Wet Cupping / Hijama treatment after a rugby knee injury

Wet Cupping / Hijama treatment after a rugby knee injury by Dr Rizwhan Suleman MChiro of ICAHT

The following is a video by Dr Rizwhan Suleman (Mchiro) of ICAHT.

This is a video tutorial used as part of the course material for the Institute of Clinically Applied Hijama Therapy Diploma course taught in the United Kingdom. The video demonstrates some of the basic protocols of practice outlined in the course for wet cupping practitioners.


Okay we have got Chris here, who has been suffering from some knee problems. He has had an operation on his knee
To patient: What was it exactly?
Patient:  It was an ACL hamstring graft and they cleaned up my miniscus as well

So Chris has been having some chiropractic treatment, we have been doing some Graston technique on the knee, with IAM tools rather. We have also been doing some dry cupping. And one thing he has been experiencing is every time he exercises he starts to get some swelling around his knee and he feels that there is still some residual swelling around the knee that hasn’t gone. So we will be doing some wet-cupping to see if we can release some of that stagnant swelling or the blood around the knee that isn’t clearing, and see if that helps him work and train better so that he can rehabilitate his knee more efficiently.

Health-screen Process prior to the Hijama treatment

00:50 So basically I just need to go through some health-screening with you to make sure you are suitable for this, as this is not for everyone.

Some standard health-screening/ medical history questions to the patient:

Have you ever:
 – Had a blood-borne virus?
–  Fainted ?
– Had seizures or epilepsy?
– Are you diabetic?
–  No blood-clotting disorder
– Ever had Anemia, less iron or blood in the body
– Are you okay with scarring (do you get keloid scarring) / do you have healing issues?
–  Are you ok when you see blood or  needles?

–  Have you ever had any form of cancer?

– or neurological disorders?
– Previous operations: ALC & Hamstring graft, shaving of miniscus

Patient’s Consent
1:40 If I can have your signature here to say you are okay with it (proceeding with the hijama treatment)

Explanation of possible side-effects of Hijama
1:43 The possible side-effects: Scarring from the small scratches and small marks it is quite uncommon, but it is possible with some patients. Obviously as I mentioned, you can feel light-headed, and you can feel itchy for one or two days afterwards, and sometimes it can sting, so try not to scratch the area or anything like that. And that is pretty much it.

Taking the patients blood pressure.
2:08 Nice healthy blood-pressure 120/70 it’s not particularly low, which means you are less likely to faint or anything like that during the treatment.

Explanation of the treatment procedure.
2:17  We are going to be using these cups and we will be applying them on the sides of the knee and we will create a negative pressure by using this pump which sucks the air out which will create the negative pressure. As you can see the blood is increasing around that area, so it increases the blood circulation in that area, and we will take the cup off after a couple of minutes. We will make small scratches, that are basically tiny nips. They are not deep cuts, and it is literally a tiny nip of the skin. We will then pop the cup back on, re-apply the suction and leave it there for a little bit. It can be quite uncomfortable having the suction done. If anything is too strong then let me know. Also the little nips, again some people find them quite painful, most people find them ticklish. But if there is anything uncomfortable, you can stop me at any time. During the treatment you can feel a little bit light-headed. We are going to treat you sitting up, as we are working on the knee and it is easier to work on the knee in that way. If you do feel light-headed or dizzy at any time, then just let me know straight away, and we will lay you down, because you can feel faint – but most of the time it is from seeing the blood rather than anything else, people feel faint, that is why ask the (health-screen) questions before (as to whether you are blood-phobic), but it (the treatment) is pretty harmless otherwise.

Hijama Treatment
3:23 Okay, so we are going to start with the procedure now. I am just going to apply a little bit of oil onto the surface of the knee, to prevent any air getting into the cup, so we get a nice attachment to the knee. We are going to apply oil on the sides here, just smoothing the hair down. These are all single use cups. Everything we use in the clinic is single-use for each patient. So there is no chance of cross-infection and these sorts of things happening.

4:01 Right so we are going to leave these cups on now for a couple of minutes (the initial dry-cupping stage), to just let any swelling or inflammation to be drawn to the surface, and then we will start with some small scratches.

4:15 Okay we will start with the small cuts now, and we are going to see how it feels. A lot of people ask if this is painful, so I would want you to give some feedback on this video, of how it is feeling. Okay we will start with the first cut, tiny little scratch

To patient: Is that okay?
Patient: Yes that is fine. Didn’t really feel that

Okay tiny little nips, lots of them
Patient: Little spikes
That’s fine? Wasn’t too bad?
Patient: Not at all, felt like scratches
And we will pop the cup back on
And we will now go for the next cup, same thing again – tiny little scratches.
(Fourth cup): I think this is the one that is inflamed quite a lot.

5:23 All cups back on

How does it feel
Patient: Yeah fine. I am surprised, I was expecting it to be painful. I can’t feel anything. I was expecting to feel light-headed

5:35 Okay so we have left the cups on for about 7-8 minutes. We are going to start taking them off now and you can see what happens. So I am just going to put some tissue under the cup, and pop the nozzle of the cup to release the air. Pressure starts to release and I have to try not to make a mess of this. As you can see the blood is kind of congealed up. And then wipe the area.

Was that okay? Did that sting?
Patient: It’s fine.

I’m going to apply some wound wash, basically some anti-septic on the area. The bleeding is pretty much stopped straight away, you might get some tiny little drops still coming through, but that should stop in the next few minutes.

Treatment finished
7:10 Patient tries bending knee completely
Patient: Couldn’t do that before (the treatment)! So whatever you have done has worked. It’s strange isn’t it?  Well not strange..&nbsp

; it makes sense

Post-treatment feedback
How was it?
Patient: It feels fine. I can feel like a release of pressure. There is a little bit of a tingling where the scratches are. Other than that, I don’t feel light-headed and it feels good.

Institute of Clinically Applied Hijama Therapy (ICAHT)

Study the science of Hijama with qualified doctors.
Learn how to:
  • Practice hijama within safe clinical remits
  • Treat patients with effective treatment techniques
  • Know the limits of care and how to deal with emergencies
  • Practice infection control to a clinical standard
  • Understand the important anatomy of the human body
  • Continued professional mentorship
  • ICAHT membership
  • Hands-on clinical training
Are you a Medical Doctor, Qualified Health Professional or some one deeply committed to learning the science of hijama?
Are you currently based in or able to travel to Leicester?
Are you passionate about reviving the Sunnah of our Prophet and helping people?
Well this is your opportunity to enrol on the ICAHT Diploma in Clinically Applied Hijama Therapy.

ICAHT – “Uniting Traditional Practice with Clinical Science” 


Institute of Clinically Applied Hijama Therapy (ICAHT)

Mobile:07533 446 373
Email: admin@icaht.co.uk
Website: www.icaht.co.uk


Our thanks to Dr Rizwhan Suleman of  ICAHT from UK for sharing the above post. If you have any questions or want to leave some feedback for them, then please do so via a comment* below.

If you are a hijama therapist or patient and are happy to share your knowledge or experience via a guest blog-post like the one above, please send me an email to: hijama.mail@gmail.com.

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