This patient is the owner of an architectural firm, and often goes around foot to different construction sites to oversee projects. Roughly 3 years ago, he started feeling pain on the medial side of his feet and also under the foot. The pain was worse on the left side. There is no history of trauma to the foot. The patient has no underlying health issues other than some mild hypertension. Upon examination, other possible conditions such as Achilles tendinopathy, stress fractures, or tarsal tunnel syndrome were ruled out, although there was some tenderness in the overworked calf muscles. The patient found it difficult to walk around sites without pain and discomfort.
The patient was treated with acupuncture as well as cupping to break up the accumulated adhesions in the foot and increase circulation to the area. While the first two sessions did not produce much relief, the patient noted a decrease in pain and discomfort after the third session. The patient also diligently did the stretching exercises prescribed of the plantar fascia and calf. He was able to walk around his project sites with no pain and just mild discomfort after five sessions. While he does consistently come in for maintenance appointments, especially after many trips, he reports that his symptoms are mostly resolved.