Explore every episode of the podcast The Practice Builders

🎙 Episode 63 – Why Every Decompression Doctor Needs to Know the Research

In this episode of The Practice Builders Podcast, Dr. Kyle Pankonin makes the case for why decompression doctors need to master the research behind their treatment, not just the marketing claims that surround it.

Marketing lines like "decompression puts the disc back in" often outpace what the evidence actually shows, and today's patients are educated enough to ask for proof. Dr. Pankonin walks through three recent decompression studies, what each one actually demonstrates and where its limits are, and shows how to pair that evidence with your own clinic's outcomes data to build patient confidence and improve case acceptance.

Key topics include:

• Why "does decompression work?" is the wrong question, and what to ask instead
• Combining your clinic's own outcomes data (e.g., 85–93% improvement) with published research to build trust
• A 2025 USF chart review of 267 patients: 90.5% reported pain reduction, with gains in reflex, myotome, and dermatome testing
• A 2026 Korean RCT with blinded MRI evidence of reduced disc protrusion in the decompression group
• A pre-registered case study showing complete resolution of a chronic C6-7 disc extrusion after a 6-month combined program
• Framing disc reabsorption as a possibility supported by emerging evidence, not a guarantee
• Setting realistic expectations, including the 50%+ pain relief benchmark
• Using AI tools like ChatGPT to automate weekly research summaries

The big takeaway: doctors who master the research, not just the marketing, build real credibility with patients, colleagues, and referral sources.

🎧 Listen now on your favorite platform!

🎙 Episode 62 – 10 Common Decompression Mistakes

In this episode of The Practice Builders Podcast, Dr. Kyle Pankonin breaks down 10 common decompression mistakes that can hurt patient selection, clinical outcomes, and case acceptance.

From relying too heavily on MRI findings to pulling with more force than necessary, many of these issues come down to the same thing: matching the recommendation to the actual patient in front of you. History, exam findings, imaging, neurological status, inflammation, and severity all need to work together.

Dr. Pankonin walks through the clinical and communication adjustments that can help doctors select better candidates, set realistic expectations, and use decompression more effectively across a wider range of spine conditions.

Key topics include:

• Why imaging alone should never determine whether someone is a decompression candidate
• How realistic expectations, including the 50% improvement benchmark, can improve patient satisfaction
• When an MRI is truly necessary and when history, exam, and X-rays may provide enough information
• Why identifying the actual pain generator matters before recommending a decompression program
• Why large disc herniations shouldn’t automatically intimidate you
• The importance of addressing inflammation aggressively in stubborn cases
• Why more pulling force doesn’t necessarily produce better results
• How to match the number of visits to the severity of the patient’s condition instead of automatically recommending 24 visits
• Why decompression can apply beyond traditional disc cases, including facet problems, stenosis, and some spondylolisthesis presentations
• How better case selection and dosing can improve both the patient experience and clinical results

The big takeaway: decompression works best when the protocol fits the patient, not when every patient gets the same protocol. Take the history, exam, imaging, severity, and goals together, then make the recommendation the individual case actually calls for.

🎧 Listen now on your favorite platform!

🎙 Episode 61 – Stop Selling Technology, Start Selling a Future

In this episode of The Practice Builders Podcast, Dr. Kyle Pankonin breaks down why patients don’t really buy decompression, laser, shockwave, or any other technology. They buy the future those tools can help them get back to.

Most doctors naturally want to explain the science, the equipment, and the procedure. But patients are usually thinking about something much more personal: getting back on the golf course, traveling with their spouse, playing with their grandkids, or simply living without pain controlling their day.

Dr. Pankonin explains how to uncover the patient’s “why”, connect your technology to that outcome, and shift your communication from selling treatments to selling transformation.

Key topics include:

• Why selling technology and procedures often misses the patient’s real motivation
• The question that helps uncover what pain has taken away from the patient
• How to connect decompression, laser, and shockwave to the patient’s desired future
• Why the strongest recommendation focuses on outcomes, not visits or machines
• How to package services into condition-specific programs instead of selling them a la carte
• Why your staff, marketing, and testimonials should all focus on transformation
• How to set both a clinical goal and a functional goal for every patient

The big takeaway: patients don’t want to buy a machine. They want their life back. Find out what matters most to them, then show them how your care becomes the bridge from where they are now to where they want to be.

🎧 Listen now on your favorite platform!

🎙 Episode 60 – Creating a Remarkable First Visit

In this episode of The Practice Builders Podcast, Dr. Vince Leone shares a micro-training on how to create a first visit that builds trust before the patient ever meets the doctor.

Patients are forming opinions from the moment they pull into the parking lot. The way your office looks, sounds, smells, and feels can either reinforce confidence or quietly work against you.

Vince breaks down a simple Weekend First Impression Audit to help you identify the small details you and your team may have stopped noticing, from the front desk and waiting area to the bathroom, treatment rooms, paperwork, and patient greeting. The goal isn’t a major remodel. It’s making a few low-cost, high-leverage improvements that create a more professional and intentional patient experience.

Key topics include:

• Why first impressions directly impact trust and close rates
• How to audit your practice through a new patient’s eyes
• Simple improvements to your front desk, waiting room, bathroom, and treatment areas
• Why your team’s greeting and communication matter just as much as the physical space
• The challenge to identify 3–5 small improvements you can make this week

The big takeaway: clinical excellence matters, but patients experience your practice before they experience your clinical skill. Make sure those first few minutes tell them they came to the right place.

🎧 Listen now on your favorite platform!

🎙 Episode 59 – Should Every Patient Get an MRI and How Imaging Decisions Affect Diagnosis Case Acceptance and Treatment Outcomes

In this episode of The Practice Builders Podcast, Dr. Kyle Pankonin breaks down a nuanced framework for deciding when an MRI actually belongs in your decompression practice.

Most doctors fall into one of two traps: never ordering imaging, or ordering an MRI for every patient. Neither is right. The real question isn't whether a scan looks impressive — it's whether it will change your management plan. History and exam always come first; the MRI is there to confirm or clarify, not to replace them.

He also discusses why over-relying on brief medical radiologist reports can leave you with incomplete information, how to avoid scaring patients with scary-sounding terminology, and why an MRI is just as valuable for identifying good decompression candidates as it is for ruling out surgery.

Key topics include:

• Why an MRI should only be ordered when it will change the diagnosis, treatment plan, or referral decision
• When x-rays are enough — and when persistent radiculopathy or worsening neurological deficits mean it's time to scan
• Why Modic Type 1 changes matter and what they can signal
• How a $30 chiropractic radiologist review can catch what a brief medical report misses
• Why treating the image instead of the patient is one of the costliest mistakes in decompression care
• How to use the MRI as a communication tool — simple analogies like "blown tire" build trust and case acceptance

The big takeaway: an MRI isn't a shortcut to a diagnosis, and it isn't optional busywork either. Used well, it's a tool that sharpens your clinical picture and helps patients understand exactly why your treatment plan makes sense.

🎧 Listen now on your favorite platform!

🎙 Episode 58 – Specialists Win: Why the Future of Chiropractic Belongs to Specialists

In this episode of The Practice Builders Podcast, Dr. Vince Leone breaks down a nuanced framework for deciding when every patient really needs an MRI in your decompression practice.

Most doctors fall into one of two traps: chasing every high-value cash service, or staying stuck as a generalist competing on insurance and price. Neither builds a lasting practice. The real question isn't how many modalities you offer — it's whether you're becoming known for solving one or two specific, high-value problems exceptionally well.

He also discusses why clinical excellence alone can't save a practice from becoming commoditized, how positioning and marketing are what actually let patients see the difference before they walk in the door, and why the doctors who reinvest in their specialty create a flywheel that compounds over time.

Key topics include:

• Why "commodity chiropractic" happens and how it traps practices into competing only on insurance and price
• The Practice Nirvana model — a general chiropractic base feeding one or two high-value specialties like decompression or knee pain
• Why specialization builds authority, better protocols, and stronger referrals over time
• How generalists compete on price while specialists compete on value, trust, and outcomes
• Dr. Leone's own journey from a struggling generalist to scaling a specialized practice to multiple seven figures
• The 3 practical questions every doctor should ask about their practice's positioning

The big takeaway: generalists compete, specialists differentiate. The future belongs to doctors who stop trying to be everything to everyone and instead become exceptional at solving specific, high-value problems.

🎧 Listen now on your favorite platform!

🎙 Episode 57 – Building A Three Therapy Center

In this episode of The Practice Builders Podcast, Dr. Kyle Pankonin breaks down how to combine spinal decompression, Class 4 laser, and shockwave therapy into a system that drives better outcomes and doubles your cash-based revenue — and why using them the wrong way is one of the most expensive mistakes a practice can make.

The episode is a lesson in matching the right therapy to the right problem. Too many docs reach for one device to solve every case, or buy expensive tech without a clinical system behind it — and a $12k table with a great protocol will outperform a $60k table with a poor one every time. Instead, Dr. Pankonin frames it like a football team: decompression restores mechanics, laser accelerates healing, and shockwave restarts regeneration in stubborn tissue — each with a specific job to do.

You'll learn:

• The two most common mistakes docs make with combo therapy — and the one question that fixes both: "which therapy is best for this patient's condition?"
• When to use decompression, laser, or shockwave alone — and when to stack them, with real case examples for shoulder, lumbar disc, and plantar fasciitis
• Why Failed Back Surgical Syndrome has a 26.2% failure rate while decompression succeeds 90.5% of the time in similar cases — and the three-therapy combo built for it
• How to stop selling individual sessions and start selling outcomes by building branded "recovery programs" (Lumbar Disc Recovery, Heel Pain Recovery, Shoulder Recovery) in 6, 12, or 24-visit tiers
• How this exact shift took Dr. Pankonin's own practice from 95% insurance to 50–60% cash-based, more than doubling revenue and landing in the top 1% of clinics nationwide

A must-listen for any doc running these three therapies who wants to stop treating in isolation and start building programs patients actually buy into.

🎧 Tune in and learn how to turn three separate tools into one system that changes outcomes — and your bottom line.

🎙 Episode 56 – Decompression Case Review

In this episode of The Practice Builders Podcast, Dr. Kyle Pankonin breaks down two real decompression cases that show why this therapy belongs at the center of a modern chiropractic practice — and how to frame it so patients choose it over pills, shots, and surgery.

Both cases are a lesson in patience and patient selection. First, a man with years of recurring low back pain that chiropractic used to fix — until a 2025 injury and a large L5-S1 extrusion changed everything. He was only 25% better at month three; by month four he hit 75%, and today he's on maintenance feeling his best in years. Second, a 57-year-old post-surgical patient no one could help who reached 98% improvement with the right protocol.

You'll learn:

• Why chronic patients whose pain has stopped responding to standard care are your most natural decompression candidates — they already trust you
• Why large disc extrusions often respond better than small bulges
• Why breakthroughs often come late — and how setting the full 24-visit expectation keeps patients from bailing early
• The post-surgical waiting periods that make a patient a safe candidate
• Why you always correlate MRI findings with a thorough exam — the pain generator doesn't always match the imaging
• How to frame decompression against surgery using the real numbers: 85–93% success versus surgery's ~72% first-time rate
• What the research actually says about muscle relaxers, opioids, gabapentin, injections, and ablations

A must-listen for any doc who wants to become the go-to authority on disc and spine care in their market — because when you can show patients the data on every alternative, decompression stops being a hard sell and becomes the clear choice.

🎧 Tune in and learn how to turn complex disc cases into some of the most rewarding wins in your practice — clinically and for the patients whose lives you change.

🎙 Episode 55 – I Need To Think About It

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin tackle the four words every decompression doc dreads at the end of a strong ROF: "I need to think about it." It's rarely a real maybe — it's a soft no from a patient who hasn't reached enough certainty to commit.

This episode breaks down why patients hesitate, how to prevent the objection before it surfaces, and exactly what to say when it does.

You'll learn:

• Why "I need to think about it" is almost always a polite no — and why most of those patients never come back without proactive follow-up
• The five root reasons patients hesitate, from not understanding the condition to not yet trusting you
• How plain-English analogies — the dried-up sponge, the ice cream sandwich, the stepped-on garden hose — build the understanding that drives a yes
• Why tracking your own success rate gives you the confidence and hard data to lay a patient's fear of failure to rest
• The exact language to uncover the real objection — "while you're here, what specifically do you need to think about?" — and why going quiet after is the whole move
• How to close the loop with take-home materials and a scheduled next appointment instead of letting an undecided patient drift away

A must-listen for any doc playing in the deep end of high-value cash services — because the difference between 2 starts a month and 6 often isn't your treatment. It's what you do in the 10 minutes of objections that follow the plan.

🎧 Tune in and learn how to turn "let me think about it" into "let's get started" — because patients buy hope, certainty, and a clear path back to their lives.

🎙 Episode 54 – Red Flags That Tell You a Patient Is Not a Good Candidate for Spinal Decompression

In this episode of The Practice Builders Podcast, Dr. Pankonin breaks down six major red flags doctors should watch for when selecting spinal decompression patients.

Successful decompression starts with proper patient selection. An MRI may show disc degeneration, bulges, or stenosis, but that does not automatically mean the patient is a good candidate. The MRI must match the patient’s symptoms, history, and exam findings.

He also discuss why doctors need to set realistic expectations, screen for psychological and compliance barriers, and look at the bigger picture when patients have significant comorbidities like obesity, smoking, poor conditioning, or lifestyle factors that may limit results.

Key topics include:

• Why the MRI must clinically correlate with the patient’s symptoms
• When severe multi-level central stenosis may limit decompression outcomes
• How fear-avoidance, disability mindset, anxiety, or depression can affect results
• Why “miracle seekers” often become disappointed patients
• How poor compliance can sabotage a 24-visit decompression plan
• Why comorbidities and lifestyle factors must be addressed before or during care

The big takeaway: not every patient with a bad MRI is a decompression candidate. The goal is to identify the right patients, set clear expectations, and create the best possible chance for a successful outcome.

Doctors should define success around meaningful improvement, such as at least 50% pain reduction and better function, rather than promising to “fix” or “cure” the condition.

🎧 Listen now on your favorite platform!

🎙 Episode 53 – How To Explain Disc Injuries So Patients Actually Understand

In this episode of The Practice Builders Podcast, Dr. Kyle Pankonin tackles the real reason patients walk away from disc treatment — and it's not cost or fear. It's confusion. When you bury a diagnosis under terms like "annular tear" and "foraminal stenosis," patients can't say yes to something they don't understand.

This episode hands you a plain-English analogy toolkit that turns complex disc injuries into something any patient can grasp in seconds.

You'll learn:

• Why technical jargon — not price or fear — is the hidden conversion killer in your report of findings, and how to dismantle it
• The four questions every patient is silently asking, and how to answer all of them before they ever have to ask
• The full analogy toolkit — Jelly Donut, Sponge, Ice Cream Sandwich, Tire, and Garden Hose — and exactly what each one explains, from annular tears to nerve impingement
• How to draw a straight line from each analogy to decompression, so the treatment becomes the obvious solution instead of an upsell
• The three differentiators that make patients say "no doctor's ever done that before" — and why clear communication sits at the center of them
• How dialing in your explanation can lift conversion from a typical 40–50% all the way to 70–80%, helping more people avoid surgery

This is a must-listen for any decompression doc whose great clinical work isn't translating into accepted care — because the gap usually isn't your skill. It's the moment between the diagnosis and the patient's understanding of it.

🎧 Tune in and learn how to make every disc injury make sense to your patients — because confident patients say yes, and confused patients say "let me think about it."

🎙 Episode 52 – How to Choose Patients for Decompression

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin break down how to identify the spine pain patients most likely to accept care, comply with treatment, and get the best outcomes — so you stop offering the wrong plan to the wrong patient.

You'll learn:

• Why offering full decompression programs to every back or neck pain patient tanks your conversion rate — and what to do instead
• How to spot the clinical hallmarks of a true full-program candidate, including chronic disc, radiculopathy, and positional pain patterns
• Why not every good clinical candidate is a good practice candidate — and how poor selection affects your team and your entire patient base
• How the "singles and doubles" framework fills your decompression schedule with mild-to-moderate cases and keeps your table running full time
• The red flags, contraindications, and behavioral warning signs that should disqualify a patient before you ever make a recommendation
• Why categorizing every new spine patient into the right "bucket" from day one increases acceptance, improves compliance, and eliminates plan mismatches

This is a must-listen for any decompression doc frustrated with low conversions — because the fix usually isn't your marketing. It's your selection process.

🎧 Tune in and learn how to match the right patient to the right plan every time — because when your selection is dialed in, your decompression program grows faster and runs smoother.

🎙 Episode 51 – The Decompression Flywheel

In this episode of The Practice Builders Podcast, Dr. Vince Leone breaks down the Decompression Flywheel — an 8-stage framework that helps chiropractors stop guessing, find the real bottleneck in their decompression growth, and fix it fast.

You'll learn:

• Why most doctors assume they have a lead problem — and why the real bottleneck is almost always somewhere else in the patient journey
• How to track the 6 core numbers that reveal exactly where your growth is stalling every single month
• Why 90 days of data is all you need to accurately diagnose your biggest constraint and stop wasting time fixing the wrong thing
• How building a staff-driven, team-equipped practice reduces your dependence on you — and makes decompression actually scalable
• Why your existing patients, new patient flow, and past patient base are your three most powerful (and most underused) growth assets
• How clarity and confidence in the consultation and ROF convert more patients than any script ever will
• Why capturing patient proof on camera fuels both your marketing and your team's morale
• The one rule that separates sustainable growth from burnout: scale the system only once the system is stable

This is a must-listen for any chiropractor actively offering decompression who feels like growth has stalled — and wants a clear, honest look at what's really holding them back.

🎧 Tune in and walk through each stage of the flywheel — because once you find your bottleneck and fix it, the whole system starts spinning in your favor.

🎙 Episode 50 – Million Dollar Practice Habits

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin break down the 7 non-negotiable habits that separate million dollar chiropractic practices from the rest — and how any doctor can start building them today.

You'll learn:

• Why thinking like a CEO — knowing your numbers, planning strategically, and dreaming bigger — is the foundation of every million dollar practice
• How to create a wow patient experience that drives referrals, increases case acceptance, and justifies premium care plan pricing
• Why selling outcomes instead of visits is the single biggest shift you can make in your patient conversations
• How protecting your time and energy as the practice owner directly impacts your ability to grow
• Why building and inspiring a team around you is non-negotiable — and how to get staff to see their work as a calling, not just a job
• How to market consistently and emotionally detached through the peaks and valleys — and why most doctors quit too soon
• Why the doctors hitting $1M+ never stop learning, and how coaching, seminars, and masterminds shortcut your path to success

This is a must-listen for any chiropractor ready to stop coasting and start installing the habits that compound into a thriving, staff-run, million dollar practice.

🎧 Tune in and discover which habit to start with this quarter — and how small, consistent improvements snowball into the practice you've always envisioned.

🎙 Episode 49 – Why Decompression Patients Buy Outcomes, Not Visits

In this solo episode of The Practice Builders Podcast, Dr. Kyle Pankonin reveals one of the most powerful shifts a decompression practice can make — moving from selling visits to selling life-changing outcomes.

You'll learn:

• Why patients don't buy decompression visits — they buy the possibility of getting their life back
• How emotional drivers like fear of surgery and loss of identity outweigh clinical findings in patient decision-making
• How to reframe your messaging from pain relief to functional restoration and quality-of-life outcomes
• Why positioning decompression as a non-surgical alternative changes how patients receive your recommendation
• How to use the 50% Rule to set realistic expectations that lead to higher patient satisfaction
• What to focus on during your Report of Findings — and why possibility matters more than diagnosis

This is a must-listen for any decompression doctor who wants stronger conversions, deeper patient relationships, and a communication framework that truly resonates.

🎧 Tune in and learn how to stop selling treatments — and start selling the life your patients are desperate to get back.

What does it actually take to go from a $30K/month, insurance-heavy practice… to $112K in a single month?

In this episode of The Practice Builders Podcast, Dr. Vince sits down with Dr. Vini Cornejo to break down the real story behind his growth.

Two years ago, Dr. Vini was stuck.

He had a decompression table, some outside guidance, and the same problem most doctors face… no real traction.

Fast forward to today:

He just hit $112,000 in a single month… including a $30,000 day.

Inside this conversation, we unpack what actually changed:

The shift from generalist to specialist

How his clinical confidence completely transformed his conversions

What it really takes to handle 9 new patients in a single day

Why implementation—not information—is the difference-maker

This isn’t theory. It’s what it looks like when the right systems, skills, and mindset come together.

If you're a chiropractor looking to grow a serious decompression practice, this episode will give you a clear picture of what’s possible—and what it actually takes to get there.

Learn more about the Decompression Accelerator here:

👉 https://www.decompressionaccelerator.com

🎙 Episode 47 – Why Insurance-Only Chiropractic Practices Are Dying

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin tackled one of the most urgent threats facing chiropractors today: the slow death of the insurance-only practice model.

Drawing from over 26 years of clinical experience and real coaching results, they break down why flat reimbursements, rising overhead, insurance red tape, and volume burnout are quietly crushing practices — and what doctors can do right now to protect their income, their health, and their future.

You'll learn:

• Why insurance reimbursements have barely moved in over two decades while overhead keeps rising
• How chasing volume creates a negative flywheel that burns out doctors and delivers worse patient experiences
• Why relying solely on insurance gives you almost no control over your own revenue
• The power of adding cash-based services — specifically spinal decompression — as your first niche
• How a hybrid model (not going all-cash overnight) is the smartest and safest transition strategy
• Real results: how Dr. Kyle went from $48–50K/month heavily insurance-dependent to pushing $120K/month, mostly cash-based
• Why patients absolutely will pay out of pocket — when you're selling an outcome, not just a service
• Step-by-step action items for doctors who are heavy insurance and want a way out

Dr. Leone and Dr. Pankonin also share honest advice on how to audit your insurance plans, drop the worst offenders, and gradually build a cash-based niche without losing your patient base overnight.

If you're feeling stuck, burnt out, or like you're working harder every year for the same paycheck, this episode will show you there is a better model — and exactly how to start moving toward it.

🎙 Episode 46 – Releasing the Yes in the ROF

In this episode of The Practice Builders Podcast, Dr. Vince Leone breaks down one of the most overlooked factors in case acceptance: the mindset you bring into the Report of Findings.

He explains how emotional attachment to a patient saying “yes” can create subtle pressure that lowers trust, weakens authority, and hurts conversions. Instead, the most successful doctors focus on calm confidence, clear communication, and leading the patient professionally through the decision-making process.

You’ll learn:

• Why desperation and “needing the sale” can repel patients
• How confidence, clarity, and certainty create stronger conversions
• Why your job is to diagnose clearly, explain simply, and recommend the best path forward
• How to handle common objections without taking them personally
• The importance of tracking metrics so one no doesn’t shake your confidence
• Simple pre-ROF rituals to help you show up calm, focused, and in control

Dr. Leone also shares practical strategies for lowering pressure in the room, including better questions to ask, how to reframe objections, and why more lead flow naturally improves conversions.

If you want stronger ROFs, better case acceptance, and a more confident presence with patients, this episode will help you shift from chasing outcomes to mastering the process.

Early Bird Registration Is Now Live The wait is over. Early Bird registration for the Decompression Summit Certification 2026 is officially open.

Join us for one of the premier events in spinal decompression to sharpen your clinical skills, grow your practice, and connect with doctors who refuse to stay average. Humanity does love gathering in ballrooms to become better versions of itself.

Secure your spot here: https://hilldtsolutions.regfox.com/specialized-practice-decompression-summit-certification-2026

🎙 Episode 45 – Preview of the Decompression Summit Certification: The Future of Spinal Decompression

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin gave a behind-the-scenes preview of the 2026 Decompression Summit Certification—an event designed to help doctors at every level grow and master spinal decompression.

They break down what makes this summit different, from advanced clinical training and cutting-edge research to real-world marketing strategies and staff-driven systems.

You’ll learn:

• Why decompression success requires more than just having the right equipment
• How the summit is structured to support both new and experienced doctors
• The role of clinical confidence, patient selection, and structured systems in driving results
• What to expect from key sessions, including advanced case recognition and imaging application
• How a focused marketing funnel can generate high-quality, pre-qualified patients
• Practical ways to leverage AI tools inside your practice

Dr. Pankonin also shares insights on commonly overlooked conditions like thoracic disc herniations and pelvic-related dysfunctions—helping doctors uncover new opportunities to help patients.

If you’re looking to grow your decompression services with more confidence, better systems, and higher-quality patients, this episode gives you a clear look at what’s possible.

🎙 Episode 44 – Why Most Doctors Struggle Growing Decompression

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin break down one of the biggest frustrations doctors face after buying a decompression table:

“Why isn’t this growing the way I thought it would?”

They explain that success with decompression does not come from owning the equipment alone. It comes from building the right system around it, including clinical confidence, patient selection, structured exams, a strong report of findings, and a proven treatment protocol.

You’ll learn:

• Why buying a decompression table without a complete system is a major mistake

• How weak clinical confidence hurts conversions and patient trust

• Why world-class exams are essential for identifying the true pain generator and positioning yourself as the expert

• The problem with treating on day one before fully evaluating the patient and ruling out contraindications

• How a structured Report of Findings creates clarity, certainty, and confidence for the patient

• Why poor patient selection and unrealistic expectations can sabotage outcomes

Dr. Leone and Dr. Pankonin also emphasize that spinal decompression patients are often comparing your recommendations against surgeons, physical therapists, other chiropractors, and countless online solutions. That means doctors must elevate their expertise, systems, and communication if they want to stand out and consistently grow.

If you already have a decompression table, or you’re considering adding one, this episode will help you identify the bottlenecks that may be holding your practice back and show you where to focus next.

In this solo episode of The Practice Builders Podcast, Dr. Vince Leone breaks down one of the most common questions chiropractors ask when entering the decompression space:

“Which decompression table should I buy?”

Dr. Leone reviews several of the most common systems on the market — including Chattanooga, DOC Table, Hill DT, AccuSpina, and DRX9000 — explaining their approximate price points, functionality, and key pros and cons so doctors can make an informed decision.

You’ll learn:

• The major decompression tables available and their general price ranges • Key differences between cable-based and actuator-based systems • When entry-level tables make sense vs. investing in premium equipment • Why clinic space, workflow, and growth plans should influence your decision • The most important takeaway: the doctor’s expertise matters far more than the table itself

Dr. Leone also emphasizes that success with decompression comes from mastering disc diagnosis, world-class exams, treatment protocols, and patient communication, not just purchasing equipment.

If you’re considering adding spinal decompression — or upgrading your current table — this episode provides a practical overview to help you choose the right system for your clinic.

In this episode of The Practice Builders Podcast, Dr. Vince Leone interviews Dr. Bao Thai, founder of Simplicity AI and former seven-figure neuropathy clinic owner, about one of the biggest hidden profit leaks in modern practices: poor lead management.

After building and scaling large cash-based clinics with massive overhead and staff stress, Dr. Thai shares how he turned to AI to eliminate bottlenecks, reduce chaos, and dramatically improve speed-to-lead — without hiring more people.

You’ll learn:

• Why speed-to-lead is the #1 reason practices waste marketing dollars
• How missed calls after 5pm silently cost you tens of thousands per month
• The real problem with relying on staff to manually follow up with every lead
• How AI can answer calls, qualify prospects, book appointments, and send nurture content automatically
• Why tracking lead response and follow-up data is critical for real growth
• A case study where better systems — not more ad spend — generated an extra $80,000 in one month

If you’re running ads for decompression, neuropathy, or any high-value service and suspect leads are slipping through the cracks, this episode will open your eyes.

🎧 Tune in to learn how better systems, smarter automation, and consistent follow-up can help you squeeze more revenue and profit out of the marketing you’re already paying for — while making practice enjoyable again.

🎙 Episode 42 – Spinal Decompression Report Review - Part 1

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin introduces the State of Spinal Decompression 2026 Report: benchmarks, insights, and predictions for chiropractors who want to build a real decompression niche.

Dr. Leone explains why decompression has been too inconsistent across the profession (random visit counts, inconsistent protocols, dabbling). The goal is to professionalize decompression using proven systems, market research, and published evidence so clinics can deliver consistent outcomes and stand out as specialists.

You’ll learn:

• Why decompression adoption is growing ~4% per year and why competition is coming
• The real differentiator isn’t owning a table, it’s mastery: world-class exam, protocols, and trained staff execution
• Why patient demand is massive (surgery volume + patients actively seeking non-surgical options)
• Pricing benchmarks (most clinics land around $3K–$7K, commonly $4.5K–$5K) and why just 3–10 starts/month can be practice-changing
• Why marketing must be diversified (multiple “buckets,” not one fragile channel)

A key clinical insight: research suggests lower-force decompression can perform as well or better than heavy pull in some cases.

Give it a listen — and start thinking like a specialist, not just a table owner.

🎙 Episode 40 – When To Add A Second Decompression Table or Laser

In this episode of The Practice Builders Podcast, Dr. Kyle Pankonin lays out a clear, practical framework for one of the biggest decisions growing clinics face:

When is it actually time to buy another decompression table, laser, or piece of tech?

Most chiropractors assume their next leap comes from buying more equipment. But in reality, Dr. Pankonin argues that the real problem in most clinics isn’t capacity… its utilization.

This conversation is a short but high-impact breakdown of how to scale intelligently, avoid shiny-object purchases, and expand only when the demand is real.

You’ll learn:

• Why most clinics have a utilization problem, not an equipment problem
• The 70–80% rule: the real threshold that signals it’s time to expand
• How to spot true bottlenecks like waitlists, peak-hour overbooking, and scheduling pressure
• Why buying more machines too early won’t fix lack of confidence, protocols, or marketing
• A real example of a doctor ready to sell a $60k laser… when the issue wasn’t the laser at all
• Why laser therapy is often the first and smartest expansion (before decompression)
• How robotic laser systems allow staff delegation, reduced doctor strain, and faster ROI
• The difference between scalable therapies (laser) vs selective therapies (decompression)
• Key business considerations: staffing, space, financial readiness, and timing
• When NOT to add equipment: boredom purchases, marketing gaps, staff burnout, and underused assets
• The exact next steps doctors should take to track utilization and make the right call

If you’re debating a second laser, another decompression unit, or the next big investment in your clinic, this episode gives you the clarity to expand with confidence, not impulse.

🎧 Tune in to learn the smartest growth path: optimize first, scale second, and build capacity only when demand forces your hand.

🎙 Episode 39 – How To Add Knee Pain Niche

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin break down why chronic knee pain is one of the most overlooked and profitable niches chiropractors can add once spinal decompression is dialed in.

They unpack the data, clinical realities, equipment, pricing, and simple internal marketing strategies that make a knee program a powerful second niche without ads, funnels, or added burnout. This is a practical, experience-driven conversation rooted in real clinic outcomes, not theory.

You’ll learn:

• Why chronic knee pain affects nearly 25% of U.S. adults and represents a massive, underserved patient base
• Why knee osteoarthritis is especially well-suited for non-surgical, technology-driven care
• The essential tools for an effective knee protocol (knee decompression, laser, shockwave, and supporting therapies)
• What a typical knee decompression care plan looks like and how practices price single vs bilateral cases
• The most common clinical and perception-based pitfalls doctors face when adding knee care
• Why internal marketing beats paid ads for launching a knee program
• Simple systems to identify knee pain in existing patients and stack revenue sequentially
• How addressing knee and hip issues can dramatically improve spinal decompression outcomes
• Why knee patients are often highly motivated, active, and ideal candidates for care
• How a staff-driven, technology-forward knee program protects the doctor’s energy while adding a strong revenue stream

If you’ve optimized spinal decompression and want to add another high-impact, high-demand niche without complicating your practice, this episode lays out exactly why knee care deserves serious consideration in 2026.

🎧 Tune in to learn how a dedicated knee program can help patients avoid surgery, restore activity, and create a simpler, scalable growth path for your practice.

🎙 Episode 38 – Protecting the Thoroughbred

In this episode of The Practice Builders Podcast, Dr. Vince Leone pulls back the curtain on a members-only micro training designed to help doctors build a practice that grows without burning them out. Using the “thoroughbred” analogy, he explains why the doctor is the seven-figure asset that must be protected first, and how energy, recovery, and role clarity directly determine the ceiling of the practice.

You’ll learn:

• Why most burnout comes from mismanagement, not weakness (over-racing, poor fuel, wrong work, no recovery)
• How your energy and decision-making drive practice growth more than any system or tactic
• The simplest ways to improve performance through sleep, nutrition, training, and recovery rhythms
• How to identify and eliminate the tasks that drain your energy (and what to delegate instead)
• Why planned downtime and true separation from work is disciplined maintenance, not indulgence
• The “protect the asset and the practice will follow” framework for long-term success and longevity

If you’re planning for your best year yet, this episode will help you grow revenue without sacrificing your health, clarity, or happiness.

🎧 Tune in and learn how to protect the doctor first so the practice can thrive for the long haul.

🎙 Episode 37 – Marketing From Inside the Trenches

In this episode of The Practice Builders Podcast, Dr. Kyle Pankonin breaks down a proven, multi-channel marketing strategy for chiropractors who want consistent patient flow without relying on one platform or trend.

This episode addresses a common mistake: over-reliance on a single marketing channel, often social media, and why that approach leads to frustration and inconsistency.

Instead, Dr. Pankonin outlines how to build an education-based marketing system that positions the doctor as the local expert and compounds over time.

You’ll learn:

• Why diversifying marketing channels creates stability and predictability
• How education-first marketing builds trust and long-term demand
• How to combine external marketing (Facebook, radio, newspaper) with internal systems
• Why community involvement often outperforms paid ads for trust and referrals

This episode is a must-listen for doctors who want steady growth, stronger visibility, and a marketing strategy that holds up long-term — even as platforms and algorithms change.

🎧 Tune in to learn how to build a marketing engine that compounds year after year.

🎙 Episode 36 – Let's Play Ball - Singles, Doubles, Homeruns, and Grand Slams

In this episode of The Practice Builders Podcast, Dr. Pankonin introduces the “Let’s Play Ball” strategy — a simple, proven framework for growing your practice by focusing on Singles and Doubles instead of chasing rare “Home Run” cases.

This episode breaks down how consistent revenue is built through smaller, more frequent cash-based care plans, not just big decompression cases.

You’ll learn:

• Why 6–12 visit packages are the real driver of sustainable growth
• How recommending laser or shockwave to nearly every patient increases cash revenue without increasing volume
• The hybrid care model that combines insurance services with cash-based technology
• How acute, chronic, and decompression cases fit into one simple growth framework
• Why consistent wins build trust and make larger care plans easier to enroll

This episode is a must-listen for doctors who want predictable growth, stronger patient buy-in, and higher cash collections — without working more hours.

🎧 Tune in and learn how to stop swinging for home runs and start building a practice that wins consistently.

🎙 Episode 35 – Process Over Results

In this episode of The Practice Builders Podcast, Dr. Vince breaks down why most practices stall despite having ambitious goals — and what actually drives sustainable growth instead.

Using lessons from elite coaching and real-world practice building, this training introduces the “Process Over Results” framework and shows how consistent daily execution, not outcome chasing, creates predictable growth in spinal decompression and other high-value niches.

You’ll learn:

• Why goals without systems create frustration instead of progress
• How focusing on daily inputs builds a growth “flywheel” that compounds over time The exact high-value processes that drive decompression starts, conversions, and revenue
• How to simplify your clinic by running Day 1, Day 2, ROFs, and staff roles the same way every time
• Why internal marketing, follow-up systems, and staff execution matter as much as ads

This episode is a must-listen for doctors planning for 2026 who want cleaner systems, stronger teams, and growth that doesn’t require working more hours.

🎧 Tune in and learn how to stop chasing goals — and start building a practice that grows by design.

🎙 Episode 34 – Future of Spinal Decompression (Part 2)

In this episode of The Practice Builders Podcast, Dr. Leone and Dr. Pankonin break down the newest research in spinal decompression and what it means for clinical results, care plans, and patient expectations.

✅ Learn why the minimum effective dose is 20–24 sessions and how a 267-patient study showed 90.5% success at this level

✅ Understand why lower pull forces (10–15%) outperform high-force protocols, reducing iatrogenesis and improving long-term outcomes

✅ Discover why modern decompression isn’t just traction and how dynamic pull-and-release cycles create true negative intradiscal pressure

✅ Get clarity on case selection, including why even large herniations (10mm+) can often be treated successfully

✅ Improve patient retention with better pre-framing: most patients feel meaningful relief in 3–6 weeks, not 3–6 visits

Perfect for chiropractors who want science-backed protocols, stronger ROFs, and more predictable outcomes with complex disc cases.

🎧 Listen now to understand the real biomechanics behind decompression — and how to use the research to elevate your clinical expertise and patient results.

🎙 Episode 33 – Future of Spinal Decompression (Part 1)

In this episode of The Practice Builders Podcast, Dr. Leone and Dr. Pankonin break down the future of spinal decompression and why the next 5–10 years will be the biggest growth window the profession has ever seen.

✅ Understand why fears of “market saturation” are completely unfounded

✅ Learn how 100M Americans with back pain and rising chronic disc cases are fueling exploding demand

✅ Get clarity on how modern decompression tables, sensors, and actuators are transforming clinical outcomes

✅ See why adjunct therapies like shockwave and Class IV laser are becoming essential partners to decompression

✅ Discover the gap in clinical training and why manufacturers can’t provide what real doctors need Perfect for chiropractors who want to stay ahead of the curve, upgrade their clinical certainty, and dominate their market as the go-to disc specialist.

🎧 Listen now to see why decompression is entering its next major renaissance — and how to position your clinic to lead it.

🎙 Episode 32 – How to Start a Podcast

In this episode of The Practice Builders Podcast, Dr. Leone and Dr. Pankonin pulls back the curtain on how to launch and systemize your own podcast without adding chaos to your schedule.

✅ Learn how to use a podcast as a long-term authority builder — not a quick lead-gen tool

✅ See the full workflow: record → delegate editing → repurpose into short-form video

✅ Discover why a simple setup and consistent cadence beat fancy gear or big budgets

✅ Get clarity on when a podcast makes sense in your marketing strategy (hint: after Facebook and Google are dialed in)

✅ Hear how The Practice Builders Podcast stays consistent while avoiding burnout

Perfect for doctors ready to expand their reach, build credibility, and connect deeper with their community.

🎧 Listen now to learn how to turn your expertise into a powerful content engine.

In this week’s episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin sit down with Dr. Doug DeSalvo, a 7-figure chiropractor from Northern California who’s mastered the art of combining advanced technology, staff training, and patient education to create a thriving specialty practice.

Dr. DeSalvo shares exactly how he doubled his practice in a year after adding spinal decompression and neuropathy treatments, and how he built a team culture that runs like a high-performing business—without sacrificing patient care.

💡 In this episode, you’ll learn:

✅ How adding specialized services like decompression, neuropathy, and laser therapy can rapidly scale your practice revenue

✅ Why ongoing staff training and patient education are the foundation of long-term success

✅ How Dr. DeSalvo uses AI (including ChatGPT) to create content and educate patients more efficiently

✅ The key to structuring systems, leadership, and compensation to retain top-tier staff

✅ How to design treatment plans that drive results and build patient trust

🎧 Listen now to learn how one doctor built a 7-figure practice by mastering specialization, systems, and leadership.

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin recap the 2025 Decompression Summit Certification and share the biggest clinical, marketing, and business takeaways from the event.

You’ll discover:

• Why 109 attendees made this year’s summit feel electric—and what’s changing for 2026 with expanded space and Friday afternoon sessions
• The latest decompression research on biomechanics, outcomes, and exam techniques that position you as the true spine expert in your community
• How to contrast medical options like drugs, injections, and surgery with decompression to elevate your authority and attract more disc cases
• The 7 marketing pillars from “The Last Decompression Marketing Plan You’ll Ever Need” to dominate your market and avoid ad fatigue
• The simple math behind the patient journey—why only 3% are problem/solution aware and 37% are still in research mode, and how to capture both
• How Specialized Practice just had its best month ever with 10 new clients and what that momentum means for doctors in the decompression niche

Whether you were in the room or missed this year’s summit, this episode gives you a front-row seat to the breakthroughs, strategies, and next steps shaping the future of spinal decompression.

🎧 Listen now and start preparing for the 2026 Decompression Summit, September 25–27

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin reveal how to confidently overcome the most common objections in Report of Findings for spinal decompression and other niche services.

You’ll discover:

• Why handling objections on Day 1 prevents stalls and rescues on Day 2
• How to use the Four Horsemen framework to clear non-financial objections before you ever discuss money
• The right way to respond when patients say, “Let me think about it” or “Can I just do chiropractic?”
• How to explain session counts using research-backed protocols with an 85–90% success rate
• Proven strategies for reframing financial objections with multiple payment options while keeping the focus on value and outcomes
• How to position yourself as the expert by knowing all available options—and why decompression remains the gold standard for disc cases

Whether you’re tired of hearing “I need to think about it” or want to tighten up your close rate, this episode gives you the tools to objection-proof your ROFs and enroll more patients with clarity and confidence.

🎧 Listen now and start turning objections into opportunities for growth!

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin break down the exact roadmap to scale a chiropractic practice to $100K/month in just 12 months.

You’ll discover:

• Why a spinal decompression table and two high-end lasers are essential for rapid growth
• How to structure your team with 3–4 CAs, a patient ambassador, and an operations manager
• The three core systems—patient processing, marketing, and financials—that drive predictability and profitability
• Marketing strategies that turn $2K into $20K using Google Ads for decompression
• How to evolve from hands-on adjusting to stepping into the CEO role of your practice

Whether you’re currently at $50K/month or simply want to scale smarter, this episode gives you the clinical, systems, and marketing blueprint to confidently hit six figures in monthly revenue.

🎧 Listen now and start building your $100K/month practice today!

In this episode of The Practice Builders Podcast, Dr. Leone and Dr. Pankonin dive into one of the most underrated yet powerful strategies for building patient trust and long-term success in your decompression practice:

The Prognosis Playbook.

You’ll discover why setting realistic expectations—like aiming for 50% improvement—doesn’t just protect your credibility, it sets you up to over-deliver and blow patients away.

In this episode, we cover:

✅ The psychology of under-promising and over-delivering in a cash-based decompression practice ✅ Why 50% improvement is a valid benchmark (even in spine surgery studies!) ✅ How to position progress milestones that keep patients engaged ✅ Why training and clinical coaching are critical to building doctor confidence ✅ Case updates from real docs growing to 50–60 decompression visits/month and beyond

Whether you’re just getting started with decompression or already seeing solid case volume, this episode will sharpen your communication and help you close more cases with integrity.

🎧 Listen now and bring this strategy into your Day 2 and Report of Findings conversations.

Episode Summary: In this powerful episode, Dr. Vince sits down with Dr. Josiah Fitzsimmons—one of the most successful chiropractic practice owners in the country. From humble beginnings to building a thriving, multi-location, staff-driven practice, Dr. Fitzsimmons shares the systems, mindset, and strategies that helped him scale efficiently while maintaining high-quality care.

Whether you're just getting started or looking to break through a growth plateau, this conversation is packed with real-world insights you can apply immediately.

What You’ll Learn:

• How Dr. Fitzsimmons positioned his clinic as the go-to provider in his region
• The clinical and operational systems that allowed him to scale without burning out
• Why internal leadership development and staff empowerment are game-changers
• Keys to creating a patient experience that drives referrals and retention
• The role of strategic marketing and reputation-building in his explosive growth
• How he balances family life and business success

Quotable Moments:

• “We stopped being just a chiropractic clinic—and became a solution center for chronic pain.”
• “When your team is fully bought in, you no longer have to carry the entire practice on your shoulders.”
• “Scaling is about predictability, not just volume.”

In this episode of the Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin sit down with Dr. Matt Houchin — a chiropractor and entrepreneur who owns five clinics across multiple states.

Dr. Matt shares his journey from starting as an associate to acquiring multiple practices, and the lessons he’s learned along the way about leadership, financing, and scaling with the right associates.

You’ll discover:

• How Dr. Matt acquired and grew five clinics without private equity backing
• Financing strategies that make acquisitions possible (even with student loan debt)
• What banks and sellers look for when valuing a chiropractic clinic
• The biggest mistakes to avoid when buying or transitioning a practice
• How adding decompression and other cash-based services can boost revenue and practice value
• Best practices for hiring and motivating associates so they thrive long-term

Whether you’re considering your first practice purchase or looking to expand into multi-clinic ownership, this episode will give you practical insights and real-world inspiration.

Listen now to learn how you can strategically acquire and scale chiropractic clinics for long-term growth.

In this episode of the Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin reveal how to transform your consultations into efficient, stress-free, and enrollment-driving experiences.

You’ll discover:

• Why your front desk team is the true “ambassador” of your clinic and how to train them for success
• The role of paperwork in creating a smooth patient flow (without frustrating new patients)
• How to leverage CAs or scribes to streamline consults and exams
• The importance of creating a wow experience that sets your clinic apart from “every other office”
• Why most Day 2 problems are really Day 1 deficiencies — and how to fix them
• How to build trust quickly so patients enroll with confidence

If you’ve ever felt bogged down by long consultations or inconsistent results, this episode will help you refine your systems, free up your time, and build deeper connections with patients.

Listen now and learn how to optimize your consultations for practice growth and patient success.

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankenin reveal a powerful yet often-overlooked tool for growing your practice and reclaiming your time — the

Not To-Do List.

You’ll discover:

• Why eliminating certain tasks can be just as important as completing your to-do list
• How to identify low-value, energy-draining activities in your work and home life
• Practical steps for creating your own Not To-Do List
• Real-world examples of how delegating tasks can boost patient volume, revenue, and personal freedom
• How to shift your mindset from “doing it all” to focusing on the highest-value activities only you can perform

Whether you’re a solo practitioner or running a busy, staff-driven practice, this episode will help you optimize your time, leverage your team, and create more space for growth and fulfillment.

🎧 Listen now and start building your own Not To-Do List today!

In this episode, Dr. Vince Leone reveals The Ultimate Decompression Marketing Blueprint — the same strategy that’s helped scale his own clinic to seven figures and empowered clients across the country to consistently hit $100K/month with spinal decompression.

You’ll learn:

• Why most decompression marketing plans fail (and the fixes that work)
• How to reach the 37% of your market that most clinics overlook
• The 6 pillars of a dominant, long-term decompression marketing plan
• Practical systems to generate high-quality leads, build authority, and increase conversions year after year

If you’re ready to stop chasing unqualified leads, avoid the race-to-the-bottom on price, and position yourself as the go-to disc expert in your community — this episode is your roadmap.

Resources & Links:

• Learn more about the Decompression Accelerator: decompressionaccelerator.com

🎧 Listen now and start building your path to $100K/month.

We just dropped a brand-new episode of The Practice Builders Podcast — and if you’ve ever thought about adding shockwave therapy or expanding your practice with a high-profit cash niche, this is one you can’t afford to miss.

In this episode, Dr. Vince Leone sits down with Dr. Kyle Pankonin and Dr. Tony DiCesaro to go behind the scenes on two powerful new initiatives that are helping clinics scale fast — without the insurance grind.

Here’s what you’ll learn:

💥 The Shockwave Sprint: 90-Day Implementation Program • The exact clinical and marketing systems used to generate $46k in just 2 days • What’s included in the program — from protocols to team training • How to position shockwave as a specialist service in your community

Whether you're exploring new cash services or looking to grow an existing one, this episode will give you a proven blueprint for results.

👉 Tune in now and get ahead of the curve.

In this episode, we’re giving you a behind-the-scenes preview of the 2025 Decompression Summit Certification, the most anticipated event of the year for growth-minded chiropractors focused on growing Spinal Decompression.

Join Dr. Vince, Dr. Kyle and Dr. Tim Burkhart as they break down:

• Why decompression is the #1 cash niche to scale in 2025
• The exact clinical and marketing systems being taught at the Summit
• New additions this year: breakout sessions, advanced protocols, and real-time implementation tools
• How the certification will position you as the go-to disc specialist in your area
• What to expect from the 3-day immersive experience — including hands-on training, staff workshops, and strategic growth plans

Whether you’re just getting started with decompression or looking to scale it to 6-figures and beyond, this episode will show you why this Summit is a must-attend event.

🎟 Secure your spot now → 👉 https://hilldtsolutions.regfox.com/specialized-practice-decompression-summit-certification-2025

📅 Episode Summary:

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin dive into a powerful strategy that can dramatically improve your patient conversion rates: pre-framing the close. Before ever discussing money, there are four critical questions every chiropractor should ask during the report of findings.

These questions are designed to eliminate common objections before they come up — like time, spouse approval, readiness, or overall fit. This episode walks you through how and when to ask these questions, why they matter, and how they help create a smoother path to patient commitment.

🎯 What You’ll Learn:

• Why financial objections aren't always about money
• The “Four Horsemen” questions that defuse resistance in advance
• How to create buy-in around time, support, and urgency
• Simple language and timing tips to insert these seamlessly into your ROF
• How this pre-frame strategy creates clarity, commitment, and conversions

🛠 The Four Questions Covered:

1. Does this seem like a good fit for you so far?
2. Are you able to make this type of schedule work?
3. Do you have the support of your spouse or anyone else involved in your decision-making?
4. If everything makes sense, when would you want to get started?

📌 Perfect For: Chiropractors looking to streamline their ROF, reduce objections, and increase starts on high-ticket care plans — especially for decompression and other advanced cash-based services.

Hiring an associate can either be one of the best growth decisions you make—or a costly mistake. In this episode, Dr. Vince Leone and Dr. Kyle Pankonin break down the when, why, and how behind bringing on an associate. From practice structure and revenue benchmarks to onboarding, expectations, and red flags, this episode gives you the playbook for hiring smart.

What You’ll Learn:

• When your practice is truly ready for an associate (hint: it's not just about being "busy")
• The ideal team structure to have in place before hiring
• Key metrics to evaluate (volume, collections, conversion rates)
• Red flags to avoid when interviewing candidates
• How to structure compensation to protect your margins and incentivize performance
• Why most associate hires fail—and how to set yours up for long-term success

Perfect For:

• Chiropractors nearing capacity and feeling overworked
• Owners looking to scale operations and free up clinical hours
• Practices that have hired in the past but struggled with retention or results

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin dive into one of the most common (and costly) pitfalls growing practices face—scaling too fast or too sloppy. If you’ve ever wondered “Should I hire another CA?”, “When should I invest in better software?”, or “How do I get out of the day-to-day chaos?”—this one’s for you.

Inside This Episode:

• The 3 warning signs you're overdue for new systems or staff
• Why throwing bodies at problems is NOT the solution
• How to scale profitably with lean, efficient teams
• When to bring on an operations manager vs. a virtual assistant
• The “traffic light framework” for making smart scaling decisions
• Tools and tech that actually save you time (and which ones to avoid)
• Real-world lessons from practices that scaled too early—or too late

Whether you're at $30k/month or pushing $100k/month, this episode will help you grow with intention—not just add overhead.

Resources Mentioned:

• Team Org Chart Template (Download)
• SOP Starter Kit
• Our Hiring Funnel Walkthrough (free video)

📌 Connect With Us

• Website: specializedpractice.net
• Facebook Group: Specialized Practice Inner Circle
• Instagram: @drvinceleone

In this episode of the Practice Builders podcast, we share our top book recommendations for personal and professional growth. Between the two of us, we highlight seven impactful books that have shaped our thinking around clinical mastery, business development, and mindset.

We dive into why we often prefer older, time-tested books—written by people who’ve lived what they teach—over many modern titles that feel more like sales funnels. Our conversation emphasizes the importance of lifelong learning and staying growth-minded, both for delivering better care and building a thriving, sustainable practice.

We hope you find value in these recommendations and invite you to share the episode with a colleague who's equally committed to growth and excellence.

To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/

To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation

You know the saying, "don't judge a book by its cover?" Well, in healthcare, first impressions really do matter. We're diving into the research and sharing practical strategies for enhancing your doctor's attire, staff presentation, and overall clinic environment.

Hey everyone, welcome back to Practice Builders! We're Dr. Vince Leone and Dr. Kyle Pankonin, and today we're tackling a topic that might surprise you: the impact of appearance on your practice.

Tune in to discover how simple changes can boost patient confidence, increase conversions, and elevate your practice to the next level!

To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/

To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation

Want more high quality patients who have the problem, the desire and the means to invest in your protocols?

If so, you'll love today's episode!

We are excited to share a super important topic with you today: how to attract high-quality patients who are pre-educated, pre-motivated, and ready to invest in their health.

We're going to break down a three-part process that will help you create a more successful and fulfilling practice. We'll cover how to use education-based marketing to build trust and confidence in your patients, and how to create a powerful patient packet that reinforces the information and builds trust.

Ready to learn how to attract the right patients and stop wasting time with tire kickers? Check out the full episode!

To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/

To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation