The Practice Builders

🎙 Episode Title: The Shockwave Sprint & Joint Pain Express: A New Era in Pain Care

In This Episode: We’re pulling back the curtain on two exciting new ventures in the world of cash-based pain care — the Shockwave Sprint and the Joint Pain Express franchise model.

Join Dr. Vince Leone, Dr. Kyle Pankonin, and Dr. Tony DiCesaro as they break down:

✅ The Shockwave Sprint — a 90-day, high-impact program teaching doctors how to implement shockwave therapy clinically and profitably. Learn how one client generated $46k in just two days with this system.

✅ The Joint Pain Express Franchise Model — a scalable, turnkey joint pain business with a $25k licensing fee, 50/50 revenue split, and projected $40k/month per clinic.

✅ Equipment Decisions — comparing StemWave vs. OmniWave for performance, patient experience, and portability.

✅ Marketing & Sales Playbook — from internal launch events to leveraging year-end Section 179 tax deductions for big equipment purchases.

✅ The Vision — targeting 30+ clinics by the end of 2026 and creating a national network of joint pain specialists.

If you’ve ever wondered how to combine clinical excellence with franchise-level scalability, this episode lays out the blueprint.

🎧 Listen now and see how you can get in on the ground floor of this game-changing movement.

🎙 Episode Title: The Shockwave Sprint & Joint Pain Express: A New Era in Pain Care

In This Episode: We’re pulling back the curtain on two exciting new ventures in the world of cash-based pain care — the Shockwave Sprint and the Joint Pain Express franchise model.

Join Dr. Vince Leone, Dr. Kyle Pankonin, and Dr. Tony DiCesaro as they break down:

✅ The Shockwave Sprint — a 90-day, high-impact program teaching doctors how to implement shockwave therapy clinically and profitably. Learn how one client generated $46k in just two days with this system.

✅ The Joint Pain Express Franchise Model — a scalable, turnkey joint pain business with a $25k licensing fee, 50/50 revenue split, and projected $40k/month per clinic.

✅ Equipment Decisions — comparing StemWave vs. OmniWave for performance, patient experience, and portability.

✅ Marketing & Sales Playbook — from internal launch events to leveraging year-end Section 179 tax deductions for big equipment purchases.

✅ The Vision — targeting 30+ clinics by the end of 2026 and creating a national network of joint pain specialists.

If you’ve ever wondered how to combine clinical excellence with franchise-level scalability, this episode lays out the blueprint.

🎧 Listen now and see how you can get in on the ground floor of this game-changing movement.

In this episode, we’re giving you a behind-the-scenes preview of the 2025 Decompression Summit Certification, the most anticipated event of the year for growth-minded chiropractors focused on growing Spinal Decompression.

Join Dr. Vince, Dr. Kyle and Dr. Tim Burkhart as they break down:

• Why decompression is the #1 cash niche to scale in 2025
• The exact clinical and marketing systems being taught at the Summit
• New additions this year: breakout sessions, advanced protocols, and real-time implementation tools
• How the certification will position you as the go-to disc specialist in your area
• What to expect from the 3-day immersive experience — including hands-on training, staff workshops, and strategic growth plans

Whether you’re just getting started with decompression or looking to scale it to 6-figures and beyond, this episode will show you why this Summit is a must-attend event.

🎟 Secure your spot now → 👉 https://hilldtsolutions.regfox.com/specialized-practice-decompression-summit-certification-2025

📅 Episode Summary:

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin dive into a powerful strategy that can dramatically improve your patient conversion rates: pre-framing the close. Before ever discussing money, there are four critical questions every chiropractor should ask during the report of findings.

These questions are designed to eliminate common objections before they come up — like time, spouse approval, readiness, or overall fit. This episode walks you through how and when to ask these questions, why they matter, and how they help create a smoother path to patient commitment.

🎯 What You’ll Learn:

• Why financial objections aren't always about money
• The “Four Horsemen” questions that defuse resistance in advance
• How to create buy-in around time, support, and urgency
• Simple language and timing tips to insert these seamlessly into your ROF
• How this pre-frame strategy creates clarity, commitment, and conversions

🛠 The Four Questions Covered:

1. Does this seem like a good fit for you so far?
2. Are you able to make this type of schedule work?
3. Do you have the support of your spouse or anyone else involved in your decision-making?
4. If everything makes sense, when would you want to get started?

📌 Perfect For: Chiropractors looking to streamline their ROF, reduce objections, and increase starts on high-ticket care plans — especially for decompression and other advanced cash-based services.

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.”

Hiring an associate can either be one of the best growth decisions you make—or a costly mistake. In this episode, Dr. Vince Leone and Dr. Kyle Pankonin break down the when, why, and how behind bringing on an associate. From practice structure and revenue benchmarks to onboarding, expectations, and red flags, this episode gives you the playbook for hiring smart.

What You’ll Learn:

• When your practice is truly ready for an associate (hint: it's not just about being "busy")
• The ideal team structure to have in place before hiring
• Key metrics to evaluate (volume, collections, conversion rates)
• Red flags to avoid when interviewing candidates
• How to structure compensation to protect your margins and incentivize performance
• Why most associate hires fail—and how to set yours up for long-term success

Perfect For:

• Chiropractors nearing capacity and feeling overworked
• Owners looking to scale operations and free up clinical hours
• Practices that have hired in the past but struggled with retention or results

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin dive into one of the most common (and costly) pitfalls growing practices face—scaling too fast or too sloppy. If you’ve ever wondered “Should I hire another CA?”, “When should I invest in better software?”, or “How do I get out of the day-to-day chaos?”—this one’s for you.

Inside This Episode:

• The 3 warning signs you're overdue for new systems or staff
• Why throwing bodies at problems is NOT the solution
• How to scale profitably with lean, efficient teams
• When to bring on an operations manager vs. a virtual assistant
• The “traffic light framework” for making smart scaling decisions
• Tools and tech that actually save you time (and which ones to avoid)
• Real-world lessons from practices that scaled too early—or too late

Whether you're at $30k/month or pushing $100k/month, this episode will help you grow with intention—not just add overhead.

Resources Mentioned:

• Team Org Chart Template (Download)
• SOP Starter Kit
• Our Hiring Funnel Walkthrough (free video)

📌 Connect With Us

• Website: specializedpractice.net
• Facebook Group: Specialized Practice Inner Circle
• Instagram: @drvinceleone

In this episode of the Practice Builders podcast, we share our top book recommendations for personal and professional growth. Between the two of us, we highlight seven impactful books that have shaped our thinking around clinical mastery, business development, and mindset.

We dive into why we often prefer older, time-tested books—written by people who’ve lived what they teach—over many modern titles that feel more like sales funnels. Our conversation emphasizes the importance of lifelong learning and staying growth-minded, both for delivering better care and building a thriving, sustainable practice.

We hope you find value in these recommendations and invite you to share the episode with a colleague who's equally committed to growth and excellence.

To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/

To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation

You know the saying, "don't judge a book by its cover?" Well, in healthcare, first impressions really do matter. We're diving into the research and sharing practical strategies for enhancing your doctor's attire, staff presentation, and overall clinic environment.

Hey everyone, welcome back to Practice Builders! We're Dr. Vince Leone and Dr. Kyle Pankonin, and today we're tackling a topic that might surprise you: the impact of appearance on your practice.

Tune in to discover how simple changes can boost patient confidence, increase conversions, and elevate your practice to the next level!

To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/

To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation

Want more high quality patients who have the problem, the desire and the means to invest in your protocols?

If so, you'll love today's episode!

We are excited to share a super important topic with you today: how to attract high-quality patients who are pre-educated, pre-motivated, and ready to invest in their health.

We're going to break down a three-part process that will help you create a more successful and fulfilling practice. We'll cover how to use education-based marketing to build trust and confidence in your patients, and how to create a powerful patient packet that reinforces the information and builds trust.

Ready to learn how to attract the right patients and stop wasting time with tire kickers? Check out the full episode!

To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/

To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation