In today’s episode of Podiatry Practice Mastery, I reflect on how small refinements in the way we treat, talk, and price procedures can change both the patient experience and the bottom line.

We start with a practical question: How can we truly make ingrown toenail procedures pain-free? From ultra-slow toe blocks to comfort guarantees, I share ideas that could double as a marketing hook.

I also discuss the difference between speed offers (urgent care in 24–48 hours) vs. comfort offers (pain-free toenail care) and why each attracts different types of patients.

You’ll also hear how I:

• Anchor pricing with biologics like amnio, even when I rarely use them.

• Use ultrasound findings to guide Shockwave vs. regenerative decisions.

• Frame Shockwave as “expensive, but predictable.”

• Think through why practice management content doesn’t always gain traction with young docs—and how to package it better.

Finally, we walk through Friday’s patient mix, from bilateral Achilles Shockwave MVPs to onychoplasty procedures, and why visiting other doctors’ offices might be the most underrated residency hack of all.

Keywords: podiatry practice management, pain-free ingrown toenail, toe block injection tips, Shockwave therapy podiatry, ultrasound plantar fasciitis, amnio injection podiatry, urgent care podiatry offer, podiatry residency tips

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⏱️ Episode Timestamps

• 00:00 – Intro: Slow injections & the idea of “pain-free” ingrown toenails

• 03:20 – Marketing hooks: Speed vs. comfort as competing offers

• 05:15 – Podcast crossover: My interview with Podiatry Marketing + traction struggles

• 08:00 – Why young docs skip practice management: Culture of surgery vs. entrepreneurship

• 10:00 – Shockwave framework: How I anchor with amnio pricing & when I actually use it

• 13:30 – Ultrasound’s role in selling care plans

• 15:10 – Patient of the day: Bilateral Achilles Shockwave case ($3K+ revenue path)

• 18:05 – Slow toe block in action: Matrixectomy & injection pearls

• 20:20 – High-value in-office procedure: Dorsal hallux exostectomy with rasp

• 22:00 – Fractures & globals: Why the 90-day window matters

• 24:00 – Orthotics timing with Shockwave: Scan at visit 3, deliver at visit 6

• 26:15 – Other cases: Onifix nails, cortisone for plantar fascia before travel, cyst biopsy plan

• 29:30 – Wrap-up: Why visiting other doctors’ offices may beat conferences for practice growth