The Practice Builders

🎙 Episode 66 – Practice From Abundance: Part 2 In this episode of The Practice Builders Podcast, Dr. Vince Leone takes listeners back inside a private Specialized Practice micro-training for Practice From Abundance: Part 2 , moving beyond mindset and into the tactical actions that create more patient opportunities. Instead of asking, “Where are the new patients?” Dr. Vince challenges doctors to as...

🎙 Episode 65 – Practice From Abundance In this episode of The Practice Builders Podcast, Dr. Vince Leone gives listeners a behind-the-scenes look at a private Specialized Practice micro-training called Practice From Abundance , focused on recognizing when scarcity thinking begins influencing the way you run your practice. He breaks down how seemingly practical thoughts like “Will patients pay for...

🎙 Episode 64 – Clinical Pearls That Will Make You a Better Decompression Doctor In this episode of The Practice Builders Podcast, Dr. Kyle Pankonin breaks down several clinical pearls that can help decompression doctors improve case selection, interpret MRI findings more accurately, and set better patient expectations. He covers why Modic Type 1 changes matter, how discogenic pain can exist even w...

🎙 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 tod...

🎙 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 t...

🎙 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...

🎙 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 quie...

🎙 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 pat...

🎙 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 insura...

🎙 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...

🎙 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 recur...

🎙 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 prev...

🎙 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...

🎙 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 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...

🎙 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 somewhe...

🎙 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 — i...

🎙 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 emoti...

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 for...

🎙 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...

🎙 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 suc...

🎙 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 diffe...

🎙 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 fro...

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, func...

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 bottle...