Myofascial cupping differs from traditional Chinese medicine cupping by specifically targeting the musculoskeletal system for myofascial release rather than the meridian systems used by traditional Chinese practitioners. Another difference to the ancient practice is that to create suction, myofascial cupping uses plastic cups and vacuum suction rather than glass cups and a naked flame. Myofascial cupping uses a hand-operated vacuum pump to induce a vacuum inside a small cylinder, sealed with oil or cream to the skin. The vacuum ‘draws’ the soft tissue perpendicular to the skin, providing a tensile force, which can be left in one site for a prolonged period or moved along the soft tissue.