The Practice Builders

🎙 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 (rando...

🎙 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 reali...

🎙 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 pr...

🎙 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 cl...

🎙 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 lead...

🎙 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 freque...

🎙 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 outc...

🎙 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...

🎙 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 chr...

🎙 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 vid...

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 de...

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 re...

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...

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 system...

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...

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...

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...

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 patien...

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...

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 ov...

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 scal...

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 a...

📅 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 ob...

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 practic...

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 warni...