Hey Rulan. Unsure if its just on my end but the Shoulder lower back and knee pain are all empty.

Obvious contraindications are open wounds, stitches and areas of very damaged skin. I tend to think of medications such as blood thinners as a precaution depending on client age, level of health and skin integrity. Sometimes simply really reducing pressure of the cups to very light is enough. I tend to make it very simple. We do know they have a downregulating effect on the nervous system and in that regard can be amazing at desensitising tissues that are very reactive or sensitive to input. In my experience cups are very effective for central sensitisation. I am unsure on what the research is on this aspect but personal experiences has shown this to be true for me. Cups increase bloodflow to an area. Decompress and can improve slide and glide of tissues in the area. I tend to describe them as a "reverse massage" rather than pressing into tissue we are lifting it up and pulling it apart. Keep it simple and then you can always fill in details if people ask for more details. The biggest mistake we can make is detailed concepts as most people do not have the underpinning knowledge for understanding what it all means. An often "mostly" correct simplified description is best. I hope this answers your question.

Often the graft is the nastiest part of the rehab for sure!! Though the use of donated grafts seems to becoming more common. Do you know if there are any downsides to using donated tendon grafts for ACL?