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  1. High patient caseloads
  2. Limited time for patient care due to paperwork and administrative tasks
  3. Difficulty keeping up with changing insurance requirements
  4. Lack of access to advanced equipment and technology
  5. Limited opportunities for professional development and continuing education
  6. Dealing with difficult or non-compliant patients
  7. Physical strain from long hours of standing and manual therapy techniques
  8. Inadequate support staff or assistance during patient treatments
  9. Balancing work-life responsibilities
  10. Coping with patient cancellations or no-shows

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