Special shoes should be prescribed to reduce trauma if the foot is deformed eg, previous toe amputation, hammer toe, bunion.
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The average doctor, myself included, sees typical things, we are pretty good at typical things, atypical things we don't know, and then there is always debatable issues about marginal results, whether it is for this particular antibody or it's for a lupus condition or it's for another cardiac condition, there's always…tests don't come in yes and no answers, they all have gradients of grey zones in the particular areas.