The Practice Builders

🎙 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...

🎙 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...