40. When To Add A Second Decompression Table or Laser

🎙 Episode 40 – When To Add A Second Decompression Table or Laser In this episode of The Practice Builders Podcast, Dr. Kyle Pankonin lays out a clear, practical framework for one of the biggest decisions growing clinics face: When is it actually time to buy another decompression table, laser, or piece of tech? Most chiropractors assume their next leap comes from buying more equipment. But in reality, Dr. Pankonin argues that the real problem in most clinics isn’t capacity… its utilization. This conversation is a short but high-impact breakdown of how to scale intelligently, avoid shiny-object purchases, and expand only when the demand is real. You’ll learn: Why most clinics have a utilization problem, not an equipment problem The 70–80% rule: the real threshold that signals it’s time to expand How to spot true bottlenecks like waitlists, peak-hour overbooking, and scheduling pressure Why buying more machines too early won’t fix lack of confidence, protocols, or marketing A real example of a doctor ready to sell a $60k laser… when the issue wasn’t the laser at all Why laser therapy is often the first and smartest expansion (before decompression) How robotic laser systems allow staff delegation, reduced doctor strain, and faster ROI The difference between scalable therapies (laser) vs selective therapies (decompression) Key business considerations: staffing, space, financial readiness, and timing When NOT to add equipment: boredom purchases, marketing gaps, staff burnout, and underused assets The exact next steps doctors should take to track utilization and make the right call If you’re debating a second laser, another decompression unit, or the next big investment in your clinic, this episode gives you the clarity to expand with confidence, not impulse. 🎧 Tune in to learn the smartest growth path: optimize first, scale second, and build capacity only when demand forces your hand.