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But, if your symptoms are more severe and intrusive then you might want to seek a specialist opinion to discuss the additional treatments that an expert foot & ankle clinician can provide

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Although uncommon for standard arthrocentesis, it may apply in circumstances where the aspiration or injection is part of a more involved surgical procedure or when assistance is required to safely position or stabilize the joint

It's a formidable, often-unseen barrier to progress

PMID: 22656661 Relationship-undermining statements by psychotherapists with clients who present with marital or couple problems