Dr. Vanina utilizes a modern version of cupping that he has learned while advancing his clinical skills working with his athletes in a variety of sport at various professional levels. Lotion is placed on the skin and air is suctioned out of the cup with a rubber pump creating a vacuum inside the cup. This causes the skin to rise and slightly redden as blood vessels expand. The cup is then moved over the skin producing a massage-like effect. Medical-grade silicone cups are used which are pliable and allow a steady glide over the region being treated. Cupping works well for fascia or muscle restrictions in cases where different type of treatments have failed. Many times advanced decompression/distraction techniques can be indicated and create the lasting results in treatment that were not achieved before. Examples where cupping works very well are; Tight and contracted muscles such as: Hamstrings, Back Muscles, Hips, Shoulders and Foot soreness have all benefited from this type of therapy. Scar adhesions through out the body from old injuries and post-surgical repair also respond to advanced cupping therapy.