema or psoriasis worse?
It can flare these where cups are placed, so we avoid affected skin.
Can I shower, exercise or go to work afterwards?
Most people return to work the same day. Keep the area clean and dry for 24 hours; avoid the gym, swimming and sauna for 48 hours.
Is home cupping safe?
Dry cupping with a kit can bruise or blister if misused; wet cupping at home is unsafe because of infection risk. Have it done by a qualified practitioner.