🎙 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.

44. Why Most Doctors Struggle Growing Decompression