🎙 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 matching the right therapy to the right problem. Too many docs reach for one device to solve every case, or buy expensive tech without a clinical system behind it — and a $12k table with a great protocol will outperform a $60k table with a poor one every time. Instead, Dr. Pankonin frames it like a football team: decompression restores mechanics, laser accelerates healing, and shockwave restarts regeneration in stubborn tissue — each with a specific job to do.

You'll learn:

The two most common mistakes docs make with combo therapy — and the one question that fixes both: "which therapy is best for this patient's condition?"
When to use decompression, laser, or shockwave alone — and when to stack them, with real case examples for shoulder, lumbar disc, and plantar fasciitis
Why Failed Back Surgical Syndrome has a 26.2% failure rate while decompression succeeds 90.5% of the time in similar cases — and the three-therapy combo built for it
How to stop selling individual sessions and start selling outcomes by building branded "recovery programs" (Lumbar Disc Recovery, Heel Pain Recovery, Shoulder Recovery) in 6, 12, or 24-visit tiers
How this exact shift took Dr. Pankonin's own practice from 95% insurance to 50–60% cash-based, more than doubling revenue and landing in the top 1% of clinics nationwide

A must-listen for any doc running these three therapies who wants to stop treating in isolation and start building programs patients actually buy into.

🎧 Tune in and learn how to turn three separate tools into one system that changes outcomes — and your bottom line.