The Practice Builders

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!

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin break down the exact roadmap to scale a chiropractic practice to $100K/month in just 12 months.

You’ll discover:

• Why a spinal decompression table and two high-end lasers are essential for rapid growth
• How to structure your team with 3–4 CAs, a patient ambassador, and an operations manager
• The three core systems—patient processing, marketing, and financials—that drive predictability and profitability
• Marketing strategies that turn $2K into $20K using Google Ads for decompression
• How to evolve from hands-on adjusting to stepping into the CEO role of your practice

Whether you’re currently at $50K/month or simply want to scale smarter, this episode gives you the clinical, systems, and marketing blueprint to confidently hit six figures in monthly revenue.

🎧 Listen now and start building your $100K/month practice today!

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.

Episode Summary: In this powerful episode, Dr. Vince sits down with Dr. Josiah Fitzsimmons—one of the most successful chiropractic practice owners in the country. From humble beginnings to building a thriving, multi-location, staff-driven practice, Dr. Fitzsimmons shares the systems, mindset, and strategies that helped him scale efficiently while maintaining high-quality care.

Whether you're just getting started or looking to break through a growth plateau, this conversation is packed with real-world insights you can apply immediately.

What You’ll Learn:

• How Dr. Fitzsimmons positioned his clinic as the go-to provider in his region
• The clinical and operational systems that allowed him to scale without burning out
• Why internal leadership development and staff empowerment are game-changers
• Keys to creating a patient experience that drives referrals and retention
• The role of strategic marketing and reputation-building in his explosive growth
• How he balances family life and business success

Quotable Moments:

• “We stopped being just a chiropractic clinic—and became a solution center for chronic pain.”
• “When your team is fully bought in, you no longer have to carry the entire practice on your shoulders.”
• “Scaling is about predictability, not just volume.”

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.

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankenin reveal a powerful yet often-overlooked tool for growing your practice and reclaiming your time — the

Not To-Do List.

You’ll discover:

• Why eliminating certain tasks can be just as important as completing your to-do list
• How to identify low-value, energy-draining activities in your work and home life
• Practical steps for creating your own Not To-Do List
• Real-world examples of how delegating tasks can boost patient volume, revenue, and personal freedom
• How to shift your mindset from “doing it all” to focusing on the highest-value activities only you can perform

Whether you’re a solo practitioner or running a busy, staff-driven practice, this episode will help you optimize your time, leverage your team, and create more space for growth and fulfillment.

🎧 Listen now and start building your own Not To-Do List today!

In this episode, Dr. Vince Leone reveals The Ultimate Decompression Marketing Blueprint — the same strategy that’s helped scale his own clinic to seven figures and empowered clients across the country to consistently hit $100K/month with spinal decompression.

You’ll learn:

• Why most decompression marketing plans fail (and the fixes that work)
• How to reach the 37% of your market that most clinics overlook
• The 6 pillars of a dominant, long-term decompression marketing plan
• Practical systems to generate high-quality leads, build authority, and increase conversions year after year

If you’re ready to stop chasing unqualified leads, avoid the race-to-the-bottom on price, and position yourself as the go-to disc expert in your community — this episode is your roadmap.

Resources & Links:

• Learn more about the Decompression Accelerator: decompressionaccelerator.com

🎧 Listen now and start building your path to $100K/month.

We just dropped a brand-new episode of The Practice Builders Podcast — and if you’ve ever thought about adding shockwave therapy or expanding your practice with a high-profit cash niche, this is one you can’t afford to miss.

In this episode, Dr. Vince Leone sits down with Dr. Kyle Pankonin and Dr. Tony DiCesaro to go behind the scenes on two powerful new initiatives that are helping clinics scale fast — without the insurance grind.

Here’s what you’ll learn:

💥 The Shockwave Sprint: 90-Day Implementation Program • The exact clinical and marketing systems used to generate $46k in just 2 days • What’s included in the program — from protocols to team training • How to position shockwave as a specialist service in your community

Whether you're exploring new cash services or looking to grow an existing one, this episode will give you a proven blueprint for results.

👉 Tune in now and get ahead of the curve.