A practitioner drawing a jade gua sha tool along a patient's upper back and neck as he lies face down under a white sheet

What it is

What is Gua Sha and how does it work?

Gua Sha is a Traditional Chinese Medicine technique that applies gentle, repeated strokes with a smooth-edged tool across the skin. Those strokes stimulate microcirculation, raise blood flow and oxygen to the area, and activate the lymphatic system to clear waste. A body session runs 30 to 60 minutes.

Gua Sha covers two applications: body work on the neck, shoulders and back, and a gentler facial technique for skin tone. Dr. Tsai matches the technique to your specific pattern of tension or stagnation, and pairs it with acupuncture or cupping as part of a broader plan.

Traditional Chinese Medicine technique
Gentle, non-invasive strokes
No needles required
Body and facial applications
Appointment now
Same-week appointments
Most insurance accepted
25 years of experience
Licensed in Florida

Our process

What happens during a Gua Sha session?

A Gua Sha session runs in five steps: consultation and diagnosis, preparation with natural oils, the scraping strokes themselves, a relaxation phase and aftercare guidance. Body sessions take 30 to 60 minutes; facial Gua Sha takes 20 to 30.

Your session

Who is Gua Sha for, and what does a session feel like?

Gua Sha suits patients with chronic neck or shoulder pain, back stiffness, migraines, general muscle tightness, respiratory complaints, stress, or dull and uneven skin tone. Most patients describe the strokes as warm and soothing rather than uncomfortable.

What to expect during your session

Gua Sha is a calm, hands-on session, and Dr. Tsai explains which areas he is treating before starting.

  • A clear explanation of the areas being treated
  • Smooth, gentle scraping strokes adjusted to your comfort
  • 30 to 60 minutes for a body session, 20 to 30 for facial Gua Sha
  • Mild redness in the treated area that fades within a few days
  • A relaxed, lighter feeling afterward
Read common questions

Conditions Gua Sha addresses

Gua Sha pairs with acupuncture as part of a broader Traditional Chinese Medicine plan.

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Benefits

What do patients notice after Gua Sha?

Patients notice moving circulation, easing tension and inflammation, and calmer, brighter skin. Moving stagnant circulation lets the body release tension and clear waste on its own.

In-network with most major plans

We accept your insurance

  • UnitedHealthcare
  • BlueCross BlueShield
  • Aetna
  • Cigna Healthcare
  • Optum
  • GEHA
  • Surest, a UnitedHealthcare company
  • Partners Direct Health

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How does Gua Sha work?
A smooth-edged tool applies gentle, repeated strokes that stimulate microcirculation. That does four things:
  • Increases blood flow and oxygen delivery to the area
  • Releases tight muscle and connective tissue
  • Activates the lymphatic system for detoxification
  • Eases inflammation naturally
Does Gua Sha hurt?
Gua Sha does not hurt. Most patients feel a warm, soothing pressure rather than pain. Dr. Tsai adjusts pressure and pace to your comfort, especially for facial applications.
Why does my skin turn red after treatment?
The light redness, called sha, shows increased circulation moving to the surface. It is a normal, expected response rather than an injury, and it stays mild and fades within a few days.
How many sessions will I need?
Mild pain takes 1 to 3 sessions. Chronic conditions take 5 to 10.
  • Mild pain - 1 to 3 sessions for noticeable relief
  • Chronic conditions - 5 to 10 sessions for lasting improvement
  • Ongoing wellness - occasional seasonal sessions
What conditions does Gua Sha help with?
Chronic neck and shoulder pain, back pain and stiffness, migraines, muscle tightness, respiratory complaints, stress and skin concerns. See Conditions Treated and Pain Management for the full lists.
Is Gua Sha safe for everyone?
Gua Sha is safe for most people, with three exceptions Dr. Tsai checks first: certain skin conditions, bleeding disorders and pregnancy. He reviews your history before the first stroke, and he tells you plainly when Gua Sha is not the right fit.

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