Podcast
The Practice Builders
Hosted by Dr. Vince Leone and Dr. Kyle Pankonin · EN
Welcome to the Practice Builders podcast, the show where innovation meets strategy for growing thriving chiropractic clinics presented by Specialized Practice and hosted by Dr. Vince Leone and Dr. Kyle Pankonin. They're here to share proven tactics to help you build cash-based revenue streams, maximize staff driven services, and reduce reliance on insurance.
19episodes
Episodes
Newest firstAll episodes
52. How to Choose Patients for Decompression
1w ago00:24:34Tap to summarize🎙 Episode 52 – How to Choose Patients for DecompressionIn 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 insteadHow to spot the clinical hallmarks of a true full-program candidate, including chronic disc, radiculopathy, and positional pain patternsWhy not every good clinical candidate is a good practice candidate — and how poor selection affects your team and your entire patient baseHow the "singles and doubles" framework fills your decompression schedule with mild-to-moderate cases and keeps your table running full timeThe red flags, contraindications, and behavioral warning signs that should disqualify a patient before you ever make a recommendationWhy categorizing every new spine patient into the right "bucket" from day one increases acceptance, improves compliance, and eliminates plan mismatchesThis 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.
Transcribe →
51. The Decompression Flywheel
1w ago00:25:29Tap to summarize🎙 Episode 51 – The Decompression FlywheelIn 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 journeyHow to track the 6 core numbers that reveal exactly where your growth is stalling every single monthWhy 90 days of data is all you need to accurately diagnose your biggest constraint and stop wasting time fixing the wrong thingHow building a staff-driven, team-equipped practice reduces your dependence on you — and makes decompression actually scalableWhy your existing patients, new patient flow, and past patient base are your three most powerful (and most underused) growth assetsHow clarity and confidence in the consultation and ROF convert more patients than any script ever willWhy capturing patient proof on camera fuels both your marketing and your team's moraleThe one rule that separates sustainable growth from burnout: scale the system only once the system is stableThis 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.
Transcribe →
50. Million Dollar Practice Habits
3w ago00:33:54Tap to summarize🎙 Episode 50 – Million Dollar Practice HabitsIn 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 practiceHow to create a wow patient experience that drives referrals, increases case acceptance, and justifies premium care plan pricingWhy selling outcomes instead of visits is the single biggest shift you can make in your patient conversationsHow protecting your time and energy as the practice owner directly impacts your ability to growWhy 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 jobHow to market consistently and emotionally detached through the peaks and valleys — and why most doctors quit too soonWhy the doctors hitting $1M+ never stop learning, and how coaching, seminars, and masterminds shortcut your path to successThis 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.
Transcribe →
49. Why Decompression Patients Buy Outcomes, Not Visits
4w ago00:26:40Tap to summarize🎙 Episode 49 – Why Decompression Patients Buy Outcomes, Not VisitsIn 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 backHow emotional drivers like fear of surgery and loss of identity outweigh clinical findings in patient decision-makingHow to reframe your messaging from pain relief to functional restoration and quality-of-life outcomesWhy positioning decompression as a non-surgical alternative changes how patients receive your recommendationHow to use the 50% Rule to set realistic expectations that lead to higher patient satisfactionWhat to focus on during your Report of Findings — and why possibility matters more than diagnosisThis 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.
Transcribe →
48. Analysis of a $30,000 Day with Spinal Decompression
May 400:22:08Tap to summarizeWhat 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 specialistHow his clinical confidence completely transformed his conversionsWhat it really takes to handle 9 new patients in a single dayWhy implementation—not information—is the difference-makerThis 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
Transcribe →
47. Why Insurance-Only Practices are Dying (and what to do about it)
Apr 2700:35:55Tap to summarize🎙 Episode 47 – Why Insurance-Only Chiropractic Practices Are DyingIn 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 risingHow chasing volume creates a negative flywheel that burns out doctors and delivers worse patient experiencesWhy relying solely on insurance gives you almost no control over your own revenueThe power of adding cash-based services — specifically spinal decompression — as your first nicheHow a hybrid model (not going all-cash overnight) is the smartest and safest transition strategyReal results: how Dr. Kyle went from $48–50K/month heavily insurance-dependent to pushing $120K/month, mostly cash-basedWhy patients absolutely will pay out of pocket — when you're selling an outcome, not just a serviceStep-by-step action items for doctors who are heavy insurance and want a way outDr. 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.
Transcribe →
46. Releasing the Yes in the ROF
Apr 1800:23:43Tap to summarize🎙 Episode 46 – Releasing the Yes in the ROFIn 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 patientsHow confidence, clarity, and certainty create stronger conversionsWhy your job is to diagnose clearly, explain simply, and recommend the best path forwardHow to handle common objections without taking them personallyThe importance of tracking metrics so one no doesn’t shake your confidenceSimple pre-ROF rituals to help you show up calm, focused, and in controlDr. 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
Transcribe →
45. Preview of the Decompression Summit Certification: The Future of Spinal Decompression
Apr 1300:43:07Tap to summarize🎙 Episode 45 – Preview of the Decompression Summit Certification: The Future of Spinal DecompressionIn 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 equipmentHow the summit is structured to support both new and experienced doctorsThe role of clinical confidence, patient selection, and structured systems in driving resultsWhat to expect from key sessions, including advanced case recognition and imaging applicationHow a focused marketing funnel can generate high-quality, pre-qualified patientsPractical ways to leverage AI tools inside your practiceDr. 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.
Transcribe →
44. Why Most Doctors Struggle Growing Decompression
Mar 2700:42:05Tap to summarize🎙 Episode 44 – Why Most Doctors Struggle Growing DecompressionIn 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 outcomesDr. 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.
Transcribe →
43. A Review of Spinal Decompression Tables
Mar 1600:24:13Tap to summarizeIn 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 itselfDr. 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.
Transcribe →