Cupping (Hijama) is an ancient method for the treatment of a variety of diseases. The origin of cupping therapy is documented to date back to early Egyptian and Chinese medical practices. Cupping is a technique that pulls blood to a region to stimulate healing. It is effective at stretching tight fascia, muscles and connective tissue. Cupping helps the tissue develop new blood flow and causes an anti-inflammatory response in the body. The technique is generally painless and many say is more effective than traditional massage for muscle problems. As new blood is forced into the tissues around the cups the body will begin to develop new blood vessels called neovascularization, new blood vessel formation. As the new vessels form they will have the capability to feed the tissues with nutrients and oxygen. Inflammation is the first stage of healing. The body releases white blood cells, platelets, fibroblasts and other healing chemicals to promote healing. When the cupping vacuum occurs it causes separation of the different layers of tissue which can cause micro trauma and tearing. This stimulates the sterile inflammation response cycle of healing. The fascia and tissue can be stretched several feet with cupping. As the micro trauma is occurring, the new blood vessels are being formed and the blood and nutrients are starting to flow to the damaged connective tissue. These processes increase joint range of motion, reduces stiffness and pain.