Soft Tissue Therapy
Frequently Asked Questions
Cupping Therapy
What is cupping therapy and how does it work? +
Cupping uses negative pressure — suction cups applied to the skin — to decompress the layers of tissue beneath. While most soft tissue techniques compress into muscle, cupping pulls tissue apart. This decompression restores glide between fascial layers, increases local blood flow, and draws metabolic waste out of chronically tight tissue. The marks left by cupping (petechiae) are not bruises — they're stagnant blood and metabolic waste drawn to the surface — and fade within 3–7 days.
Does cupping hurt? +
Cupping creates a pulling sensation — not pain. The intensity is adjustable and Dr. Cagape works within your comfort level. Most patients describe it as a deep pressure or stretch. Some tenderness may occur over areas with significant chronic tension. The circular marks left after cupping are not painful and are a normal response to the treatment.
What's the difference between cupping and Graston? +
Cupping uses negative pressure (suction) to decompress tissue — lifting fascia and muscle to restore glide between layers and improve blood flow. Graston uses positive pressure via stainless steel instruments to break down scar tissue and fascial adhesions through controlled shear force. Cupping is better for chronic muscular tension, post-training recovery, and fascial restrictions across large areas. Graston is better for localized scar tissue, tendon adhesions, and chronic overuse injuries. At MMC, both can be used in the same session when clinically appropriate.
Graston Technique
What is Graston Technique and who can perform it? +
Graston Technique is a form of instrument-assisted soft tissue mobilization (IASTM) that uses specially designed stainless steel instruments to detect and treat scar tissue, fascial restrictions, and chronic soft tissue dysfunction. It is a credentialed technique — clinicians must complete formal training and certification to practice it. Dr. Cagape is Graston Technique certified, making him one of a relatively small number of chiropractors in the area trained in the original, most clinically validated IASTM system.
Does Graston hurt? +
Graston can produce some discomfort, particularly over areas with significant scar tissue or fascial restriction — this is normal and expected. Dr. Cagape adjusts pressure to your tolerance. Some post-treatment soreness for 24–48 hours is common, similar to a hard workout. Small reddish marks may also appear, which is a normal response that fades within a few days.
How is Graston different from a regular massage? +
Massage primarily targets muscular tension through compression and manipulation — excellent for relaxation and general soreness but unable to structurally remodel restricted fascia or break down scar tissue. Graston uses stainless steel instruments to detect and treat specific tissue pathology — scar tissue, fascial adhesions, tendon degeneration — that massage cannot address. At MMC, Graston is always followed by corrective exercise that loads the treated tissue through the restricted pattern, making improvements functional and lasting rather than temporary.
Can cupping and Graston be done in the same visit? +
Yes. When clinically appropriate, both can be used in the same session — typically cupping first to decompress the superficial fascial layers, followed by Graston to address deeper structural restrictions. The sequence and technique selection are based on what the tissue needs.
Normatec & General
What is Normatec compression and do you charge for it? +
Normatec uses sequential pneumatic compression to flush metabolic waste, reduce inflammation, and accelerate circulation — primarily in the legs and hips. It's used by professional sports teams for post-training recovery. At MMC, Normatec is available on request at no additional charge. It's particularly useful after lower body soft tissue work or as a warm-up before treatment for patients with chronic lower extremity tightness.
How many soft tissue sessions will I need? +
For acute restrictions, 2–4 sessions combined with corrective exercise often produce significant improvement. Chronic conditions with significant scar tissue typically require 6–10 sessions. Soft tissue therapy is part of a broader care plan at MMC — Dr. Cagape will give you a clear timeline after your first visit assessment.
Can soft tissue therapy help with sports injuries? +
Yes — it's one of the primary reasons active patients and athletes come to MMC. Graston is particularly effective for tendinopathies (Achilles, patellar, rotator cuff, tennis elbow) and post-surgical scar tissue. Cupping is highly effective for chronic muscle restriction and recovery from high training volume. Both are paired with progressive loading so rehabilitation always moves toward return-to-performance, not just symptom management.
Is soft tissue therapy included in the standard office visit? +
Soft tissue therapy is an add-on to any standard office visit at +$50. It is included in every session of the Foundational Movement Program ($150/session, 8 sessions). If you're unsure whether to add it, Dr. Cagape will recommend it at your visit based on what your tissue needs.
Who should not receive cupping or Graston? +
Cupping is not appropriate over broken skin, active rashes, sunburn, varicose veins, or areas with blood clotting concerns. Graston is not appropriate directly over acute fractures, open wounds, active infections, or areas of acute inflammation. Both are used with caution in patients on blood thinners. Dr. Cagape reviews your health history before any soft tissue treatment.