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I explain to the patient that the issue is that youre overdoing an activity which is irritating the place where the fascia (the soft tissue that connects the toes to the heel) meets the heel bone

Write the concentration (e.g., "10mg/mL"), the date, and optionally the mcg-per-unit value on the vial with a permanent marker

Standard reconstitution: 2 ml BAC water per 5 mg vial (2.5 mg/ml)

If your doctor or health care provider is just rapid firing it in (which is always more painful), hitting the bone, you have Botox running down your face, it is more painful than when you get it done with other providers, or you get eye-lid droopiness (ptosis), you should think about moving on to someone with a more refined technique