Don Pelto, DPM - Podiatry Practice Mastery

Million Dollar Minute


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Podcast Summary: “Million Dollar Minute” – Podiatry Practice Mastery


In this episode, I cover key strategies and insights that have helped my practice reach the million-dollar mark and beyond. Here’s what we discussed:


1. Exploring New Tools: Alleviate Self-Grastening Device

• Spoke with the CEO of Alleviate, a self-grastening tool for plantar fasciitis.

• Comes with compression socks and an ankle brace — a bundled approach I found somewhat unnecessary for our protocol.

• Considering it as a potential over-the-counter option before moving to shockwave therapy or other treatments.


2. February Performance Highlights

• Shockwave (EPAT) dominated with 30 procedures.

• Orthotics: 11 — would like to increase this.

• Amnio injections (Viaflow): 2 — need a replacement since it’s now unavailable.

• Swift wart treatments: 8.

• Fracture codes: 3.

• February revenue: $96,000 (exceeding the $80,000/month goal).


3. Day-to-Day Clinical Cases

• Managed various cases, including ulcers, fractures, shockwave follow-ups, and diabetic foot exams.

• Highlighted a 94-year-old patient with dementia — a reminder of balancing care with practicality.

• Discussed a marathon runner seeing great results with shockwave therapy, reporting pain-free long runs.


4. Clinical Tools & Staff Development

• My nail tech is improving with thick nail treatments after three months of training.

• Leveraging staff for routine tasks to focus on high-value procedures.


5. Equipment Decisions: Shockwave vs. SoftWave

• Comparing Storz (focused shockwave) and SoftWave (radial shockwave) based on cost and durability.

• Storz: $55K with minimal maintenance.

• SoftWave: $75K with $16K in ongoing maintenance.

• Also evaluating EMTT for arthritis — mixed feedback so far.


6. Engaging the Community

• Shared a patient success video using Swift wart therapy — leveraging videos for marketing on YouTube and the website.

• Always seeking feedback from other podiatrists on tools like EMTT and shockwave.


I appreciate everyone who listens and shares feedback. Let me know if you’re using any of these devices or have insights on how to improve efficiency and patient outcomes.


Thanks for tuning in to Podiatry Practice Mastery — see you in the next episode!

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Don Pelto, DPM - Podiatry Practice MasteryBy Don Pelto, DPM

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