Man up and yank out method for me also. Hooked the farmers Bull with a rattle trap on the back cast years ago. Mean thing would sneak up on you and bump you into the pond. I got him that time. Baited him up with some bread and yanked it out with pliers. He didn't sneak up on me anymore
For me personally it seems to be no difference in the pain weather you push through and cut off or yank it out