🎙 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.

🎙 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.

🎙 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.

🎙 Episode 33 – Future of Spinal Decompression (Part 1)

In this episode of The Practice Builders Podcast, Dr. Leone and Dr. Pankonin break down the future of spinal decompression and why the next 5–10 years will be the biggest growth window the profession has ever seen.

✅ Understand why fears of “market saturation” are completely unfounded

✅ Learn how 100M Americans with back pain and rising chronic disc cases are fueling exploding demand

✅ Get clarity on how modern decompression tables, sensors, and actuators are transforming clinical outcomes

✅ See why adjunct therapies like shockwave and Class IV laser are becoming essential partners to decompression

✅ Discover the gap in clinical training and why manufacturers can’t provide what real doctors need Perfect for chiropractors who want to stay ahead of the curve, upgrade their clinical certainty, and dominate their market as the go-to disc specialist.

🎧 Listen now to see why decompression is entering its next major renaissance — and how to position your clinic to lead it.

🎙 Episode 32 – How to Start a Podcast

In this episode of The Practice Builders Podcast, Dr. Leone and Dr. Pankonin pulls back the curtain on how to launch and systemize your own podcast without adding chaos to your schedule.

✅ Learn how to use a podcast as a long-term authority builder — not a quick lead-gen tool

✅ See the full workflow: record → delegate editing → repurpose into short-form video

✅ Discover why a simple setup and consistent cadence beat fancy gear or big budgets

✅ Get clarity on when a podcast makes sense in your marketing strategy (hint: after Facebook and Google are dialed in)

✅ Hear how The Practice Builders Podcast stays consistent while avoiding burnout

Perfect for doctors ready to expand their reach, build credibility, and connect deeper with their community.

🎧 Listen now to learn how to turn your expertise into a powerful content engine.

In this week’s episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin sit down with Dr. Doug DeSalvo, a 7-figure chiropractor from Northern California who’s mastered the art of combining advanced technology, staff training, and patient education to create a thriving specialty practice.

Dr. DeSalvo shares exactly how he doubled his practice in a year after adding spinal decompression and neuropathy treatments, and how he built a team culture that runs like a high-performing business—without sacrificing patient care.

💡 In this episode, you’ll learn:

✅ How adding specialized services like decompression, neuropathy, and laser therapy can rapidly scale your practice revenue

✅ Why ongoing staff training and patient education are the foundation of long-term success

✅ How Dr. DeSalvo uses AI (including ChatGPT) to create content and educate patients more efficiently

✅ The key to structuring systems, leadership, and compensation to retain top-tier staff

✅ How to design treatment plans that drive results and build patient trust

🎧 Listen now to learn how one doctor built a 7-figure practice by mastering specialization, systems, and leadership.

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin recap the 2025 Decompression Summit Certification and share the biggest clinical, marketing, and business takeaways from the event.

You’ll discover:

• Why 109 attendees made this year’s summit feel electric—and what’s changing for 2026 with expanded space and Friday afternoon sessions
• The latest decompression research on biomechanics, outcomes, and exam techniques that position you as the true spine expert in your community
• How to contrast medical options like drugs, injections, and surgery with decompression to elevate your authority and attract more disc cases
• The 7 marketing pillars from “The Last Decompression Marketing Plan You’ll Ever Need” to dominate your market and avoid ad fatigue
• The simple math behind the patient journey—why only 3% are problem/solution aware and 37% are still in research mode, and how to capture both
• How Specialized Practice just had its best month ever with 10 new clients and what that momentum means for doctors in the decompression niche

Whether you were in the room or missed this year’s summit, this episode gives you a front-row seat to the breakthroughs, strategies, and next steps shaping the future of spinal decompression.

🎧 Listen now and start preparing for the 2026 Decompression Summit, September 25–27

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin reveal how to confidently overcome the most common objections in Report of Findings for spinal decompression and other niche services.

You’ll discover:

• Why handling objections on Day 1 prevents stalls and rescues on Day 2
• How to use the Four Horsemen framework to clear non-financial objections before you ever discuss money
• The right way to respond when patients say, “Let me think about it” or “Can I just do chiropractic?”
• How to explain session counts using research-backed protocols with an 85–90% success rate
• Proven strategies for reframing financial objections with multiple payment options while keeping the focus on value and outcomes
• How to position yourself as the expert by knowing all available options—and why decompression remains the gold standard for disc cases

Whether you’re tired of hearing “I need to think about it” or want to tighten up your close rate, this episode gives you the tools to objection-proof your ROFs and enroll more patients with clarity and confidence.

🎧 Listen now and start turning objections into opportunities for growth!