When Doctors Disagree on Treatment Protocols

What happens when multiple doctors in the same podiatry practice have different treatment protocols? In this episode of Podiatry Practice Mastery, Don shares a real challenge from his own practice: deciding how many shockwave therapy sessions patients should receive when doctors have different approaches.Don explains why he has traditionally used six shockwave sessions, why his colleagues prefer four, and the compromise he’s testing—four initial treatments followed by additional sessions at the 6- and 12-week follow-ups when needed. He also discusses how prepaid treatment packages created an unexpected production issue when other doctors covered his patients while he was away. It’s a practical look at balancing clinical preferences, patient convenience, doctor production, and consistency in a multi-doctor practice.Keywords: shockwave therapy protocols, podiatry practice management, multi-doctor podiatry practice, shockwave therapy sessions, podiatry production