This comes from my experience participating several times in the military marches at the "4.Dagse" "Nijmegen Four Day Marches" in Holland. We had good army medics who's only job was treating blisters and hundreds of soldiers got them pounding the paved cobblestone roads for four days.
The medics, usually with some helpers to sit on the patients legs, first used a syringe to remove the fluid from blisters, then used another syringe with tincture of benzoin to fill up the blister sack. The patents screamed and cussed for maybe a minute then got up and we able to instantly walk on the blisters without pain. The next day the treated blister was more comfortable than the rest of the foot.
This was the standard treatment used by all the NATO medics at the camp with maybe 7,000 troops.
What is the reason to puncture and drain a blister?
Good question. They say you're not supposed to. But in my experience, if you have to keep hiking it's going to eventually break itself, so maybe one reason to do it yourself is so you can disinfect/dress it. Otherwise it would break as you walk and may get dirty.
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