Don Pelto, DPM - Podiatry Practice Mastery

Should You Recommend Shockwave or Orthotics First?


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How do you handle 19 back-to-back patient appointments while managing complex cases like severe heel pain, midfoot arthritis, stubborn nail fungus, and plantar fasciitis, all in a single day? In this episode of Podiatry Practice Mastery, I break down my thought process, treatment strategies, and workflow optimizations that help keep my clinic running smoothly and my patients satisfied.


What You’ll Learn in This Episode

How I manage a fully packed clinic day without sacrificing quality of care

When to recommend orthotics, laser, or shockwave therapy

Using treatment sheets and protocols to simplify patient education

Managing complex cases like midfoot arthritis and bilateral heel pain

Simple tools and techniques to boost efficiency and patient outcomes

Why You Should Listen


If you’re a podiatrist or healthcare provider managing high patient volumes, this episode offers practical strategies to stay efficient, improve patient education, and maximize outcomes. You’ll learn how I integrate tools, workflows, and coaching to continuously improve my practice.


Key Topics Covered

[0:00] How I managed 19 appointments with minimal open slots

[0:26] Finding free, copyright-safe images for newsletters

[0:44] MVP patient of the day: managing midfoot arthritis with orthotics

[1:04] Treating plantar fasciitis, nail fungus, and diabetic ulcers

[2:22] Using treatment sheets and consent forms to streamline care

[3:32] Managing neuropathy, blisters, and high-risk diabetic patients

[4:53] Why hokas don’t fix bunions, and better shoe recommendations

[5:48] Handling severe bilateral heel pain and Achilles-related issues

[6:49] Using EPAT and shockwave therapy to improve outcomes

[7:06] Leveraging an orthotic coach to refine treatment strategies

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

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