PODCAST · business
The Practice Builders
by Dr. Vince Leone and Dr. Kyle Pankonin
Welcome to the Practice Builders podcast, the show where innovation meets strategy for growing thriving chiropractic clinics presented by Specialized Practice and hosted by Dr. Vince Leone and Dr. Kyle Pankonin. They're here to share proven tactics to help you build cash-based revenue streams, maximize staff driven services, and reduce reliance on insurance.
Episodes
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66. Practice From Abundance: Part 2
🎙 Episode 66 – Practice From Abundance: Part 2 In this episode of The Practice Builders Podcast, Dr. Vince Leone takes listeners back inside a private Specialized Practice micro-training for Practice From Abundance: Part 2, moving beyond mindset and into the tactical actions that create more...
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65. Practice From Abundance: Part 1
🎙 Episode 65 – Practice From Abundance In this episode of The Practice Builders Podcast, Dr. Vince Leone gives listeners a behind-the-scenes look at a private Specialized Practice micro-training called Practice From Abundance, focused on recognizing when scarcity thinking begins influencing the...
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64. Clinical Pearls That Will Make You a Better Decompression Doctor
🎙 Episode 64 – Clinical Pearls That Will Make You a Better Decompression Doctor In this episode of The Practice Builders Podcast, Dr. Kyle Pankonin breaks down several clinical pearls that can help decompression doctors improve case selection, interpret MRI findings more accurately, and set…
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63. Why Every Decompression Doctor Needs to Know the Research
🎙 Episode 63 – Why Every Decompression Doctor Needs to Know the Research In this episode of The Practice Builders Podcast, Dr. Kyle Pankonin makes the case for why decompression doctors need to master the research behind their treatment, not just the marketing claims that surround it. Marketing...
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62. 10 Common Decompression Mistakes
🎙 Episode 62 – 10 Common Decompression Mistakes In this episode of The Practice Builders Podcast, Dr. Kyle Pankonin breaks down 10 common decompression mistakes that can hurt patient selection, clinical outcomes, and case acceptance. From relying too heavily on MRI findings to pulling with more...
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61. Stop Selling Technology, Start Selling a Future
🎙 Episode 61 – Stop Selling Technology, Start Selling a Future In this episode of The Practice Builders Podcast, Dr. Kyle Pankonin breaks down why patients don’t really buy decompression, laser, shockwave, or any other technology. They buy the future those tools can help them get back to. Most...
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60. Creating a Remarkable First Visit
🎙 Episode 60 – Creating a Remarkable First Visit In this episode of The Practice Builders Podcast, Dr. Vince Leone shares a micro-training on how to create a first visit that builds trust before the patient ever meets the doctor. Patients are forming opinions from the moment they pull into the...
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59. Do You Need That MRI?
🎙 Episode 59 – Should Every Patient Get an MRI and How Imaging Decisions Affect Diagnosis Case Acceptance and Treatment Outcomes In this episode of The Practice Builders Podcast, Dr. Kyle Pankonin breaks down a nuanced framework for deciding when an MRI actually belongs in your decompression...
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58. Specialists Win: Why the Future of Chiropractic Belongs to Specialists
🎙 Episode 58 – Specialists Win: Why the Future of Chiropractic Belongs to Specialists In this episode of The Practice Builders Podcast, Dr. Vince Leone breaks down a nuanced framework for deciding when every patient really needs an MRI in your decompression practice. Most doctors fall into one…
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57. Building A Three Therapy Center
🎙 Episode 57 – Building A Three Therapy Center In this episode of The Practice Builders Podcast, Dr. Kyle Pankonin breaks down how to combine spinal decompression, Class 4 laser, and shockwave therapy into a system that drives better outcomes and doubles your cash-based revenue — and why using...
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56. Decompression Case Review
🎙 Episode 56 – Decompression Case Review In this episode of The Practice Builders Podcast, Dr. Kyle Pankonin breaks down two real decompression cases that show why this therapy belongs at the center of a modern chiropractic practice — and how to frame it so patients choose it over pills, shots,...
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55. I Need To Think About It
🎙 Episode 55 – I Need To Think About It In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin tackle the four words every decompression doc dreads at the end of a strong ROF: "I need to think about it." It's rarely a real maybe — it's a soft no from a patient…
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54. Red Flags That Tell You a Patient Is Not a Good Candidate for Spinal Decompression
🎙 Episode 54 – Red Flags That Tell You a Patient Is Not a Good Candidate for Spinal Decompression In this episode of The Practice Builders Podcast, Dr. Pankonin breaks down six major red flags doctors should watch for when selecting spinal decompression patients. Successful decompression starts...
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53. How To Explain Disc Injuries So Patients Actually Understand
🎙 Episode 53 – How To Explain Disc Injuries So Patients Actually Understand In this episode of The Practice Builders Podcast, Dr. Kyle Pankonin tackles the real reason patients walk away from disc treatment — and it's not cost or fear. It's confusion. When you bury a diagnosis under terms like...
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52. How to Choose Patients for Decompression
🎙 Episode 52 – How to Choose Patients for Decompression In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin break down how to identify the spine pain patients most likely to accept care, comply with treatment, and get the best outcomes — so you stop offering…
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51. The Decompression Flywheel
🎙 Episode 51 – The Decompression Flywheel In this episode of The Practice Builders Podcast, Dr. Vince Leone breaks down the Decompression Flywheel — an 8-stage framework that helps chiropractors stop guessing, find the real bottleneck in their decompression growth, and fix it fast. You'll learn:...
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50. Million Dollar Practice Habits
🎙 Episode 50 – Million Dollar Practice Habits In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin break down the 7 non-negotiable habits that separate million dollar chiropractic practices from the rest — and how any doctor can start building them today.…
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49. Why Decompression Patients Buy Outcomes, Not Visits
🎙 Episode 49 – Why Decompression Patients Buy Outcomes, Not Visits In this solo episode of The Practice Builders Podcast, Dr. Kyle Pankonin reveals one of the most powerful shifts a decompression practice can make — moving from selling visits to selling life-changing outcomes. You'll learn: Why...
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48. Analysis of a $30,000 Day with Spinal Decompression
What does it actually take to go from a $30K/month, insurance-heavy practice… to $112K in a single month? In this episode of The Practice Builders Podcast, Dr. Vince sits down with Dr. Vini Cornejo to break down the real story behind his growth. Two years ago, Dr. Vini was stuck. He had a...
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47. Why Insurance-Only Practices are Dying (and what to do about it)
🎙 Episode 47 – Why Insurance-Only Chiropractic Practices Are Dying In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin tackled one of the most urgent threats facing chiropractors today: the slow death of the insurance-only practice model. Drawing from over 26...
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46. Releasing the Yes in the ROF
🎙 Episode 46 – Releasing the Yes in the ROF In this episode of The Practice Builders Podcast, Dr. Vince Leone breaks down one of the most overlooked factors in case acceptance: the mindset you bring into the Report of Findings. He explains how emotional attachment to a patient saying “yes” can...
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45. Preview of the Decompression Summit Certification: The Future of Spinal Decompression
🎙 Episode 45 – Preview of the Decompression Summit Certification: The Future of Spinal Decompression In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin gave a behind-the-scenes preview of the 2026 Decompression Summit Certification—an event designed to help...
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44. Why Most Doctors Struggle Growing Decompression
🎙 Episode 44 – Why Most Doctors Struggle Growing Decompression In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin break down one of the biggest frustrations doctors face after buying a decompression table: “Why isn’t this growing the way I thought it would?”...
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43. A Review of Spinal Decompression Tables
In this solo episode of The Practice Builders Podcast, Dr. Vince Leone breaks down one of the most common questions chiropractors ask when entering the decompression space: “Which decompression table should I buy?” Dr. Leone reviews several of the most common systems on the market — including...
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41. How to Optimize Your Ads with Simplicity AI
In this episode of The Practice Builders Podcast, Dr. Vince Leone interviews Dr. Bao Thai, founder of Simplicity AI and former seven-figure neuropathy clinic owner, about one of the biggest hidden profit leaks in modern practices: poor lead management. After building and scaling large cash-based...
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42. Spinal Decompression Report Review - Part 1
🎙 Episode 42 – Spinal Decompression Report Review - Part 1 In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin introduces the State of Spinal Decompression 2026 Report: benchmarks, insights, and predictions for chiropractors who want to build a real...
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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...
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39. How To Add Knee Pain Niche
🎙 Episode 39 – How To Add Knee Pain Niche In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin break down why chronic knee pain is one of the most overlooked and profitable niches chiropractors can add once spinal decompression is dialed in. They unpack the…
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38. Protecting the Thoroughbred
🎙 Episode 38 – Protecting the Thoroughbred In this episode of The Practice Builders Podcast, Dr. Vince Leone pulls back the curtain on a members-only micro training designed to help doctors build a practice that grows without burning them out. Using the “thoroughbred” analogy, he explains why…
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37. Marketing From Inside the Trenches
🎙 Episode 37 – Marketing From Inside the Trenches In this episode of The Practice Builders Podcast, Dr. Kyle Pankonin breaks down a proven, multi-channel marketing strategy for chiropractors who want consistent patient flow without relying on one platform or trend. This episode addresses a…
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36. Let's Play Ball - Singles, Doubles, Homeruns, and Grand Slams
🎙 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...
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35. Process Over Results
🎙 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...
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34. Future of Spinal Decompression (Part 2)
🎙 Episode 34 – Future of Spinal Decompression (Part 2) 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…
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33. Future of Spinal Decompression (Part 1)
🎙 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...
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32. How to Start a Podcast
🎙 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...
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31. The Anatomy of a Seven-Figure Practice with Dr. Doug DeSalvo
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...
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30. The Official Decompression Summit Recap!
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...
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29. How To Overcome Objections in the ROF
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...
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28. How To Hit 100K Per Month In Practice
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...
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27. The Prognosis Playbook: Under Promise and Over Deliver
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…
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19. Dr. Josiah Fitzsimmons' Interview
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...
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26. How to Acquire Chiropractic Practices with Dr. Matt Houchin
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...
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25. How to Optimize Your Consultation for Less Stress and More Enrollments
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…
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24. How to Optimize Your Time with Creating Your Not to Do List
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...
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23. $100K Months - The Ultimate Decompression Marketing Blueprint
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...
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22. The Shockwave Sprint: Fast Tracking Pain Relief with Dr. Tony DiCesaro
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…
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21. Decompression Summit Certification 2025 Preview
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...
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20. Pre-Framing The Close 4 Questions To Ask Before Talking Finances
📅 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...
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18. How to Hire an Associate
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…
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17. Scaling Smart: When to Add Staff, Systems & Technology
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...
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ABOUT THIS SHOW
Welcome to the Practice Builders podcast, the show where innovation meets strategy for growing thriving chiropractic clinics presented by Specialized Practice and hosted by Dr. Vince Leone and Dr. Kyle Pankonin. They're here to share proven tactics to help you build cash-based revenue streams, maximize staff driven services, and reduce reliance on insurance.
HOSTED BY
Dr. Vince Leone and Dr. Kyle Pankonin
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Frequently Asked Questions
How many episodes does The Practice Builders have?
The Practice Builders currently has 66 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.
What is The Practice Builders about?
Welcome to the Practice Builders podcast, the show where innovation meets strategy for growing thriving chiropractic clinics presented by Specialized Practice and hosted by Dr. Vince Leone and Dr. Kyle Pankonin. They're here to share proven tactics to help you build cash-based revenue streams,...
How often does The Practice Builders release new episodes?
The Practice Builders has 66 episodes. Check the episode list to see recent publication dates and frequency.
Where can I listen to The Practice Builders?
You can listen to The Practice Builders on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.
Who hosts The Practice Builders?
The Practice Builders is created and hosted by Dr. Vince Leone and Dr. Kyle Pankonin.
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