I have been hearing from several practitioners who are thinking of raising their rates. This is something that is necessary especially now given inflation. Before you decide to raise your rates, consider the following:
1) Why are you raising your rates? One thing to focus on more than raising rates is getting more patients AND patient visits. Are you doing a good job with scheduling supportive care visits long-term? How many new patients are you getting every week? Are you at your target weekly visits? If you are underperforming in those areas, then raising rates is NOT a good way to make up for it. And maybe it isn't time to raise your rates. Don't raise your rates if your clinic is underperforming. Fix that problem first.
2) Having more patients on the books can = lower increase in rates. If you have 400 patients a month and raise your rates by $5.00, that is not much of a shock to the patient, yet it means $2000 more revenue per month, and $24,000 more per year. When you have more patients, you can have a modest increase in rates and still make up a lot for inflation and increased costs.
3) Similar to #2, is your practice flow working? Are you working out of 1 room? Or are you running multiple rooms and multiple patients an hour? Having an ideal practice flow may mean the ability for a more modest rate increase while getting more bang for your buck.
4) Are your patients able to afford your services now? If patients are balking at coming in more than once per week, is it financial? If you are charging $150 a visit, is it realistic for someone to coming in 2-3 times per week for 3-4 weeks? And even if they start, are they going to finish? Or are they going to drop out of care and not finish their treatment plans? Again, have an efficient practice and you can see more patients, charge a rate they can handle, see them more often and get the revenue you need. It's a win-win. (keep in mind a lot of patients claim they are broke and they aren't, but there is a tipping point and most people are paying out of pocket).
5) Cutting expenses first: Anthony mentioned this in his post above. We get lost with our subscriptions and not shopping around for better rates on things like insurance. It is easy to save $30, $50, or $100 or more per month. Just DON'T cut your subscription to the locals community since it actually makes you money. 🙂
In this webinar, we’ll cover a practical approach to assessing neuropathy, identifying common and overlooked causes, and developing effective treatment strategies you can apply in clinical practice. You’ll leave with clinically relevant assessment tools and treatment concepts that can be incorporated into practice immediately.
📅 August 1st
⏰ 1:30pm EDT
Must register for this event: https://us02web.zoom.us/meeting/register/xJEX_ReJRh2iutCKI65pfg
@Exstoreman Difficult case
43 year old woman
CC: R drop foot progressively worsening
Systemic steroids helped the pain but not the drop foot
Has 6 lumbar vertebrae
Imaging:
July 2026: L-spine MRI - moderate/severe L4/L5 disc injury with severe neural stenosis
L6 fracture when 15 years old from diving injury (healed)
Foot drop:
Aug 2025: horseback riding trip (7 days long) no falls, just lots of riding; when travelling back home after her riding days, she notices her R foot stopped dorsiflexing - took 8 weeks to resolve
June 2026: foot drop came back when doing one sided lifting exercises
Neuro-surgeon said if not in severe pain, neurological recovery post surgery is 50/50 so don't risk surgery if not needed
What are your thoughts about treatment? With the severity of her disc issue, is electro-acupuncture going to help at all?
I see her sporadically so I haven’t been able to treat her appropriately. Stimulating the fibular nerve is incredibly uncomfortable on her, but we managed to do it the ...
Patient: 45 year old female
CC: Right side ASIS pain.
Symptoms: 7/10 throbbing pain at its worst, sometimes gone. Location is exactly at ASIS. Does disturb sleep. No other hip or LB injuries. Came on suddenly about 10 months ago. Does not recall what doing when first noticed.
Mechanical Triggers: standing, pressing on it, walking sometimes. Getting out of car always aggravates.
Other: patient is very active. Pilates, strength training, can do all daily activities. Did have imaging done (I have not see report) and all findings negative. Tried massage and PT with dry needling - no positive changes.
Reports diastases rectus, youngest child 5 years old, scheduled to have "mommy make-over" surgery in October.
Lower Body Extore:
Failed: right side TFL and Glut Med.
Other: I had her do a figure 4 to check if Satorius was in play and there was restriction on right side but no pain.
Treatment:
PSOAS pecking right (I did not note she failed that but maybe did not chart)
PP: Rt TLF, Glut Med and...
