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Why I Quit Podiatric Surgery After 20 Years (And My Practice Got Better) Michele McGowan of Podiatry Unfiltered reflects on Muhammad Ali’s late-career fights to introduce the uncomfortable idea that quitting can be a win, then explains why she stopped doing surgery after 20 years in private practice. Trained in a strong surgical residency at West Penn Hospital, she built her own Florida practice and became board certified, with surgery once central to her identity. Over time, the realities of OR delays, lost time, and two decades of hospital call—weekend emergencies and missed family time—left her unfulfilled, and she wishes she’d changed sooner. Four years ago she stopped surgery entirely, found malpractice costs dropped, and discovered her practice and patient care improved. She now focuses on regenerative and conservative treatments (PRP, SoftWave, laser, orthotics) while referring surgical cases, emphasizing that doctors are allowed to change what no longer serves them. 00:00 Ali and Quitting 01:03 Why I Left Surgery 03:17 Training and Identity 04:42 Private Practice OR Reality 06:09 Call Burnout Turning Point 07:23 Stopping Cold Turkey 08:00 New Conservative Focus 09:23 Practice Got Better 10:41 Permission to Change 11:48 Closing Thoughts

Podiatry Unfiltered: Ethical “Selling” That Builds Trust (Shockwave, Laser & Real Treatment Plans) Dr. Michele McGowan and Dr. Tim Henne discuss how podiatrists can confidently and ethically present non-surgical treatments by building trust, focusing on patient “discovery,” and recommending plans with conviction rather than apologizing for costs or options. Using a chronic plantar fasciitis case, they explain reframing treatments like Softwave shockwave and Class IV laser around what patients want back in their lives, handling objections such as “I’ll think about it” and “that’s expensive,” and avoiding common mistakes like talking too much, leading with price, and weak handoffs to untrained staff. They contrast conservative care with regenerative options between conservative and surgery, emphasize patient selection and tracking progress (VAS), share their shift from high-volume visits to longer appointments, and note they personally use the technologies they recommend.

How to Implement Extracorporeal Shockwave (SoftWave TRT) in a Podiatry Practice | Webinar Replay (April 2026) Michelle McGowan (Podiatry Unfiltered/Independent Podiatrist Network) shares an April 2026 webinar on implementing extracorporeal shockwave therapy—especially SoftWave TRT—in a podiatry office, joined by Dr. Tim Henny and SoftWave specialist Liz Keener. She explains the three commonly discussed modalities in podiatry (radial pressure wave, focused shockwave, and broad-focused shockwave), why her practice chose broad-focused SoftWave (larger treatment zone), and the regenerative concept of mechanotransduction. McGowan outlines real-world workflow and clinical protocols (typical shocks, energy targets, pain-guided technique, VAS tracking, and when to add laser), discusses packaging and pricing (including pay-per-visit vs upfront plans), and covers patient expectation-setting and consent/ABN considerations. She also reviews marketing tactics (in-office videos, testimonials, email outreach), financing tools (Cherry), and answers audience questions on depth, insurance, costs, and combining shockwave with orthobiologics. 00:00 Webinar Intro and Invite 01:26 Friendly Network Banter 04:39 Webinar Kickoff and Agenda 08:00 Shockwave Basics Explained 08:47 Three Shockwave Types 11:55 Cellular Healing Effects 13:03 SoftWave Physics Demo 13:35 Treatment Technique Walkthrough 14:35 Depth Question and Use Cases 15:40 Protocols and Settings 18:04 Why We Chose SoftWave 20:38 Pricing and Patient Expectations 23:00 Treatment Packages and Plans 24:54 Marketing That Works 26:51 In-Office Video and Testimonials 28:00 Patient Testimonial Playbook 28:18 Shockwave Case Breakdown 29:02 Share Outcomes and Consents 29:27 Email Marketing That Converts 30:24 Patient Financing Options 31:30 Workflow and Documentation Setup 33:22 Athletes and Expectations 34:45 Old School Shockwave Evolution 35:41 Live Q&A Marketing Vendors 36:40 ABNs and Insurance Pushback 39:50 Pricing and ROI Reality 45:08 Shockwave vs Stem Cells 51:51 Wrap Up and Next Steps

In episode 12 of Podiatry Unfiltered, Dr. Michele McGowan shares how the book “10X Is Easier Than 2X” reshaped her mindset and improved her hybrid podiatry practice by shifting from chasing volume to delivering higher-value care. She argues that “2x” thinking leads doctors to add more low-reimbursement visits, longer days, and more staff while increasing burnout without doubling profit, calling this the insurance-driven “volume trap.” McGowan explains that “10x” means doing things differently: fewer patients, more time per visit, better outcomes, and higher-value treatment plans built around services like custom orthotics, laser therapy, SoftWave, and regenerative medicine protocols. She recommends identifying highest-value services, packaging care into programs (heel pain, neuropathy, nail fungus), educating patients, and stopping low-value visits that block higher-value care. 00:00 Welcome Back Intro 00:27 Why This Book Matters 01:21 Hybrid Practice Reality 02:21 The Two X Trap 03:58 Add Value Before Cutting 05:23 Doing It Different 06:20 Escape The Volume Model 09:04 What Ten X Looks Like 10:25 Stop Selling Visits 11:51 Make It Actionable 13:14 Patient Education Mindset 15:08 Final Takeaways Outro

Podiatry Unfiltered: Real Talk. Real Practice. No Filters. Skip the sugarcoating and get the honest truth about what it takes to survive and thrive as an independent podiatrist. Hosted by Dr. Michele McGowan, a practice owner with 25+ years of experience, this podcast tackles the real challenges of building and running your own podiatry practice—from the business side nobody teaches you in school to finding autonomy in a profession increasingly dominated by corporate medicine. Whether you're a podiatry student, resident, or seasoned practitioner feeling trapped in someone else's system, Podiatry Unfiltered delivers candid conversations about entrepreneurship, new technologies, practice management, and creating a career on your own terms. If you're wired to build something and refuse to have every decision made for you, this is your podcast.

Dr. Michele McGowan shares a case of a patient with plantar fasciitis and peroneal tendonitis who couldn’t take steroids or anti-inflammatories, leading to a discussion of conservative care and a continuum of options including SoftWave (shockwave) therapy, possible laser, and custom orthotics, with surgery as a last resort. After a brief orthopedic visit where surgery was recommended and regenerative options were dismissed as “cash pay,” McGowan reflects that she once viewed regenerative medicine as “snake oil” but changed her perspective after three years of study and positive outcomes. She emphasizes doctors must keep learning, present all options with risks and recovery, and notes the patient chose to proceed with her office’s regenerative package. She announces a free live webinar on April 8 at 8:00 PM with Dr. Henne covering shockwave types, protocols, pros/cons, and revenue.

We all know insurance companies are the evil ones constantly trying to destroy the doctor patient relationship. This last podcast was an attempted walk and talk that turned into clips in my backyard.(walking and filming is hard if you are a one man show ) more clips to come but if you are a student or podiatry resident private practice is not dead. You need to practice intentionally and provide better services that keep your patients active and doing what they love. I still love being a podiatrist 24 years into private practice. #privatepractice #podiatry #podiatrist #podiatryresident Mentioned in this episode: Welcome to Podiatry Unfiltered—the podcast where we skip the sugar-coating and talk honestly about what it takes to survive and thrive as an independent podiatrist today. A quick preview of what's coming on Podiatry Unfiltered. In this short trailer, Dr. Michele McGowan explains the mission of the show and why honesty matters now more than ever in independent podiatry. Subscribe for conversations about private practice growth, innovation, AI, new treatments, leadership, and the real challenges podiatrists face every day.

Remember that conference booth you avoided because the technology seemed too expensive? That might be costing you more than you think. In this episode, I share the story of how I almost missed one of the best investments I ever made for my practice—all because I was too skeptical to even make eye contact with the vendor at a regenerative medicine conference. I talk about my journey from walking past the Soft Wave booth to making it a cornerstone of my practice, and why so many podiatrists are looking outside their practices for opportunities when the biggest one is sitting right in front of them.

In this episode, Dr. Michele McGowan gets real about the state of modern podiatry and shares why independent practitioners have a massive advantage right now. Michele breaks down: Why regenerative medicine certifications (like ACPPS) are essential for staying competitiveThe harsh reality of reimbursement changes since the "golden era" of podiatryHow 3D printing custom orthotics transformed her practice (and paid for itself in just 4 pairs)The complete workflow for implementing 3D printing in your office for under $2,000Why "being a good doctor" isn't enough anymore—you need to build smarter, not grind harderReal patient stories showing how offering advanced services attracts better patientsWork-life balance truths: your kids won't remember your RVUs, they'll remember if you were there If you're a resident, recent grad, or established podiatrist feeling stuck in the insurance grind, this episode is your wake-up call. Michele shares her journey from opening her own practice (while everyone thought she was crazy) to building a thriving independent practice that prioritizes both patient value and quality of life. Join the communities mentioned: 3D Custom Orthotics: Revolutionize Your Podiatry Practice (Facebook)Independent Podiatrist Network (Facebook) Resources discussed: ACPPS Regenerative Medicine Summits3D printing with OLT (not sponsored)Remi Laser, SoftWave therapyPeptides, PPMX, Liposana This is an early morning, pajamas-on, unfiltered conversation about the business of podiatry that nobody talks about in residency.

In episode six of Podiatry Unfiltered, Michele McGowan discusses the challenges and misconceptions around starting and running an independent podiatry practice. She emphasizes the importance of taking action despite imperfections and argues against waiting for the perfect time or having everything perfectly organized. Drawing from her experiences at the FPMA SAM conference, Michele shares insights on the advantages independent podiatrists have in implementing regenerative medicine and other advanced treatments. She encourages practitioners to ignore the noise, avoid paralysis by analysis, and leverage their entrepreneurial superpowers to drive their practices forward.

In this episode of Podiatry Unfiltered, the Dr. McGowan discusses the benefits and implementation of regenerative medicine in podiatric practice, specifically focusing on fat pad restoration. The episode covers why regenerative medicine is a viable option for patients suffering from conditions like IPKs, metatarsal pain, and plantar fasciitis, emphasizing its effectiveness and patient satisfaction. The host addresses common concerns regarding the ethics and hype around regenerative treatments, highlighting that proper patient selection and education are crucial. The episode also explores the potential for regenerative medicine to improve practice efficiency and patient outcomes by reducing patient volume while allowing for more meaningful interactions. Practical advice for incorporating these treatments into practice, especially for young practitioners, is provided to ensure sustained growth and patient care quality.

In this episode of Podiatry Unfiltered, Michele McGowan opens up about personal challenges including a tragic family loss and the fast-paced events surrounding her sister's cancer diagnosis. Reflecting on these experiences, she emphasizes the importance of not delaying personal and professional goals. Michele discusses an unexpected offer from a private equity group to buy her practice and the subsequent decision to decline the offer. She shares insights on the resilience required in podiatry, the potential for independent practice even for new graduates, and practical tips for integrating 3D printing custom orthotics into a practice. Michele underscores the value of continuous education and adapting new methods to thrive in today's medical landscape. Join Michele as she provides candid advice to help fellow podiatrists navigate their careers. 00:00 Introduction and Personal Update 00:46 Dealing with Loss and Perspective 02:34 Unsolicited Offer from Private Equity 04:25 The Resilience of Podiatrists 06:12 Starting Your Own Practice 07:32 Incorporating 3D Printing in Podiatry 09:18 Conclusion and Future Plans

The primary focus of our discussion today centers on the implementation and advantages of Class 4 laser therapy within podiatric practice. I have received numerous correspondences from both younger and more seasoned podiatrists expressing feelings of disillusionment and uncertainty regarding their professional trajectories. It is imperative to acknowledge that we are not alone in grappling with these sentiments; indeed, many practitioners face similar challenges in their day-to-day experiences. This podcast serves as a platform for us to explore innovative treatment modalities, such as laser therapy, which can significantly enhance patient care and practice profitability. By sharing practical insights and personal experiences, I aim to illuminate pathways that not only elevate the standards of our practice but also rejuvenate our professional aspirations. The current discourse within the realm of podiatry reveals a striking sentiment of disillusionment and apprehension among practitioners, particularly those navigating the initial years of their careers. Dr. Michelle McGowan articulates the pervasive feelings of inadequacy and exhaustion that have been echoed through the heartfelt correspondences from her audience, underscoring a collective yearning for validation and guidance. The podcast serves as a beacon of hope, assuring listeners that they are not isolated in their struggles, and that the profession possesses the potential for both fulfillment and prosperity. The emphasis on fostering a supportive community among podiatrists is paramount, as Dr. McGowan encourages open dialogue about the realities of practice, which often include the frustrations of inadequate reimbursements and the challenges of patient care. Through her experiences, she elucidates the importance of adapting to technological advancements, such as Class 4 laser therapy, which not only enhances patient outcomes but also enriches the practitioner's ability to provide comprehensive care, thus reinforcing the viability and attractiveness of the podiatric profession. Takeaways: Podiatry Unfiltered addresses the struggles of both younger and older podiatrists, emphasizing that they are not alone in their profession. The podcast highlights the importance of providing patients with all their options rather than 'selling' treatments, fostering informed decision-making. Innovative treatments like Class 4 laser therapy can significantly enhance patient outcomes and satisfaction while also increasing practice revenue. The significance of continuous education and adaptation in the field of podiatry is stressed, as technology evolves rapidly. Dr. McGowan encourages podiatrists to implement new technologies that can improve patient care and practice profitability. The podcast invites podiatrists to engage in a community that shares valuable insights and treatment protocols for better practice management.

Welcome to Podiatry Unfiltered — the podcast for private practice podiatrists who are done with burnout, low reimbursements, and hamster-wheel medicine. 👋 I’m Dr. Michele McGowan… and today we’re ripping off the Band-Aid. In this episode, I ask one uncomfortable—but necessary—question: 👉 What would happen to your practice if you stopped doing the lowest reimbursing services completely? Yep. I said it. Medicare nail care isn’t limb salvage. It’s a time and morale sinkhole. You deserve a practice that rewards your expertise—not one that drowns you in volume. We’ll dig into: ✨ Why “seeing more patients” is not the answer 🩺 How to shift toward profitable, outcome-driven services 💸 Why your revenue per visit is the #1 business metric to fix 🚀 How independent podiatrists CAN thrive without selling out Because 10X growth doesn’t come from doing more — it comes from doing better. (Shoutout Dan Sullivan + “10x Is Easier Than 2x”) If you’re ready to build a profitable podiatry practice that supports your life—not destroys it—hit Subscribe and follow the journey. 👣 Let’s Connect Website → independentpodiatristsnetwork.com Join my private podiatry group → coming soon Business coaching inquiries → DM me on Instagram (@Dr._Michele_McGowan) 👀 Watch Next: • How AI is replacing front-desk chaos in private practice • Turning advanced modalities into real revenue #PodiatryUnfiltered #PodiatryBusiness #PrivatePractice #RegenerativeMedicine #PodiatristLife #MedicalEntrepreneur #PracticeGrowth #PodiatryPodcast #FootAndAnkle

In this first episode of Podiatry Unfiltered, I’m opening the doors wide and letting you into the part of my career most doctors would never talk about — the messy middle. No filters. No polished success story. Just the truth. I’m sharing how I started my practice back in 2002 with more drive than experience… how we grew into three busy offices… how I had three kids while building a business… and then how everything came crashing down the day my husband was diagnosed with colon cancer. In minutes, I went from thriving to survival mode. I shut down two offices almost overnight. I couldn’t make payroll. And for the first time, I took a job working for someone else — and lasted exactly three months before realizing I am absolutely not built to be employed. This episode is about failure, rebuilding, and the moment I decided to stop pretending everything was fine and start running my practice with intention, strategy, and honesty. If you’re an independent podiatrist — or you’ve ever felt overwhelmed, burned out, or like you’re barely keeping it together — this one’s for you. Welcome to Podiatry Unfiltered. This is the real story of how it almost fell apart… and how I rebuilt something stronger.