Hi all! I had a strange thing happen recently with a patient and am curious of other ideas why this happened. On a Monday afternoon I did some dry needling and cupping on a patients posterior-lateral hip hitting areas such as superior cluneal, iliotibial, inferior gluteal and symptomatic points in glute med/min. I have previously needled this same patient many times in similar areas with no issues, but had not combined cupping afterwards until this day. At the time of treatment, the patient did not experience anything out of the ordinary. The next time I saw the patient she informed me that Tuesday afternoon after our session she noticed significant swelling in her foot/ankle, and it seemed to go up her leg. She works in healthcare, so went to the ER to rule out a DVT. All her blood work and testing came back normal. The swelling went away in about 48 hours. She has no other health conditions that should have caused this. Any ideas/thoughts? Should I avoid combining needling and cupping?