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EFC INTAKE Copy EVERGREEN FAMILY CHIROPRACTIC, LLC CUPPING THERAPY What is Cupping? Massage Cupping therapy is an adaptation of an ancient technique that dates back as early as 1550 B.C. Throughout history, indigenous people have used various forms of cups including those made of bone, bamboo, stone, and glass. What to Expect The cup is positioned over the area of the body to be treated and suction is created using a vacuum gun or bulb. The more traditional method involves inserting a flame into a glass cup to create the vacuum. The suction level can range from light to heavy, and the movements performed by the therapist can be stimulating or sedating. Cups are moved over the skin using gliding, shaking, popping and rotating techniques while gently pulling up on the cup, or may be left stationary for a short time to facilitate joint mobilization or soft tissue release of trigger points and adhesions. This suction reaches deep into the soft tissue, attachments, and organs, loosening adhesions and draining blood and lymph stagnation. Benefits of Cupping ‣ Decreases and relieves pain and inflammation ‣ Releases and softens scar tissue ‣ Lifts and stretches soft tissue ‣ Improves circulation ‣ Increases range of movement ‣ Drains lymph fluid + clear drainage pathways ‣ Releases deep muscular issues and trigger points ‣ Clears old residue out of the muscle and soft tissue ‣ Sedates the nervous system ‣ Opens chest and lungs Contraindications Cupping is contraindicated in cases of severe diseases such as cardiac and renal failure, severe edema, as well as hemorrhagic diseases such as allergic purpura, hemophilia and leukemia, and clients with dermatosis, destruction of skin, or allergic dermatitis. Cupping should not be applied on areas where a hernia exists or has occurred in the past. Broken bones, dislocations, herniated or slipped discs, organ failure, and those undergoing cancer therapy are contraindicated for cupping. Cupping should not be performed on affected areas during the acute stages of Psoriasis, Eczema or Rosacea, as well as outbreaks of Urticaria (Hives), Herpes or Shingles. Potential Complications Discolorations, commonly called a “cup kiss”, indicates the release of intense stagnation (fluids and toxins) in the area. This is not a bruise and will dissipate anywhere between a few hours and a few days with correct after care. Aftercare Maintaining proper body hydration is key after receiving cupping therapy. Water helps to flush toxins out of the system that has been removed from body tissue during treatment. Avoid extreme heat or cold, alcohol, and strenuous activity for several hours after receiving cupping. EVERGREEN FAMILY CHIROPRACTIC, LLC ❖ I understand that all treatments at Evergreen Family Chiropractic, LLC are therapeutic in nature and agree to communicate to the therapist any physical discomfort during the session. ❖ It has been explained to me that there are contraindications for Cupping Therapy. I have fully disclosed all health factors and medical history to my therapist, including those not mentioned on my intake form, to avoid any potential complications. ❖ Information has been provided to me about Cupping Therapy, and I understand the potential effects and after-care recommendations. ❖ It has been explained to me that there is the possibility of discolorations that can occur from the release and clearing of stagnation and toxins from my body, and I consent to receive cupping therapy. ❖ I also understand that this reaction is not bruising, but due to cellular debris, pathogenic factors and toxins being drawn to the surface to be clear away by my circulatory systems and as such will not hold the therapist liable or responsible for these marks. ❖ I further understand that the discolorations will dissipate from a few hours to as long as 2 weeks in some cases and time to clear may vary in relation to my after-care activities and individual body chemistry. ❖ I understand that I should avoid caffeine, alcohol, sugary foods and drinks, and I should consume an abundance of clean water directly before and after treatment. I, _________________________________ , confirm that I have read, understand, and agree to follow all PRINT NAME directions specified in the information outlined above. By signing below, I agree to all outlined terms and agree to allow the therapist to perform Cupping. ________________________________________________ ________________________________________________ SIGN NAME DATE.
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