The Gua sha treatment remains the most controversial procedure in my office. Really it's not such a big deal but people get worked up over it. I always make sure patients are fully educated before the treating and I even show them videos and pictures of what to expect. With so much drama you may wonder why I use it at all? Well it's because when Gua sha works, the results are nothing short of a miraculous. Gua sha is an ancient healing technique used by many clinicians of traditional Chinese Medicine (TCM). In this procedure, a lubricating medium, such as massage oil, is applied to the skin of the area to be treated. A smooth-edged instrument is used by the acupuncturist to apply short or long strokes on the skin, typically in the area of pain or on the back parallel to the spine. This stroking motion creates raised redness (petechiae) or bruising (ecchymosis). Manual therapies like gua sha may be useful for many conditions, but may become essential clinical options particularly for what are called ‘gaps in care’, i.e. when patients cannot or prefer not to take medicines for a problem, or when those medicines fail or are not available.