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Try taking a sewing needle, and heating it with a lighter, or in a pot of boiling water to sterilize it. Pop the blister carefully. Be sure to wash the area thoroughly and wear a bandage to prevent infection. Also, keep a tissue or q-tip nearby to clean up the pus that will come out when you pop it.
3 or 4 years is a looong time though. This blister may require professional medical attention. I assume youve had different pairs of shoes along the way?
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