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Don Pelto, DPM - Podiatry Practice Mastery
Don Pelto, DPM
841 episodes
1 week ago
🚀 Podiatry Practice Mastery — Grow Your Podiatry Practice to $1M+ Without Working More Hours Are you a podiatrist ready to scale your practice to 7 figures and beyond — without burning out? Podiatry Practice Mastery is the podcast for growth-driven podiatrists who want to increase revenue, improve patient flow, and build efficient systems — without adding more clinic hours or sacrificing their quality of life. - Get my Free Million Dollar Practice Formula - https://www.podiatrypracticemastery.com/ - Get my Free Patient Presentations Training - http://www.patientpresentations.com/
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🚀 Podiatry Practice Mastery — Grow Your Podiatry Practice to $1M+ Without Working More Hours Are you a podiatrist ready to scale your practice to 7 figures and beyond — without burning out? Podiatry Practice Mastery is the podcast for growth-driven podiatrists who want to increase revenue, improve patient flow, and build efficient systems — without adding more clinic hours or sacrificing their quality of life. - Get my Free Million Dollar Practice Formula - https://www.podiatrypracticemastery.com/ - Get my Free Patient Presentations Training - http://www.patientpresentations.com/
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Episodes (20/841)
Don Pelto, DPM - Podiatry Practice Mastery
How to Introduce New Products Without Disrupting Your Practice


🎙️ Podcast Description


Have you ever hesitated to bring a new product into your practice because it felt like “one more thing” for an already busy team? In this episode of Podiatry Practice Mastery, Don walks through his real-world decision process for introducing a new product—what worked, what caused friction, and what he’d change next time.


Using his early experience with EBM Medical as a case study, Don breaks down how to evaluate vendors, reduce staff overwhelm, protect patient trust, and decide whether a lower-dollar add-on is actually worth the squeeze compared to higher-value treatments like shockwave and orthotics.


This is a practical, unfiltered look at product integration from a busy, multi-doctor practice—not a sales pitch.


⸻


📌 Key Topics Covered (Accurate Timestamps @ 169 WPM)


[0:00] Why adding new products feels risky in a busy practice

The challenge of decision-making in a multi-doctor, multi-office environment.


[1:35] Why EBM Medical stood out as a vendor

What Don looks for in companies that approach practices the right way.


[3:00] Involving all partners before making product decisions

Why unilateral decisions fail in group practices—and what works better.


[4:30] Drop-shipping vs in-office dispensing

Why patients don’t follow through when you send them “somewhere else.”


[6:10] Early wins: how Don is using EBM products clinically

Anti-inflammatory options, fibromas, Raynaud’s, neuropathy, and realistic expectations.


[8:20] The 3-month trial mindset (and why follow-ups matter)

Using products to create accountability and meaningful reassessment visits.


[9:45] Trying products without committing to inventory

Testing Tin products before deciding whether to stock them in-office.


[11:00] Friction points: logins, training, and workflow disruption

What slowed adoption—and how vendors could improve onboarding.


[12:40] Favorites lists and standardizing usage across doctors

How shared favorites reduce confusion and speed adoption.


[14:05] What vendors should teach (but usually don’t)

Why short “how-to” videos and real doctor protocols matter.


[15:45] Notification overload and managing rep communication

Where enthusiasm turns into friction.


[17:00] Prescribing vs selling: patient psychology matters

Why “I’m prescribing this” feels very different than “buy this on the way out.”


[18:45] Marketing integration: protocols, follow-ups, and perception

Where these products fit—and where they don’t.


[20:10] The real question: is the juice worth the squeeze?

Comparing $60 products to $600–$1,500 treatments and deciding where to focus.


[22:10] Website links vs direct prescribing

Why Don prefers prescription-based credibility.


[23:30] Final thoughts + invitation for peer feedback

Asking other podiatrists what’s working (and what isn’t).


⸻


🎯 Core Takeaway


New products should reduce friction, not add it. If they don’t fit cleanly into your protocols, explanations, and follow-up structure, even “good” products can become distractions.

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2 weeks ago
13 minutes 25 seconds

Don Pelto, DPM - Podiatry Practice Mastery
December One-Page Report: $2K Shockwave Packages, and 10x Pricing Experiments

🎧 Podcast Description


In this episode of Podiatry Practice Mastery, I walk through my November 2025 one-page report — what actually moved the needle in my practice, what flopped, and how I’m trying to 10x revenue per patient without turning my clinic into a sales floor.


I share why our online reviews crashed when we tried to let our EMR “do everything,” how a simple switch back to Swell brought us right back to 60–80 reviews a month, and how I’m baking referrals directly into our orthotic experience with simple cards and a small “wow” package.


Then I get into the uncomfortable part: going from ~$200 per patient to $2,000+ by stacking packages, simplifying into good-better-best, and working on my own conviction around orthotics and premium care. I’ll also talk about where laser and AI scribes do and don’t fit in the real world of a busy podiatry clinic, and why I’m building an asynchronous coaching model instead of classic Zoom-heavy masterminds.


If you’re already busy, sitting around $600–700K, and trying to figure out how to break the million-dollar mark per provider without burning out, this one is for you.


🔑 Key Takeaways for Colleagues

• Tight review automation beats “all-in-one” tools. Too many steps in the Clara review flow tanked our numbers; a simple Swell re-activation bounced us back to 60–80 reviews/month.

• Patients buy outcomes, not products. Reframing shockwave + orthotics as a single ~$2,000 “get better and keep it from coming back” package creates far less resistance than selling orthotics à la carte.

• Good-Better-Best is clearer than giant menus. Moving from dense treatment sheets to 3 simple pathways (insurance-only, advanced, premium stacked care) makes it easier to ask for $3K+ packages with a straight face.


SEO keywords (for colleagues): podiatry practice mastery, million dollar podiatry practice, shockwave and orthotics package, Swell vs Clara reviews, podiatry good better best offer, Ben Hardy Time Is a Tool, 10x revenue per patient, asynchronous coaching for podiatrists


⸻


⏱ Timestamps

• 00:00 – Why I still do a monthly one-page report

Accountability, sharing with other docs, and setting up the November focus.

• 00:38 – Fixing review automation and dominating local search

Swell vs. Clara, how one “small” change tanked reviews, and what actually works.

• 02:39 – Referral request cards & orthotic “gift bag” strategy

Water bottle, socks, referral card — and why I attach referrals to high-value visits.

• 03:36 – November KPIs: crossing the million-dollar pace

Hitting $107K for the month vs. the $80K target and what that means going into 2026.

• 05:44 – Ben Hardy’s ‘Time Is a Tool’ and 10x patient value

Shrinking timelines, moving from $200 to $2,000 per patient, and why that’s more about mindset than CPT codes.

• 07:01 – From treatment sheets to Good-Better-Best packages

Insurance-only care, $2K shockwave + orthotics, and a $3,500 stacked premium pathway.

• 09:43 – AAPPM takeaways: stacking treatments & using laser

Shockwave + laser + amnio, and how I’m trying to keep the explanation simple in the room.

• 12:08 – Why I’m not switching to an AI scribe (yet)

Quality of life vs. cost, and why I don’t want to be the guinea pig while my human scribe is working well.

• 12:46 – Outsourced content, B-roll, and paid traffic tests

Repurposing these audios into IG/TikTok, and running small AdWords campaigns to push the Million Dollar Blueprint.

• 14:12 – Building an asynchronous coaching model for podiatrists

Helping 100 docs via app-based, on-your-own-time coaching instead of weekly Zooms.

• 17:04 – The big 2026 goals and incentive-based coaching

Getting comfortable asking for $3K packages, 100 docs in 90 days, and using Hormozi-style incentives so people actually do the work.

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1 month ago
15 minutes 42 seconds

Don Pelto, DPM - Podiatry Practice Mastery
AAPPM 2025 Takeaways - Shockwave stacking, Guarantees, Laser trials, and 12 Profit Levers

In this episode I’m unpacking my 12 big takeaways from AAPPM 2025 in Fort Lauderdale—not as theory, but as concrete changes I’m making in my own clinic.


I talk through how I’m prioritizing ideas after the meeting (so they actually get implemented), why I’m finally putting prices on my treatment sheets, how I’m repositioning orthotics as “recurrence prevention” instead of a bolt-on, and what I’m doing with guarantees for shockwave and laser that don’t involve handing money back.


I also share how I’m re-thinking fungal nail laser (again), how I’m stacking Remy/Cutera laser on top of shockwave and amnio for a true regenerative package, and the exact wording I picked up from other docs for handling “that’s expensive” conversations without getting defensive.


Then we get into fat pad injections (LipoSana), biopsies/ultrasound for ulcers, knowing your cost per visit, and the big one: getting staff to run shockwave/laser so you can buy back time and still grow.


If you were at AAPPM and heard something different you’re implementing, email me—I’d love to share more of these real-world playbooks with the Podiatry Practice Mastery community.


SEO keywords: AAPPM 2025 — podiatry practice management — treatment sheets with pricing — shockwave and laser stacking — regenerative medicine in podiatry — fungal nail laser protocol — guarantees for cash services — fat pad injections — practice overhead per visit — delegating shockwave to staff


⸻


⏱ Episode Timestamps

• 00:00 – Why I love AAPPM and what this episode covers

• 01:00 – Takeaway #1: Beating conference overwhelm with A/B/C lists and A1–A3 priorities

• 03:00 – Treatment sheet upgrades: prices, A/B options, and “prevent recurrence” positioning

• 05:00 – Presenting orthotics at visit #1 and bundling them with shockwave (from $1,500 → $2,100)

• 06:30 – Takeaway #2: Rethinking fungal laser as a “maybe” with case-study pricing and stricter protocols

• 08:00 – Takeaway #3: Stacking laser on top of shockwave (short-acting vs long-acting explanation to patients)

• 09:30 – Takeaway #4–5: Regenerative medicine pearls and building real guarantee language into offers

• 11:00 – Takeaway #6: Better phrasing in the room—mask vs heal, curiosity questions, and handling “that’s expensive”

• 13:00 – Takeaway #7–8: Ultrasound and biopsy for stubborn ulcers + LipoSana for fat pad atrophy

• 14:30 – Takeaway #9–10: RSDi readers, M&M prescription jars, and relationship-building with offices

• 15:30 – Takeaway #11: Calculating cost per visit and deciding what you should never be doing

• 17:00 – Takeaway #12: Having staff run shockwave/laser and buying back your own time

• 18:30 – Wrap-up: If you were at AAPPM, send me your best takeaway and I’ll share it with the group

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2 months ago
14 minutes 4 seconds

Don Pelto, DPM - Podiatry Practice Mastery
November One-Page Report: Shockwave + Orthotics Offer, Review Engine Fix, and Local SEO That Actually Moves the Needle

Most of what moves a practice isn’t fancy surgery—it’s systems that stack. In this month’s one-page report I cover what worked, what flopped, and what I’m doubling down on: a review engine that finally reversed our dip, a clean “Shockwave + Orthotics” bundled offer, and a simple automation cadence that’s pushing urgent-care traffic and Google Business visibility. I show real ModMed numbers, share the ad workflow my offshore team runs, and the FAQs I now hand patients so staff isn’t stuck re-explaining the same thing 20 times a day.

If you want me to walk you through seven specific revenue levers you can turn in 30 days, email me—happy to hop on and map it out with you.

SEO keywords: podiatry practice growth — Google Business optimization — shockwave therapy bundle — orthotics upsell — review management Swell — ModMed reports — urgent care marketing — patient FAQs

  • 00:00 — Why I do a one-page report and what changed in October

  • 00:34 — Local search “automation to dominate” and where it’s landing

  • 01:24 — Cosmetic vs non-cosmetic mix in ModMed — shockwave still the driver

  • 02:29 — Monthly payments trend and the $80k/month personal benchmark

  • 03:15 — Worcester vs Westborough encounter split (what the data says)

  • 03:55 — Ad workflow: SubMagic captions → YouTube/TikTok → urgent-care page

  • 04:50 — Higher-quality “longs” and why pro edits are outperforming my shorts

  • 06:03 — New offer: $2,000 Shockwave + Orthotics bundle — plus a $60 downsell

  • 06:51 — Reducing churn by building referral sources vs single-patient asks

  • 07:23 — Asking “why not?” when patients decline — money vs belief

  • 07:44 — Laminated FAQs for Shockwave, Swift, and Orthotics (and how I use them)

  • 08:14 — Pre-visit video (VSL) to set expectations before they arrive

  • 08:45 — Offshore team’s Google Business playbook: posts, Q&A, descriptions

  • 09:51 — Review recovery: why we ditched Clara and went back to Swell

  • 10:56 — The graph that mattered: reviews per month by year

  • 11:59 — Next steps: per-doctor profiles + article on reviews + 7-lever sessions

  • 12:48 — Open invite: email me for a 30-day revenue plan (free)

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2 months ago
13 minutes 17 seconds

Don Pelto, DPM - Podiatry Practice Mastery
Interview Replay from Podiatry Marketing Podcast 200th Episode

Here is a replay from an interview I did on podiatry marketing podcast. If you like it check out their podcast.

https://www.podiatrymarketing.com

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2 months ago
40 minutes 16 seconds

Don Pelto, DPM - Podiatry Practice Mastery
Inside My Podiatry Care Practice: October 2025 Update

How can delegation, automation, and better review systems help grow your (podiatry care) practice beyond the million-dollar mark? In this episode of Podiatry Practice Mastery, I share my October 2025 one-page report—covering delegation wins, digital media upgrades, and new review automation systems that are transforming our local visibility.


What You’ll Learn in This Episode


How delegating marketing tasks to a virtual assistant increased execution speed


Setting up urgent care postcards, ads, and landing pages that actually convert


Tracking cost-per-patient and lifetime value inside ModMed


Using YouTube Shorts and XOGO screens to educate patients in the waiting room


Building a powerful review system to dominate Google search


Why I paused daily podcasts to focus on higher-value projects


How AI tools like Hormozi’s “Money Models” bot are reshaping my business ideas


Why You Should Listen

If you’re a podiatrist looking to automate your marketing, boost reviews, and delegate effectively without losing control, this episode gives you a behind-the-scenes roadmap from a real six-figure monthly producer.

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3 months ago
12 minutes 47 seconds

Don Pelto, DPM - Podiatry Practice Mastery
Pros and Cons of Shockwave Devices

Intro

What’s the best shockwave device to buy for your podiatry practice? In this episode of Podiatry Practice Mastery, I break down my experience with Storz (focused and radial) and Softwave devices, plus practical advice on pricing, insurance coverage, and sales strategy.


What You’ll Learn in This Episode


Why you shouldn’t base your device choice on insurance coverage


Pros and cons of Storz focused vs. radial shockwave devices


Where Softwave excels and its hidden drawbacks


Key differences in sales approaches between vendors


Why buying high quality pays off long-term


Tips for trialing devices and building patient confidence


Why You Should Listen

If you’re weighing shockwave investments, this episode will help you cut through sales hype and make a confident choice that grows revenue and delivers lasting patient outcomes.


Key Topics Covered

[0:01] Listener question: choosing a shockwave device

[0:45] Insurance coverage reality check

[2:05] The Storz advantage: reputation and conferences

[3:45] Radial vs. Focused—when each is most useful

[5:12] Pros and cons of Softwave technology

[7:00] Cost differences and hidden expenses

[8:30] Why buying high-quality devices matters

[9:40] Avoiding the “cheap device trap”

[10:25] Free resources: Practice Formula and Million Dollar Club


👉 Listen now to learn how to confidently select the right shockwave device for your podiatry practice—and avoid costly mistakes that slow your growth!

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3 months ago
10 minutes 59 seconds

Don Pelto, DPM - Podiatry Practice Mastery
Scaling Podiatry Care: From $600K to $1M Production

Intro

How can a podiatrist stuck at $600K in production scale to $1M without seeing more patients? In this episode of Podiatry Practice Mastery, I coach Kentston Cripe through batching routine care, rethinking pricing, and adding profitable cash services in his (podiatry care) practice.

Batching routine nail care into single-day clinics
Why increasing patient volume isn’t always the answer
How to confidently price and sell custom orthotics
Structuring and selling shockwave as a 6-session package
Using reviews to attract more new patients and build trust
When and how to opt out of low-paying insurance plans

If you want to grow your (podiatry care) practice without burning out on volume, this episode offers clear strategies on batching, cash services, pricing, and patient communication that directly increase profitability.

[00:22] Breaking down daily schedule and patient volume limits
[02:17] Confronting the challenge of 50% routine nail care
[03:20] Transitioning to “Toenail Tuesday” or batched CNC clinics
[06:14] Nail trimming and callus care: covered vs. cash pay
[10:28] The mindset shift to confidently charging patients
[12:05] Choosing between radial and focused shockwave devices
[15:17] Why offering only full 6-session shockwave plans works
[18:12] Using free trial sessions to build confidence and testimonials
[18:41] Opting out of low-paying insurance plans with courage
[20:13] Pricing orthotics: why higher is better and how to anchor value
[23:40] Avoiding OTC orthotics to keep focus on high-value services
[26:27] Review systems: why automation is essential for growth

👉 Listen now to learn how to restructure your schedule, raise your cash service game, and build a thriving podiatry care practice that scales beyond $1M without adding more patient volume!

What You’ll Learn in This EpisodeWhy You Should ListenKey Topics Covered

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3 months ago
27 minutes 16 seconds

Don Pelto, DPM - Podiatry Practice Mastery
Why I’m Changing the Podcast Format

I’ve been thinking a lot lately about the rhythm of this podcast. Putting out short daily episodes has been helpful for me to process cases, but I realized it may be too much for many of you to keep up with. Most of us don’t have an hour every week to listen unless we’re commuting daily. So I’m testing a new format: fewer episodes, but deeper dives.


In this episode, I walk through a variety of recent patient cases—everything from Swift for painful IPKs to using Anifix for nail corrections—and reflect on how treatment sheets and protocols help simplify patient conversations. You’ll also hear why I think “dynamic demonstrations” (like calf rolling for equinus) can turn skeptics into believers.


3 Takeaways:

• Treatment sheets with clear upsell/downsell pathways make patient decisions—and associate training—much smoother.

• Swift can be an option for stubborn IPKs, though I’m still gathering experience and feedback.

• Demonstrating calf stretching tools in-office helps patients “feel” why night splints and stretching matter.


Keywords: podiatry practice growth, Swift therapy, IPKs, equinus treatment, treatment sheet protocols, podiatry podcast

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4 months ago
10 minutes 23 seconds

Don Pelto, DPM - Podiatry Practice Mastery
How I Track Growth with a One-Page Report

What does it really take to keep your (podiatry care) practice moving toward the million-dollar mark every month? In this episode of Podiatry Practice Mastery, I walk through my September One-Page Report—a candid review of wins, struggles, and systems I’m building for future growth.


⸻


What You’ll Learn in This Episode


How I’m refining our urgent care offer without discounting services

The role of virtual assistants and Fiverr in scaling marketing projects

Why tracking reviews, downloads, and referrals matters for practice growth

How I’m using “Who Not How” delegation to clear my buffer list

The basics of cost-to-acquire and lifetime value in a podiatry practice

Personal lessons on family time, vacation planning, and balance


⸻


Why You Should Listen


Get an inside look at how one podiatrist tracks progress toward $1M+ personal production—covering marketing, delegation, finances, and patient experience—all in a simple monthly report you can adapt for your own clinic.


⸻


Key Topics Covered


[0:01] Why a one-page report keeps practice growth on track

[1:15] Updating urgent care offers without discounting services

[3:40] Referral cards, shoe store collaborations, and patient access

[6:20] Delegating marketing tasks to VAs and Fiverr freelancers

[9:05] Tracking metrics: $92K billing, reviews, downloads

[11:00] Switching back to Swell for reviews after tech trials

[12:20] Outsourcing podcast SEO and episode edits

[14:15] Blocking vacation time around kids’ schedules

[16:00] Hiring remote help for phones and marketing tasks

[18:30] Using financials to calculate CAC and LTV

[20:40] Price anchoring with shockwave and amnio treatments

[22:00] Goals for October: postcards, reporting, and lifetime value tracking


⸻


👉 Listen now to learn how a simple one-page system can help you measure what matters, improve patient flow, and grow your (podiatry care) practice without adding more hours to your week.

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4 months ago
14 minutes 52 seconds

Don Pelto, DPM - Podiatry Practice Mastery
Can We Make Ingrown Toenail Treatments Pain-Free?

Most patients dread ingrown toenail procedures—not because of the recovery, but because of the injection. In this episode, I share how slowing down a digital block changed the experience, why that simple shift could become a powerful marketing differentiator, and what it might look like to advertise “pain-free ingrown toenail care.”


Along the way, I also cover:

• When it makes sense to refund or replace patient items (yes, even shoes).

• The hidden math of Qutenza and buy-and-bill billing models.

• Practice tips from a full clinic day—shockwave, orthotics, fissure care, and a missed fracture that turned into an MVP encounter.


Keywords: ingrown toenail pain, pain-free podiatry, Qutenza billing, podiatry practice growth, patient experience marketing


⸻


⏱️ Episode Timestamps

• 00:00 – Welcome & setup

• 00:45 – The $60 shoe refund: why peace of mind sometimes wins

• 03:30 – Buy-and-bill math: Qutenza and the 4% billing fee problem

• 06:20 – When patients prefer the nail tech (and why that’s a practice win)

• 08:10 – Plantar fasciitis “dynamic demo” that sells itself

• 10:00 – Orthotics: athletic vs. dress shoe approach

• 11:30 – Catching a missed ankle fracture and using the fracture code

• 13:10 – Heel fissure care: practical tools and products

• 14:40 – Case highlight: FHL sheath injection for hallux tip pain

• 16:20 – The big question: can we truly market “pain-free” ingrown toenail care?

• 18:40 – Building a higher-value offer with anchoring and priority access

• 20:30 – Wrap-up & listener invite

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4 months ago
19 minutes 54 seconds

Don Pelto, DPM - Podiatry Practice Mastery
Building Your Reputation Inside a Group Practice

In today’s episode of Podiatry Practice Mastery, I answer a question from a colleague working in a large orthopedic group who asked: “How can I build my own reputation when the system limits me?”


Whether you’re in orthopedics, a podiatry supergroup, or working as an associate, the reality is the same—patients often get funneled by the system, not by your name. But there are ways to stand out without breaking the rules.


We cover:

• How to set up your own Google Business listing (even inside a group) and collect reviews.

• Why QR-code review cards or Linktree pages can quietly build your digital reputation.

• Leveraging community talks and lunch-and-learns to raise your profile.

• The importance of being “the doctor who teaches” in your community.

• Why execution (via VAs or systems) beats long idea lists you never get to.


I also walk through Wednesday’s clinic highlights: Shockwave for neuromas, Anifix nail applications, offloading ulcers, and why video content from routine visits can fuel your online presence.


Keywords: podiatry marketing, orthopedic group podiatry, Google reviews podiatry, associate podiatrist growth, shockwave neuroma, onifix nails, podiatry social media content


⸻


⏱️ Episode Timestamps (approximate for ~28–30 min episode)

• 00:00 – Intro: Question from an ortho-group podiatrist

• 01:20 – The group practice challenge: Being “fed” vs. building demand

• 03:00 – Google Business hack: Why you need your own listing and reviews

• 05:10 – QR codes, Linktree & Fiverr cards: Simple tools to drive patient feedback

• 07:00 – Community outreach: Lunch-and-learns & becoming known outside the office

• **09:00 – Why groups resist “big names” & how to navigate it

• 11:00 – Clinic recap begins: Shockwave for neuroma case + YouTube Short recording

• **13:30 – Bipartite sesamoid / fibular sesamoid fracture review and management

• **15:10 – Nail detachments & Anifix resin applications

• **17:00 – Callus care + idea execution via VAs (“Who, not how”)

• **19:15 – Achilles tendinitis shockwave updates

• **20:30 – Diabetic ulcer offloading with peg-assist cam boot

• **22:10 – Onifix nail use for detachment + pricing strategy

• **23:30 – Nail fungus case: why Diflucan (fluconazole) sometimes beats terbinafine

• **25:00 – AFO referrals & orthotics

• 26:10 – Other highlights: plantar fasciitis, ingrown toenails, cyst aspiration, pediatric wart case, non-union toe fracture, and end-of-day diabetic nail care referral

• 28:30 – Wrap-up: Using patient care to fuel effortless content creation

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4 months ago
18 minutes 17 seconds

Don Pelto, DPM - Podiatry Practice Mastery
In search of the pain free injection

In today’s episode of Podiatry Practice Mastery, I reflect on how small refinements in the way we treat, talk, and price procedures can change both the patient experience and the bottom line.


We start with a practical question: How can we truly make ingrown toenail procedures pain-free? From ultra-slow toe blocks to comfort guarantees, I share ideas that could double as a marketing hook.


I also discuss the difference between speed offers (urgent care in 24–48 hours) vs. comfort offers (pain-free toenail care) and why each attracts different types of patients.


You’ll also hear how I:

• Anchor pricing with biologics like amnio, even when I rarely use them.

• Use ultrasound findings to guide Shockwave vs. regenerative decisions.

• Frame Shockwave as “expensive, but predictable.”

• Think through why practice management content doesn’t always gain traction with young docs—and how to package it better.


Finally, we walk through Friday’s patient mix, from bilateral Achilles Shockwave MVPs to onychoplasty procedures, and why visiting other doctors’ offices might be the most underrated residency hack of all.


Keywords: podiatry practice management, pain-free ingrown toenail, toe block injection tips, Shockwave therapy podiatry, ultrasound plantar fasciitis, amnio injection podiatry, urgent care podiatry offer, podiatry residency tips


⸻


⏱️ Episode Timestamps

• 00:00 – Intro: Slow injections & the idea of “pain-free” ingrown toenails

• 03:20 – Marketing hooks: Speed vs. comfort as competing offers

• 05:15 – Podcast crossover: My interview with Podiatry Marketing + traction struggles

• 08:00 – Why young docs skip practice management: Culture of surgery vs. entrepreneurship

• 10:00 – Shockwave framework: How I anchor with amnio pricing & when I actually use it

• 13:30 – Ultrasound’s role in selling care plans

• 15:10 – Patient of the day: Bilateral Achilles Shockwave case ($3K+ revenue path)

• 18:05 – Slow toe block in action: Matrixectomy & injection pearls

• 20:20 – High-value in-office procedure: Dorsal hallux exostectomy with rasp

• 22:00 – Fractures & globals: Why the 90-day window matters

• 24:00 – Orthotics timing with Shockwave: Scan at visit 3, deliver at visit 6

• 26:15 – Other cases: Onifix nails, cortisone for plantar fascia before travel, cyst biopsy plan

• 29:30 – Wrap-up: Why visiting other doctors’ offices may beat conferences for practice growth

Show more...
4 months ago
22 minutes 20 seconds

Don Pelto, DPM - Podiatry Practice Mastery
Building a “Money Model” for my Podiatry Practice

In this Friday recap, I break down the systems behind a smoother, more profitable clinic day. You’ll hear how we batch routine care into a single half day per provider, which treatment sheets actually get used (and why they boost case acceptance), and what’s working in Facebook ads right now (plus the exact creator I learned from). I also share two recent second/third-opinion wins—why patients chose us (focused vs. radial shockwave, clear communication, simple immobilization) and how to keep them happy. We wrap with a practical “money model” for podiatry: a fast attraction offer, a three-tier package menu for plantar fasciitis, smart downsells, and a light-touch continuity idea that respects your schedule.


Keywords: podiatry practice management, batching routine care, plantar fasciitis packages, shockwave focused vs radial, Facebook ads podiatry, treatment sheets, urgent care podiatry offer, Alex Hormozi money model, scribe workflow, second opinion podiatry


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Show notes


What you’ll learn

• How to batch routine care into a single half day per provider without hurting patient satisfaction.

• The 4 treatment sheets that actually move the needle (Plantar Fasciitis, Achilles, Warts, Nail Fungus) and how to deploy them.

• A simple Facebook ads approach (learned from Ben Heath) and using ChatGPT to punch up ad creative.

• Why second-opinion patients chose us (focused shockwave access, clear expectations, and—yes—a CAM boot when no one else tried it).

• A practical money model for podiatry:

• Attraction offer: 48-hour guaranteed appointment (speed beats “free”).

• Packages: Basic → Advanced (Shockwave) → VIP Regenerative.

• Downsells: short trials, phased sessions, orthotic-first.

• Continuity/VIP: priority access + small perks without breaking your template.


Tools & ideas mentioned

• Treatment sheets (Plantar Fasciitis, Achilles, Warts, Nail Fungus)

• Focused vs. radial shockwave for deeper/bony vs. tendinous issues

• CAM boot for “never immobilized” over-use cases

• Facebook ads notes from Ben Heath; use ChatGPT to generate hooks/copy

• “Money model” framing inspired by Alex Hormozi (offer → packages → downsells → continuity)


Calls to action

• Want my treatment sheets? Email Don@PodiatryPracticeMastery.com

• Interested in the 6-month challenge/mastermind to hit $1M+ personal production? Visit the site or email me.


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Chapter timestamps (approximate)


• 00:00 – Intro & Friday format: Why we batch routine care into a single half day

• 01:10 – The 4 treatment sheets that matter: PF, Achilles, Warts, Nail Fungus

• 03:10 – Batching playbook: Patients adapt to your limits if you set them clearly

• 04:20 – Facebook ads in plain English: Ben Heath’s framework + ChatGPT for creative

• 06:40 – Scribe leverage: Freeing up brainspace between patients to work on the business

• 07:35 – Second/third-opinion wins: Why patients came (focused shockwave access)

• 10:15 – Case nuance: Navicular bump, orthotic rub, and the power of proactive comms

• 12:05 – Simple immobilization: When a CAM boot beats another round of theory

• 13:20 – Money model overview: Offer → packages → downsells → continuity

• 14:15 – Attraction offer: 48-hour guaranteed appointment vs “free” promos

• 16:05 – Package menu: Basic (conservative care) → Advanced (6 Shockwave) → VIP (regen + priority)

• 19:10 – Add-ons & downsells: Ultrasound, orthotics, phased Shockwave, CareCredit

• 21:10 – Light continuity: Priority access without breaking templates

• 22:30 – Wrap-up & next steps: What to implement this week

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4 months ago
21 minutes 28 seconds

Don Pelto, DPM - Podiatry Practice Mastery
ModMed vs. Athena, Shockwave Strategy, and Ingrown Toenail Packages: Profit Levers for Podiatrists

When I look back at some of the biggest “profit levers” in my practice, they usually weren’t flashy new surgeries — they were decisions around EMR billing, device investments, and how we packaged everyday care.


In this episode, I answer questions from colleagues about EMRs (ModMed vs. Athena), shockwave machines, and a creative way to package ingrown toenail procedures for cash-pay patients. Each of these has the power to either leak revenue or multiply it depending on how you set things up.


Here’s what you’ll learn in this episode:

• Why EMR percentages matter more than software features for practice owners

• How to choose the right shockwave device depending on your budget and goals

• A smart way to package ingrown toenail care for cash-pay patients that patients love


SEO keywords: podiatry EMR comparison, ModMed vs Athena podiatry, podiatry shockwave device, ingrown toenail cash pay package, podiatry practice management tips


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🕑 Timestamps

• 00:00 – Intro – Why these small business decisions move the needle

• 01:15 – ModMed vs. Athena – How EMR billing percentages impact profitability

• 05:32 – Watch out for buy-and-bill traps – Qutenza, grafts, and hidden EMR fees

• 08:44 – Shockwave strategy – Radial vs. focused, and which device I’d buy first starting out

• 12:55 – The education factor – Why conferences matter as much as the machine

• 15:22 – Google Ads idea from a colleague – Targeting ingrown toenails with less competition

• 18:05 – Packaging ingrown toenail care – Consult, procedure, follow-up, and products bundled

• 21:40 – Why patients love packages – Clarity, no surprises, professional positioning

• 23:10 – Wrap-up & challenge – Share what’s working in your practice

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4 months ago
20 minutes 18 seconds

Don Pelto, DPM - Podiatry Practice Mastery
KeryFlex, Qutenza & Swift: Profitability, Pitfalls, and Patient Expectations in Podiatry

Some treatments in podiatry look profitable on paper but carry hidden challenges. In this episode, I break down real-world lessons on KeryFlex nail restoration, Qutenza for neuropathy, and Swift therapy for warts—including costs, coding, patient communication, and clinical pearls.


We’ll also dive into my current strategy for Google Business dominance using Swell to multiply reviews across multiple practice and provider listings.


If you’ve ever wondered:

• Is KeryFlex worth the time and learning curve?

• How do I source Qutenza and bill it correctly?

• What’s the best protocol for Swift (blocks, energy settings, and follow-ups)?

• How can Google reviews become a practice-growth engine?


👉 This episode delivers candid answers from the trenches to help you hit the million-dollar mark with clarity and confidence.


Keywords: podiatry practice growth, KeryFlex podiatry, Qutenza podiatry billing, Swift wart therapy podiatry, podiatry Google reviews


• 00:00 Intro, shoutout, scribe update

• 00:50 KeryFlex: indications, pricing (kit + per-nail), FAQs & expectations

• 05:00 Qutenza: sourcing, buy-and-bill vs specialty pharmacy, billing/application flow

• 08:30 Swift protocol: energy settings, visit cadence, when to pair with cantharidin

• 12:00 Google review “dominance” with Swell: office vs provider listings, staggered ask

• 14:30 Rapid clinical pearls + wrap / challenge invite

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4 months ago
17 minutes 12 seconds

Don Pelto, DPM - Podiatry Practice Mastery
How we are scaling with virtual assistants

Could a $4,000/month virtual assistant team from the Philippines outperform a $30,000 U.S. hire? And how do you track ROI when scaling ads and online marketing in podiatry?


In this episode of Podiatry Practice Mastery, Dr. Don Pelto shares:

• How he uses a virtual assistant (VA) to run websites, blogs, YouTube, email, SEO, and referral tracking inside ModMed

• Why he’s investing in ads + proactive patient follow-up (phone calls from VAs to book appointments directly)

• Insights from Alex Hormozi’s $100M Leads on patient acquisition cost (CAC) vs lifetime value (LTV)

• Clinical pearls from the day: matrixectomies, ulcers, nail procedures, shockwave, Swift wart therapy, orthotics, and more

• Why it pays to invest in better products and systems (orthotics, cam boots, treatment sheets) to reduce headaches and increase patient satisfaction


👉 If you’re a podiatrist serious about scaling with smart marketing + operational leverage, this episode shows what’s possible.


Keywords: podiatry virtual assistant, podiatry marketing ROI, podiatry SEO, podiatry practice growth, podiatry patient acquisition cost


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📝 Show Notes with Timestamps (~18 min episode)

• [00:00] Intro – Why I’m testing a bigger marketing spend with my VA team

• [02:15] How our VA supports: SEO, urgent care page, blogs, patient emails

• [04:00] New strategy: ads + proactive patient calls to book appointments

• [06:10] Offshore vs U.S. pricing – $4K vs $30K for the same support

• [07:20] Applying Hormozi’s CAC vs LTV framework to podiatry

• [09:00] The “courage factor” in increasing ad spend and filling doctor schedules

• [11:00] Clinical day highlights – lamisil booster, IPK, orthotics, nail samples

• [12:30] Multiple matrixectomies + ulcer management in elderly patients

• [14:30] Why I give treatment sheets (and now planning one for KeryFlex FAQs)

• [15:50] Orthotics talk: Forward Motion vs Northwest, and why Aircast boots win

• [17:10] Wrapping up: Swift case, wart care, and invitation to the 6-month challenge

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4 months ago
17 minutes 57 seconds

Don Pelto, DPM - Podiatry Practice Mastery
Why I Use Non-Operative Fracture Management

Should you be billing non-operative fracture management — or just sticking with office visits + X-rays? And what’s the real story when switching EMRs like Athena to ModMed?


In this episode of Podiatry Practice Mastery, Dr. Don Pelto shares:

  • ​ Why his practice delayed using the non-operative fracture management code (and the pros/cons once they adopted it)
  • ​ Practical insights on handling the 90-day global period, patient complaints, and profitability
  • ​ Tips for surviving an EMR transition (Athena → ModMed) — including training, templates, and billing features
  • ​ Clinical pearls from real patients: pediatric ankle pain, plantar fasciitis, Achilles tendonitis, ingrown toenails, warts, fractures, and wound care
  • ​ Practice growth strategies: how to identify your most valuable patient (MVP), capture hidden revenue with devices, and track lifetime value (LTV) + cost of acquisition (CAC)


👉 For podiatrists serious about scaling to the million-dollar mark in personal production, this episode blends billing, operations, and clinical wisdom.


Keywords: podiatry fracture management, podiatry EMR switch, ModMed podiatry tips, podiatry practice growth, podiatry billing codes


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📝 Show Notes with Timestamps (~18 min episode)

  • ​ [00:00] Intro – Questions from colleagues on billing and EMR transitions
  • ​ [01:15] Non-operative fracture management: why we delayed using it
  • ​ [03:10] Pros + cons of fracture management (profitability vs 90-day global)
  • ​ [05:30] How ModMed helps with global tracking vs Athena
  • ​ [07:10] EMR switch tips: training, templates, and billing support
  • ​ [09:30] Most valuable patient case: 15-year-old swimmer with chronic ankle pain
  • ​ [11:40] Shockwave, plantar fascia, bunion + hammertoe pearls
  • ​ [13:20] Using DME + cam boots to capture hidden revenue
  • ​ [14:40] Wart treatment sheets and why I pre-book multiple visits
  • ​ [16:00] Tracking LTV + CAC: new spreadsheet tools for practice growth
  • ​ [17:30] Closing thoughts + invitation to the 6-month challenge
Show more...
4 months ago
20 minutes 19 seconds

Don Pelto, DPM - Podiatry Practice Mastery
Shockwave Expectations, Wart Systems, and Measuring Practice Growth

When patients start shockwave, they often expect to be pain-free in six weeks — but that’s not reality. In this episode of Podiatry Practice Mastery, Dr. Don Pelto shares how he sets patient expectations, handles difficult cases, and uses treatment sheets to keep patients engaged and compliant.


You’ll also hear:

• How to manage insertional tendinopathies with shockwave

• Why clear treatment sheets simplify wart and nail care decisions

• The hidden revenue in devices like cam boots (and why they’re often overlooked)

• How to track lifetime value (LTV) and customer acquisition cost (CAC) to measure marketing ROI


👉 Practical pearls for podiatrists looking to improve both patient care and practice profitability.


• [00:00] Intro – Friday workflow: routine + regular patients

• [01:10] Shockwave case 1: Achilles tightness after 6 sessions

• [02:30] Shockwave case 2: plantar fasciitis flare after biking

• [04:00] Shockwave case 3: insertional Achilles tendonitis & expectations

• [07:10] Why setting expectations matters (shockwave follow-up timing)

• [08:40] Using a “last visit shockwave sheet” for patient clarity

• [09:30] Pyogenic granuloma case and biopsy workflow

• [11:00] Cam boots as overlooked postop revenue

• [12:20] Wart care: why I pre-book follow-ups + treatment sheet approach

• [13:30] Quick pearls: routine care, nail cases, Swift vs laser priorities

• [15:00] Practice growth metric focus: LTV + CAC tracking

• [16:00] Closing + 6-month challenge invite

Show more...
4 months ago
16 minutes 12 seconds

Don Pelto, DPM - Podiatry Practice Mastery
Podiatry Urgent Care + Virtual Scribes: Lessons to Scale Your Practice

How can podiatrists make urgent care work in their practice — and is a virtual scribe really worth it? In this episode, Dr. Don Pelto shares practical strategies for filling schedules, streamlining documentation, and growing toward the million-dollar mark in personal production.


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📝 Show Notes with Timestamps

• [00:00] Intro – Why podiatry urgent care and virtual scribes are on podiatrists’ minds

• [02:20] Insurance coverage in urgent care – how we screen plans, cash pay amounts, and lessons learned

• [07:15] Why urgent care patients are often simpler (and how it fills newer doctors’ schedules)

• [11:40] Speed as a unique selling proposition – why “seen within 24–48 hours” matters

• [15:00] Virtual scribe setup – exact tech, cost, and workflow with Teams + Samsung phone

• [20:45] Training a remote scribe on EMR documentation (and introducing them to patients)

• [26:30] Is AI ready to replace scribes? My honest take

• [30:50] Case pearls – plantar fasciitis, shockwave, Qutenza, nail and lesion care

• [42:10] Biopsies made simple – my streamlined 2-minute workflow

• [47:30] Scaling podcast SEO with Fiverr + ChatGPT – repurposing transcripts for visibility

• [51:30] Closing thoughts – invitation to join the 6-month practice growth challenge

Show more...
4 months ago
17 minutes 50 seconds

Don Pelto, DPM - Podiatry Practice Mastery
🚀 Podiatry Practice Mastery — Grow Your Podiatry Practice to $1M+ Without Working More Hours Are you a podiatrist ready to scale your practice to 7 figures and beyond — without burning out? Podiatry Practice Mastery is the podcast for growth-driven podiatrists who want to increase revenue, improve patient flow, and build efficient systems — without adding more clinic hours or sacrificing their quality of life. - Get my Free Million Dollar Practice Formula - https://www.podiatrypracticemastery.com/ - Get my Free Patient Presentations Training - http://www.patientpresentations.com/