🎙 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.

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, 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 itself

Dr. 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.

🎙 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 (random visit counts, inconsistent protocols, dabbling). The goal is to professionalize decompression using proven systems, market research, and published evidence so clinics can deliver consistent outcomes and stand out as specialists.

You’ll learn:

• Why decompression adoption is growing ~4% per year and why competition is coming
• The real differentiator isn’t owning a table, it’s mastery: world-class exam, protocols, and trained staff execution
• Why patient demand is massive (surgery volume + patients actively seeking non-surgical options)
• Pricing benchmarks (most clinics land around $3K–$7K, commonly $4.5K–$5K) and why just 3–10 starts/month can be practice-changing
• Why marketing must be diversified (multiple “buckets,” not one fragile channel)

A key clinical insight: research suggests lower-force decompression can perform as well or better than heavy pull in some cases.

Give it a listen — and start thinking like a specialist, not just a table owner.

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 bottlenecks, reduce chaos, and dramatically improve speed-to-lead — without hiring more people.

You’ll learn:

• Why speed-to-lead is the #1 reason practices waste marketing dollars
• How missed calls after 5pm silently cost you tens of thousands per month
• The real problem with relying on staff to manually follow up with every lead
• How AI can answer calls, qualify prospects, book appointments, and send nurture content automatically
• Why tracking lead response and follow-up data is critical for real growth
• A case study where better systems — not more ad spend — generated an extra $80,000 in one month

If you’re running ads for decompression, neuropathy, or any high-value service and suspect leads are slipping through the cracks, this episode will open your eyes.

🎧 Tune in to learn how better systems, smarter automation, and consistent follow-up can help you squeeze more revenue and profit out of the marketing you’re already paying for — while making practice enjoyable again.

🎙 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 reality, Dr. Pankonin argues that the real problem in most clinics isn’t capacity… its utilization.

This conversation is a short but high-impact breakdown of how to scale intelligently, avoid shiny-object purchases, and expand only when the demand is real.

You’ll learn:

• Why most clinics have a utilization problem, not an equipment problem
• The 70–80% rule: the real threshold that signals it’s time to expand
• How to spot true bottlenecks like waitlists, peak-hour overbooking, and scheduling pressure
• Why buying more machines too early won’t fix lack of confidence, protocols, or marketing
• A real example of a doctor ready to sell a $60k laser… when the issue wasn’t the laser at all
• Why laser therapy is often the first and smartest expansion (before decompression)
• How robotic laser systems allow staff delegation, reduced doctor strain, and faster ROI
• The difference between scalable therapies (laser) vs selective therapies (decompression)
• Key business considerations: staffing, space, financial readiness, and timing
• When NOT to add equipment: boredom purchases, marketing gaps, staff burnout, and underused assets
• The exact next steps doctors should take to track utilization and make the right call

If you’re debating a second laser, another decompression unit, or the next big investment in your clinic, this episode gives you the clarity to expand with confidence, not impulse.

🎧 Tune in to learn the smartest growth path: optimize first, scale second, and build capacity only when demand forces your hand.

🎙 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 program a powerful second niche without ads, funnels, or added burnout. This is a practical, experience-driven conversation rooted in real clinic outcomes, not theory.

You’ll learn:

• Why chronic knee pain affects nearly 25% of U.S. adults and represents a massive, underserved patient base
• Why knee osteoarthritis is especially well-suited for non-surgical, technology-driven care
• The essential tools for an effective knee protocol (knee decompression, laser, shockwave, and supporting therapies)
• What a typical knee decompression care plan looks like and how practices price single vs bilateral cases
• The most common clinical and perception-based pitfalls doctors face when adding knee care
• Why internal marketing beats paid ads for launching a knee program
• Simple systems to identify knee pain in existing patients and stack revenue sequentially
• How addressing knee and hip issues can dramatically improve spinal decompression outcomes
• Why knee patients are often highly motivated, active, and ideal candidates for care
• How a staff-driven, technology-forward knee program protects the doctor’s energy while adding a strong revenue stream

If you’ve optimized spinal decompression and want to add another high-impact, high-demand niche without complicating your practice, this episode lays out exactly why knee care deserves serious consideration in 2026.

🎧 Tune in to learn how a dedicated knee program can help patients avoid surgery, restore activity, and create a simpler, scalable growth path for your practice.