Massage Cupping is the combination of massage movements and negative pressure with the use of a suction device on the skin. A cup is positioned at the are to be treated and, depending on the type of cups being used; a vacuum is created within the cup to draw the skin and underlying tissue into the cup. The produced vacuum creates a suction effect that increases blood and lymphatic circulation systemically and the local area, relaxes muscle tissue and support, draws stagnation, pathogenic factors and toxins out of the body and releases a myriad of pain causing factors. The intended suction can range from light to heavy. This, along with movements performed and areas treated by the therapist will produce stimulating (toning) or sedating (draining) effects.