Australian humorist Tim Minchin once said, “You know what they call alternative medicine that’s been proved to work? Medicine.”
While Minchin’s comment was intended as a joke, there’s a lot of truth to it. Many so-called alternative treatments lack empirical evidence to support them, instead relying on some combination of celebrity and athlete endorsements and pseudoscience. Some alternative therapies are appealing because they’re perceived as new or cutting edge, while others benefit from the aura of thousands of years of use.
So what’s worth trying? After all, the placebo effect—whereby you gain a tangible benefit from merely believing a treatment will work—is very real. Here we cover several popular therapies that some runners swear by and others eschew. In addition to describing the therapy, we answer the most important questions: Does it work? Is it safe? Should I try it?
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Cupping
In the 2016 Summer Olympics, countless athletes were seen with round discolorations all over their bodies. Given that one of those athletes was swimmer Michael Phelps, who would go on to win five gold medals that year, widespread interest arose around what these marks meant and how they might have aided Phelps’s performance.
Those marks were the aftereffects of a technique known as cupping. Cupping is the practice of placing glass cups against the skin to form a partial vacuum, which lifts the skin. A form of myofascial decompression, it is believed to stimulate the circulation of blood to the area.
Cupping can be traced back thousands of years to China, Egypt, and the Middle East. Proponents claim it can help with issues such as pain and inflammation, can improve blood flow, and can assist in the removal of “toxins.”
Does It Work?
Advocates are quick to point to Phelps and other world-class athletes who swear by the treatment. Still, the actual mechanism by which cupping therapy is supposed to work is unclear. While some studies have shown benefits ranging from improvements in blood cholesterol levels to pain relief, most peer-reviewed science is not as supportive of the technique’s efficacy. Designing double-blind studies (in which both the investigator and the subject are unaware of whether the technique in question or a placebo is being used) is difficult when researching something like cupping, and most of the evidence used to argue in favor of cupping comes from studies that pair it with another treatment or have other biases. Much of the benefit seen may be attributed to the placebo effect.
Is It Safe?
Other than the telltale bruising, side effects are fairly minimal, though some instances of burning have also been observed.
Should I Try It?
For the most part, the scientific community does not support cupping. Evidence-based practitioners point out that its advocates rely on anecdotal evidence and the placebo effect. Yet while cupping alone is not going to propel you to the next Olympic games, some clinicians keep it in their soft tissue mobilization
