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Cupping, Heat, and IASTM — Sequencing for Comfort and Compliance

12/14/20251 min readIntegrated TherapiesBy Veridian EditorialSource

Practical sequencing ideas using existing guidelines and safety principles.

TL;DR

  • Heat first, then gentle IASTM or cupping, then mobility. Prioritize comfort and finish with movement.

Rationale

  • Heat may reduce perceived stiffness and nervous system threat, improving tolerance to light manual/tool input.
  • Cupping and IASTM likely modulate sensation and tone; movement afterward helps carryover.

Sequencing options

Option A (ROM focus)

  1. 5–10 min local heat → 2) IASTM 30–60s/region → 3) dynamic mobility → 4) task‑specific warm‑up.

Option B (soreness relief)

  1. 5–10 min heat → 2) light cupping (short holds) → 3) easy walking/cycling → 4) gentle mobility.

Option C (sensitive skin)

  1. Skip cupping; use brief IASTM with very light pressure → 2) mobility → 3) down‑regulation breath work.

Session templates

  • Short prep (8–12 min): heat 5 min → IASTM 30–60s/region → dynamic drill(s).
  • Recovery (12–18 min): heat 8–10 min → light cups 2–4× short holds → easy mobility and breath work.

Who should avoid or modify

  • Open wounds, acute inflammation/infection, fragile skin, anticoagulated areas, recent injections, or impaired sensation.
  • For cupping: avoid over varicosities, abdomen in pregnancy, and do not use prolonged high‑suction holds.

FAQs

Do I need marks from cupping to see benefit?

No. Visible marks are not required and may increase downtime. Gentle, short holds are often sufficient.

Can I do heat after IASTM?

Yes—if aiming for relaxation. For ROM before a session, heat first, then brief IASTM and movement.

Reference

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