AAPPM 2025 Takeaways - Shockwave stacking, Guarantees, Laser trials, and 12 Profit Levers

In this episode I’m unpacking my 12 big takeaways from AAPPM 2025 in Fort Lauderdale—not as theory, but as concrete changes I’m making in my own clinic.






I talk through how I’m prioritizing ideas after the meeting (so they actually get implemented), why I’m finally putting prices on my treatment sheets, how I’m repositioning orthotics as “recurrence prevention” instead of a bolt-on, and what I’m doing with guarantees for shockwave and laser that don’t involve handing money back.






I also share how I’m re-thinking fungal nail laser (again), how I’m stacking Remy/Cutera laser on top of shockwave and amnio for a true regenerative package, and the exact wording I picked up from other docs for handling “that’s expensive” conversations without getting defensive.






Then we get into fat pad injections (LipoSana), biopsies/ultrasound for ulcers, knowing your cost per visit, and the big one: getting staff to run shockwave/laser so you can buy back time and still grow.






If you were at AAPPM and heard something different you’re implementing, email me—I’d love to share more of these real-world playbooks with the Podiatry Practice Mastery community.






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⏱ Episode Timestamps


• 00:00 – Why I love AAPPM and what this episode covers


• 01:00 – Takeaway #1: Beating conference overwhelm with A/B/C lists and A1–A3 priorities


• 03:00 – Treatment sheet upgrades: prices, A/B options, and “prevent recurrence” positioning


• 05:00 – Presenting orthotics at visit #1 and bundling them with shockwave (from $1,500 → $2,100)


• 06:30 – Takeaway #2: Rethinking fungal laser as a “maybe” with case-study pricing and stricter protocols


• 08:00 – Takeaway #3: Stacking laser on top of shockwave (short-acting vs long-acting explanation to patients)


• 09:30 – Takeaway #4–5: Regenerative medicine pearls and building real guarantee language into offers


• 11:00 – Takeaway #6: Better phrasing in the room—mask vs heal, curiosity questions, and handling “that’s expensive”


• 13:00 – Takeaway #7–8: Ultrasound and biopsy for stubborn ulcers + LipoSana for fat pad atrophy


• 14:30 – Takeaway #9–10: RSDi readers, M&M prescription jars, and relationship-building with offices


• 15:30 – Takeaway #11: Calculating cost per visit and deciding what you should never be doing


• 17:00 – Takeaway #12: Having staff run shockwave/laser and buying back your own time


• 18:30 – Wrap-up: If you were at AAPPM, send me your best takeaway and I’ll share it with the group