🎙 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 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 patients
• How confidence, clarity, and certainty create stronger conversions
• Why your job is to diagnose clearly, explain simply, and recommend the best path forward
• How to handle common objections without taking them personally
• The importance of tracking metrics so one no doesn’t shake your confidence
• Simple pre-ROF rituals to help you show up calm, focused, and in control

Dr. 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

🎙 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 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 equipment
• How the summit is structured to support both new and experienced doctors
• The role of clinical confidence, patient selection, and structured systems in driving results
• What to expect from key sessions, including advanced case recognition and imaging application
• How a focused marketing funnel can generate high-quality, pre-qualified patients
• Practical ways to leverage AI tools inside your practice

Dr. 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.

🎙 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.