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The Practice Builders

The Practice Builders

By: Dr. Vince Leone and Dr. Kyle Pankonin
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About this listen

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.

Dr. Vince Leone and Dr. Kyle Pankonin
Career Success Economics
Episodes
  • 36. Let's Play Ball - Singles, Doubles, Homeruns, and Grand Slams
    Dec 22 2025

    🎙 Episode 36 – Let's Play Ball - Singles, Doubles, Homeruns, and Grand Slams

    In this episode of The Practice Builders Podcast, Dr. Pankonin introduces the “Let’s Play Ball” strategy — a simple, proven framework for growing your practice by focusing on Singles and Doubles instead of chasing rare “Home Run” cases.

    This episode breaks down how consistent revenue is built through smaller, more frequent cash-based care plans, not just big decompression cases.

    You’ll learn:

    • Why 6–12 visit packages are the real driver of sustainable growth
    • How recommending laser or shockwave to nearly every patient increases cash revenue without increasing volume
    • The hybrid care model that combines insurance services with cash-based technology
    • How acute, chronic, and decompression cases fit into one simple growth framework
    • Why consistent wins build trust and make larger care plans easier to enroll

    This episode is a must-listen for doctors who want predictable growth, stronger patient buy-in, and higher cash collections — without working more hours.

    🎧 Tune in and learn how to stop swinging for home runs and start building a practice that wins consistently.

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    22 mins
  • 35. Process Over Results
    Dec 15 2025

    🎙 Episode 35 – Process Over Results

    In this episode of The Practice Builders Podcast, Dr. Vince breaks down why most practices stall despite having ambitious goals — and what actually drives sustainable growth instead.

    Using lessons from elite coaching and real-world practice building, this training introduces the “Process Over Results” framework and shows how consistent daily execution, not outcome chasing, creates predictable growth in spinal decompression and other high-value niches.

    You’ll learn:

    • Why goals without systems create frustration instead of progress
    • How focusing on daily inputs builds a growth “flywheel” that compounds over time The exact high-value processes that drive decompression starts, conversions, and revenue
    • How to simplify your clinic by running Day 1, Day 2, ROFs, and staff roles the same way every time
    • Why internal marketing, follow-up systems, and staff execution matter as much as ads

    This episode is a must-listen for doctors planning for 2026 who want cleaner systems, stronger teams, and growth that doesn’t require working more hours.

    🎧 Tune in and learn how to stop chasing goals — and start building a practice that grows by design.

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    38 mins
  • 34. State of Spinal Decompression (Part 2 – Focus on Research)
    Dec 5 2025

    🎙 Episode 34 – State of Spinal Decompression (Part 2 – Focus on Research)

    In this episode of The Practice Builders Podcast, Dr. Leone and Dr. Pankonin break down the newest research in spinal decompression and what it means for clinical results, care plans, and patient expectations.

    ✅ Learn why the minimum effective dose is 20–24 sessions and how a 267-patient study showed 90.5% success at this level

    ✅ Understand why lower pull forces (10–15%) outperform high-force protocols, reducing iatrogenesis and improving long-term outcomes

    ✅ Discover why modern decompression isn’t just traction and how dynamic pull-and-release cycles create true negative intradiscal pressure

    ✅ Get clarity on case selection, including why even large herniations (10mm+) can often be treated successfully

    ✅ Improve patient retention with better pre-framing: most patients feel meaningful relief in 3–6 weeks, not 3–6 visits

    Perfect for chiropractors who want science-backed protocols, stronger ROFs, and more predictable outcomes with complex disc cases.

    🎧 Listen now to understand the real biomechanics behind decompression — and how to use the research to elevate your clinical expertise and patient results.

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    40 mins
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