🎙 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!

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.

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.