When patients start shockwave, they often expect to be pain-free in six weeks — but that’s not reality. In this episode of Podiatry Practice Mastery, Dr. Don Pelto shares how he sets patient expectations, handles difficult cases, and uses treatment sheets to keep patients engaged and compliant.

You’ll also hear:

• How to manage insertional tendinopathies with shockwave

• Why clear treatment sheets simplify wart and nail care decisions

• The hidden revenue in devices like cam boots (and why they’re often overlooked)

• How to track lifetime value (LTV) and customer acquisition cost (CAC) to measure marketing ROI

👉 Practical pearls for podiatrists looking to improve both patient care and practice profitability.

• [00:00] Intro – Friday workflow: routine + regular patients

• [01:10] Shockwave case 1: Achilles tightness after 6 sessions

• [02:30] Shockwave case 2: plantar fasciitis flare after biking

• [04:00] Shockwave case 3: insertional Achilles tendonitis & expectations

• [07:10] Why setting expectations matters (shockwave follow-up timing)

• [08:40] Using a “last visit shockwave sheet” for patient clarity

• [09:30] Pyogenic granuloma case and biopsy workflow

• [11:00] Cam boots as overlooked postop revenue

• [12:20] Wart care: why I pre-book follow-ups + treatment sheet approach

• [13:30] Quick pearls: routine care, nail cases, Swift vs laser priorities

• [15:00] Practice growth metric focus: LTV + CAC tracking

• [16:00] Closing + 6-month challenge invite