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Updated: Jun 23, 2026

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Cupping for treating pain: a systematic review.

Jong-In Kim1, Myeong Soo Lee, Dong-Hyo Lee

  • 1Korea Institute of Oriental Medicine, Daejeon 305-811, Republic of Korea.

Evidence-Based Complementary and Alternative Medicine : Ecam
|May 9, 2009
PubMed
Summary

Cupping therapy shows potential for pain relief in conditions like low back pain and cancer pain. However, more high-quality randomized clinical trials are needed to confirm its effectiveness for pain management.

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Area of Science:

  • Integrative Medicine
  • Pain Management
  • Evidence-Based Practice

Background:

  • Cupping therapy is an ancient practice used for various health conditions.
  • Its efficacy for pain relief remains a subject of ongoing scientific investigation.
  • A systematic assessment of high-quality evidence is necessary to guide clinical practice.

Purpose of the Study:

  • To evaluate the existing evidence from randomized clinical trials (RCTs) on the effectiveness of cupping therapy for pain relief.
  • To synthesize findings from studies investigating cupping for diverse pain conditions.
  • To identify the quality of current research on cupping for pain management.

Main Methods:

  • A comprehensive literature search was conducted across fourteen databases.

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  • Inclusion criteria focused on RCTs assessing cupping for pain as a primary symptom.
  • Studies comparing cupping with unproven treatments or using it as concomitant therapy were excluded.
  • Main Results:

    • Seven RCTs met the inclusion criteria.
    • Positive effects of cupping were suggested for low back pain, cancer pain, trigeminal neuralgia, and brachialgia.
    • One RCT found no superior effect of cupping for herpes zoster pain compared to antiviral medication.

    Conclusions:

    • Current evidence for cupping's effectiveness in pain management is limited due to a small number of studies.
    • Most existing trials are of poor methodological quality.
    • Further rigorous research is required to definitively establish the role of cupping in pain treatment.