Don Pelto, DPM - Podiatry Practice Mastery

Smarter Orthotics and Treatments to Elevate Podiatry Care


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In this episode of Podiatry Practice Mastery, I share a productive Monday at the clinic, where orthotics took center stage with three pairs completed in a single day. From treating plantar fasciitis and sesamoiditis to handling complex nail issues, arthritis, and shockwave therapy, I break down what worked, what didn’t, and how I approach patient care for better outcomes.


What You’ll Learn in This Episode

How I integrate orthotics to improve long-term patient outcomes

When to choose shockwave therapy over physical therapy

Managing complex nail issues and trauma effectively

Treating arthritis and chronic pain with precision


Why You Should Listen

Learn practical strategies for boosting orthotic sales, streamlining treatment plans, and improving patient care while growing your practice efficiently. You’ll also hear insights on blending technology and conservative treatments to achieve better results.


Key Topics Covered

[0:00] A strong start to the week with three orthotic sales

[0:34] Matrix procedure for a 19-year-old patient

[0:49] Plantar fasciitis treatment without shockwave therapy

[1:06] Using treatment sheets for streamlined patient education

[1:22] Managing sesamoiditis and FHL pain conservatively

[1:42] Addressing midfoot arthritis and shoe recommendations

[1:57] Bilateral second metatarsal shockwave therapy progress

[2:14] Evaluating a patient for potential Qutenza treatment

[2:30] Planning a punch biopsy for longitudinal melanonychia

[3:13] Treating layered nails and nail trauma in young patients

[3:47] Neuroma care, cortisone injection, and orthotic scanning

[4:11] Addressing localized itching with clobetasol treatment

[4:29] Diagnosing cellulitis in a patient with sesamoiditis

[5:00] Severe arthritis treatment with cortisone and orthotics

[5:18] Ultrasound-guided cortisone injection for plantar fasciitis


👉 Tune in to learn how I maximize clinic efficiency, improve patient care, and grow my practice with smarter orthotic strategies and targeted treatments.

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

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