Hijama can be mildly uncomfortable but rarely painful. It looks worse than it feels. Hijama can even be relaxing. Then negative pressure (suction) feels like slight pinching sensation, While the incisions feel like minor scratches or even feel like someone is touching you with the tip of a pen. Most people are pleased to discover how tolerable Hijama is. It even feels ticklish for some. 

There are multiple different theories for why Hijama soothes pains and numerous different mechanisms for achieving this soothing effect, by impacting pain mediators. Hijama can be deeply relaxing and help dispel anxiety, stress, and depression. 

Using numbing cream on Hijama points is not needed as it could disrupt many of the biomechanics of Hijama through Vasoconstriction for example. It is also unnecessary as the preceding dry cupping, when done correctly, numbs up the incision points.

In reality the mild pain caused by Hijama can reduce acute pain and this is why we avoid pain medicine when we do Hijama. The mild pain of Hijama, stimulates the release of Opiorphin and Endorphins. The pain gate control theory asserts that non-painful input closes the nerve “gates” to painful input, which prevents pain sensation from traveling to the central nervous system. This is how, for example, the mild pain of Hijama helps numb the acute pain of Sciatica. The negative pressure of Hijama, along with the incisions, help improve blood circulation. Healthy blood loaded with Oxygen and nutrients relieves the pain triggered by Hypoxia. Therefore, Hijama helps break the pain cycle and reduce pain sensations and even override pain signals.