Don Pelto, DPM - Podiatry Practice Mastery

Bilateral Shockwave Therapy for Plantar Fasciitis: Podiatry Care Insights


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In this episode of Podiatry Practice Mastery, I share one of my most valuable patient cases, a 70-year-old female with bilateral plantar fasciitis and Achilles pain. I walk through how I used night splints, foam rolling, and six sessions of bilateral shockwave therapy to create an effective, step-by-step treatment plan.

I also dive into real patient scenarios throughout the day, highlighting practical insights on managing plantar fasciitis, Achilles tendinitis, midfoot arthritis, and other complex conditions.


What You’ll Learn in This Episode

How I treat bilateral plantar fasciitis with shockwave therapy.

Why night splints and foam rolling improve patient outcomes.

How I educate patients using treatment sheets and presentations.

My approach to increasing compliance with custom modifications.


Why You Should Listen

This episode gives you a real-world look at how I combine evidence-based treatments with patient-friendly education to drive better outcomes. You’ll also learn how I optimize scheduling and streamline care for patients with chronic foot and ankle conditions.


Key Topics Covered

[00:00] 70-year-old MVP patient with bilateral plantar fasciitis

[00:32] Using night splints, foam rolling, and bilateral shockwave

[01:16] Why cortisone isn’t always the best option

[01:42] How I use treatment sheets and patient education tools

[02:10] Leveraging QR codes and blogs for better patient takeaways

[03:26] Correct Toes modifications to improve compliance

[05:28] Handling patients who want “a deal”

[06:45] Midfoot arthritis and focused shockwave for bone marrow edema

[07:26] Bilateral Achilles tendinitis, why I treat both sides

[09:16] Billing challenges and coding tips for Qutenza

[10:07] Overuse injuries, neuromas, and orthotics adjustments

[12:13] Managing peroneal injuries and MRI considerations


👉 Tune in now to learn how I integrate bilateral shockwave therapy, night splints, and customized patient education to improve results and grow a podiatry practice efficiently.

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

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