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EPISODE · Apr 3, 2026 · 22 MIN

Million Dollar Practice Formula (Audio - Chapter 8-9)

from Don Pelto, DPM - Podiatry Practice Mastery · host Don Pelto, DPM

Structured treatment plans are essential in podiatry practice management. Many podiatrists treat visits in isolation, leading to inconsistent outcomes and low patient retention. This episode explains how to build a treatment roadmap that guides patients from diagnosis to recovery. Learn how to standardize care for plantar fasciitis, nail fungus, and warts. Discover how treatment structure increases compliance and predictability. The episode also breaks down how to increase visit value without increasing patient volume. This is a practical system for improving both outcomes and revenue in a podiatry clinic. KEYWORDS podiatry practice management treatment roadmap podiatry patient treatment plans podiatry increase visit value podiatry podiatry revenue systems plantar fasciitis protocol nail fungus treatment podiatry wart treatment podiatry shockwave therapy podiatry podiatry workflow systems healthcare business growth patient retention strategies clinical systems podiatry orthotics practice growth podiatry efficiency medical practice revenue case acceptance systems podiatry patient education healthcare operations systems private practice podiatry HASHTAGS #Podiatry #PracticeGrowth #HealthcareBusiness #MedicalPractice #PatientCare #FootAndAnkle #PlantarFasciitis #NailFungus #WartTreatment #ShockwaveTherapy #Orthotics #ClinicSystems #PatientRetention #RevenueGrowth #PrivatePractice DESCRIPTION Why do patients fall off your schedule when they don’t improve—and how can you prevent that with a clear treatment plan? In this episode, Don introduces the “treatment roadmap,” a structured system that replaces one-off visits with a step-by-step care plan. He walks through real examples for musculoskeletal conditions, warts, and nail fungus, showing how to guide patients from diagnosis through advanced treatments like shockwave, orthotics, and procedures. The focus is on clarity, predictability, and keeping patients engaged throughout the recovery process. He also breaks down the concept of visit value and explains why increasing value per visit is more effective than simply seeing more patients. By combining procedures, in-office dispensing, and structured treatment programs, podiatrists can improve outcomes while significantly increasing revenue. TIMESTAMPS [00:00] Introduction to the treatment roadmap concept [01:10] The problem with isolated patient visits [02:15] Why structured treatment plans improve outcomes [03:10] Using treatment sheets to map the full journey [04:20] Visit 1: diagnosis, education, and initial care [06:00] Introducing advanced treatments early (shockwave) [07:45] Visits 2–6: progressing care and imaging decisions [09:20] Orthotics, injections, and follow-up structure [10:50] Managing additional patient concerns during care [12:10] Wart treatment roadmap and treatment selection [14:00] Nail fungus roadmap and treatment pathways [16:00] Why patients disengage without clear plans [17:10] How to build your own treatment systems [18:20] Understanding visit value vs patient volume [19:30] Simple math to reach $1M in practice revenue [20:30] Procedures, DME, and in-office dispensing strategies [21:20] Tracking and improving your most valuable visits KEY TAKEAWAY A structured treatment roadmap keeps patients engaged, improves outcomes, and increases revenue—without needing to see more patients. Conclusion If your treatment approach is still visit-to-visit, it’s time to build a clear roadmap for your top conditions. Start simple, standardize it, and train your team to follow it consistently. What would change in your practice if every patient knew exactly what comes next?

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