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Open Saturday–Thursday, 11:00 AM–7:00 PM · Closed FridayAbul Fazal Enclave, Okhla, New Delhi+91 99117 66622
Written from 40+ years of clinical practice

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)
  • Day-by-day recovery timeline
  • What the research really says — with sources

Information here is educational and does not replace medical advice.

Treatment room at Siddiqui Hijama Clinic: bed with a fresh disposable sheet, clinical waste bin, hand-wash basin and a sign for single-use disposable equipment
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.

  1. 1Do you take blood thinners (e.g. warfarin, clopidogrel, heparin) or have a bleeding or clotting disorder?
  2. 2Are you pregnant, or could you be?
  3. 3Do you have an open wound, active skin infection or eczema flare where cupping would be done?
  4. 4Are you undergoing chemotherapy, or have you been told you have severe anaemia?
  5. 5Do you have diabetes?
  6. 6Have you had surgery in the last few months?
  7. 7Do you faint easily, or feel very anxious about blood or needles?
  8. 8Are you generally well today, with no fever?
Answer all 8 questions to see your result.

This is general guidance, not a diagnosis. Dr. Siddiqui makes the final decision at your free consultation.

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.

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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 effectDry / fire cuppingWet cupping (hijama)
SkinSuction only, no cutsSmall superficial incisions
MarksRound marks, fade in about a weekRound marks plus small incision lines
TendernessMild, a day or twoMild, a day or two
Light-headednessUncommonOccasionally, during or just after — the session is stopped
Infection riskVery low (skin not broken)Low but real — controlled with single-use, sterile technique
BurnsPossible with fire cupping if done carelesslyNot applicable (pump cups)
Blood lossNoneA small, controlled amount — far less than a blood donation
Who performs itTrained therapist under Dr. Siddiqui’s supervisionDr. 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.

Cao, Li & Liu, PLoS One 2012

Published research

Neck pain

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.

Kim et al., BMJ Open 2018

Published research

What to be aware of

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.

NCCIH — Cupping

Rare, but reported

Serious complications — and how each is prevented

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.
Dr. Saeedul Hasan Siddiqui, B.I.M.S., at Siddiqui Hijama Clinic, Delhi

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.

How long do cupping marks last?

Usually 7–10 days. Darker marks can take a little longer. See what mark colours mean.

Is hijama painful?

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.

Not sure if it is safe for you?

Ask before you book. The consultation is free, and Dr. Siddiqui will tell you honestly if hijama is not right for you.

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