In this episode of The Practice Builders Podcast, Dr. Leone and Dr. Pankonin dive into one of the most underrated yet powerful strategies for building patient trust and long-term success in your decompression practice:

The Prognosis Playbook.

You’ll discover why setting realistic expectations—like aiming for 50% improvement—doesn’t just protect your credibility, it sets you up to over-deliver and blow patients away.

In this episode, we cover:

✅ The psychology of under-promising and over-delivering in a cash-based decompression practice ✅ Why 50% improvement is a valid benchmark (even in spine surgery studies!) ✅ How to position progress milestones that keep patients engaged ✅ Why training and clinical coaching are critical to building doctor confidence ✅ Case updates from real docs growing to 50–60 decompression visits/month and beyond

Whether you’re just getting started with decompression or already seeing solid case volume, this episode will sharpen your communication and help you close more cases with integrity.

🎧 Listen now and bring this strategy into your Day 2 and Report of Findings conversations.

In this episode of the Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin sit down with Dr. Matt Houchin — a chiropractor and entrepreneur who owns five clinics across multiple states.

Dr. Matt shares his journey from starting as an associate to acquiring multiple practices, and the lessons he’s learned along the way about leadership, financing, and scaling with the right associates.

You’ll discover:

• How Dr. Matt acquired and grew five clinics without private equity backing
• Financing strategies that make acquisitions possible (even with student loan debt)
• What banks and sellers look for when valuing a chiropractic clinic
• The biggest mistakes to avoid when buying or transitioning a practice
• How adding decompression and other cash-based services can boost revenue and practice value
• Best practices for hiring and motivating associates so they thrive long-term

Whether you’re considering your first practice purchase or looking to expand into multi-clinic ownership, this episode will give you practical insights and real-world inspiration.

Listen now to learn how you can strategically acquire and scale chiropractic clinics for long-term growth.

In this episode of the Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin reveal how to transform your consultations into efficient, stress-free, and enrollment-driving experiences.

You’ll discover:

• Why your front desk team is the true “ambassador” of your clinic and how to train them for success
• The role of paperwork in creating a smooth patient flow (without frustrating new patients)
• How to leverage CAs or scribes to streamline consults and exams
• The importance of creating a wow experience that sets your clinic apart from “every other office”
• Why most Day 2 problems are really Day 1 deficiencies — and how to fix them
• How to build trust quickly so patients enroll with confidence

If you’ve ever felt bogged down by long consultations or inconsistent results, this episode will help you refine your systems, free up your time, and build deeper connections with patients.

Listen now and learn how to optimize your consultations for practice growth and patient success.