VacuTherapies and the Professional Athlete

By Stacie Nevelus, LMT, CMCE
This article originally appeared in Massage Today, 
January, 2013, Vol. 13, Issue 01.


VacuTherapies can be an amazing addition to any bodywork session, especially when working with professional athletes. I find that professional athletes want deep, effective bodywork to help maintain their bodies so they can compete on a professional level.

Whether they need therapy through training, in season or for injury rehabilitation, VacuTherapies techniques provide athletes with a highly beneficial therapy without pain or discomfort. VacuTherapies encompass various cups from a manual pump method to a mechanized vacuum, truly a modern protocol using an ancient tool.

I use a wide variety of cups with sizes ranging from the diameter of a pencil to 6 inches in diameter. This enables me to address and work on soft tissue in various parts the body in a very specific way. I can use smaller cups to breakdown post-surgical scars or choose to work with the largest six inch cup on an NFL lineman for his back and legs. I can adjust the variable vacuum pressure from the lightest of suction for hypersensitive areas to stronger suction for deeper work. When I introduce these therapies into a session, athletes soon realize the benefits and the difference the modality offers them. It is unlike anything else they’ve experienced and they respond so quickly that it can simply be one session to become pain free.

This modality brings various benefits to an athlete. It will increase range of motion, restore and maintain flexibility, release fascia, reduce acute and chronic pain, decrease restriction of movement from micro scarring from old injuries and allow the practitioner to do passive range of motion with cup placement. With routine work, it can enhance performance and help keep these incredibly active professionals injury free.

One of the biggest benefits I find with using vacuum therapies is that it is such a comfortable treatment for the athlete. A common myth is that good sports therapy should be deep and painful, like the saying, “No pain no gain.” When the tissue is prepared with this modality, it sedates the nervous system, allowing the athlete to receive deep applied therapy with ease. The practitioner benefits as well, because it is much less demanding on their body to do the work.

What Athletes Say

Bronson Arroyo, starting pitcher with the Cincinnati Reds says, “When parking the cups, any deep work after that is less painful. It’s nice to have an alternative that doesn’t crush you. Moving the cups around slowly, pulls tightness out of an area.” David Baas, starting center with the New York Giants says, “I have always been used to someone digging their elbows into me to relieve my muscle tension. That changed with massage cupping. It opened my eyes to whole new idea of massage. Its unique ability to get results with less pressure is a bonus all around for patient and therapist. It has helped me extend my career and I would recommend it to anyone.”

By simply gliding the cup over soft tissue, VacuTherapies create vasodilatation almost instantly, bringing oxygen rich blood and nutrients to the muscle and tissue. This results in life and vitality in otherwise stagnant tissue. Adam Jones, center fielder with the Baltimore Orioles and two time All-Star and Gold Glove award winner, describes the work: “The work you’ve performed on me over the last three years has helped me increase the amount of games per season. I honestly have felt better and healed faster with the cups. Massage with cups are big-time body flushes and make me feel fresher. It gives me my legs back.”

By creating this blood flow, it’s as if a map is created, showing me where the blood flow is readily available to the tissue. It also shows me the areas that are ischemic. When I see this demarcation, it indicates to me that there is possible adhesion, restriction or scar tissue. I simply use this information to help me work more specifically with the athlete to address their areas of concern, to free up the tissue and to get them optimal performance and always feeling at their best. In addition to blood flow being brought to the tissue, I am able to draw out inflammation without adding to it. It also releases debris left behind from old injuries and I am able to open up the body’s lymphatic system and clear the debris down to cellular level.

Quick Recovery

Sometimes athletes get injured on the field due to a sports trauma. With mechanized vacuum therapies, I have been able to help athletes quickly recover from various injuries or surgeries and get them back on the field. I worked with a professional baseball outfielder in the American League after he completed surgery for a sports hernia he encountered during the season. After talking with him, we decided that his recovery goals could be accomplished with these techniques. We needed to get him moving freely, regain his range of motion and decrease the scar tissue that had accumulated after the surgery to have him back on the field and starting on opening day. We agreed on two sessions per week with vacuum therapies for the duration of spring training. At the first session, the scar tissue present was about the size of a golf ball. By the second session, it had a softened perimeter and was much improved. In approximately five sessions of consistent work, I was able to dissolve the adhesion that had been created after his surgery. I continued the work to keep the surrounding muscles pliable and to ensure that he had his full range of motion and was able to move without hesitation. We were so successful that he was able to join his team on opening day.

When an athlete presents with an acute injury, I like to use the micro magnetic cups during their treatment session. These magnetic cups are amazing at decreasing the hypersensitivity that comes with a fresh injury. The cups allow me to shift the polarity and the PH of the injured tissue. I follow up the magnetic treatment with some simple drainage of the area to decrease the inflammation that has been created from the injury. I find this helps facilitate a quicker healing process for the athlete and get them safely back to work.

One of my favorite areas to treat on athletes is the hips. Whether in training or in season, keeping the hips open is key to performance enhancement with less injury … no matter what the sport. VacuTherapies can yield profound results as the tissue is released and allows the athletes to have a larger range of motion without the restrictions of the hypertonic muscles. By simply parking the cups over key trigger points and incorporating passive range of motion, the whole gluteal compartment can release in a matter of minutes. Any hands-on work I do after this application is much easier on me as the practitioner, since the tissue is already released, and definitely easier for the athlete to receive the deeper massage work. By working with the cup on the target tissue, the vacuum lifts and creates space between the layers of the tissue. It stretches the fascia and essentially puts a handle on the belly of the muscle.

I had a USA Master’s Track and Field All-American athlete come to me complaining of a restriction in her right hip. She was a competitive high jumper and simply had no more spring in her jump. She is a physical therapist and had tried various modalities on herself without success. In the first session, which included massage cupping, I used specific cups and parked them over the trigger points so that she could gain more flexibility and spring. She returned for the second treatment just prior to a national competition and I used a larger cup over the gluteal compartment. What I saw next amazed me because I had never seen it before and I have yet to see it since. There was a large dent in her tissue as it gathered in the cup. This clearly indicated to me the adhesion she had was deep. Healthy tissue will present with a nice rounding in the cup once the vacuum is applied to an area. Later that week, she went on to compete nationally and received several medals in her events. Two sessions with vacuum therapy included seemed to address what was plaguing her for many months and returned the spring back to her jump. By creating the vacuum, we were able to create space between the layers of the tissue. The adhesion was possibly created from an old trauma, or simply the heat created in the exertion of the tissue causing it to fuse together. She continues to come to me as needed, but every time I park a larger cup on her right gluteal area, there is no dent to be found. The adhesion will not return unless new trauma is created.

VacuTherapies allow me to prepare the tissue before using any other massage modality, and can also be used to achieve a desired result without the addition of other work. I enjoy the variety of cups and techniques used to accomplish an array of bodywork that is so highly beneficial for the professional athlete. From training to in season, or in the case of injury, VacuTherapies offer me a remarkable tool for the multi-faceted athlete.

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Lauren Lane Portrait

Lauren Lane


With a background in structural and postural restoration, Lauren is an advocate of using cupping therapy to aid in myofascial release and lymphatic therapy. This allows her to work with patients who need the deep tissue work in a way that is much more comfortable. Her extensive knowledge and ability to explain complex topics in a relatable way paired with her enthusiasm for teaching makes her an ideal instructor. She also is a speciality in Temporomandibular disorders (TMDs), where the majority of her clients come to her for help with jaw pain and discomfort.

Stacie Nevelus Portrait

Stacie Nevelus

LMT, CNMT, Modern Cupping TherapyE/P, CECP

A specialist in therapeutic and sports massage applications, Stacie has become known as a specialist in acute and chronic injuries, and has expanded that knowledge through her work with elite and professional athletes in the MLB and NFL, as well as world-ranking professionals and Olympians. As a result of her expertise, Stacie has been featured often in industry publications, and conducted a number of appearances on TV and radio to help educate others on the benefits of cupping in sports therapies.

Shannon Gilmartin's Portrait

Shannon Gilmartin


Shannon Gilmartin, CMT, co-founding owner of Modern Cupping Therapy Education Company, is a Licensed and Nationally Certified Massage Therapist, Certified Modern Cupping Therapy Practitioner and Educator, and Certified Manual Lymph Drainage Practitioner. In addition to her focus in cupping bodywork, she has over twenty years of experience in bodywork, including: manual lymph drainage, medical massage, myofascial release, neuromuscular, craniosacral, soft tissue injury rehabilitation, Thai massage, and visceral manipulation. She has taught all over the United States and abroad, including Canada, Costa Rica, Guatemala, Ireland, Italy, and Puerto Rico (US). Shannon owns a private practice in Virginia Beach, Virginia, USA.

Shannon has authored the Modern Cupping Therapy series, including ‘The Guide to Modern Cupping Therapy: A Step-by-Step Source for Vacuum Therapies,’ ‘Easy Facial Cupping at Home,’ and ‘Face and Body Cupping: A Step-by-Step Guide to Lymph Drainage for Professional Cosmetic Rejuvenation, Cellulite Reduction and Contouring.’ Shannon has been published in several magazines, been interviewed on several platforms, lectured at sports medicine conferences, and hosted online webinars.

Shannon is also very passionate about her work with charitable organizations, including Global Healthworks Foundation, Homes of Hope Orphanage system, and Surfers Healing.

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