🎙 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 patients don't buy decompression visits — they buy the possibility of getting their life back
• How emotional drivers like fear of surgery and loss of identity outweigh clinical findings in patient decision-making
• How to reframe your messaging from pain relief to functional restoration and quality-of-life outcomes
• Why positioning decompression as a non-surgical alternative changes how patients receive your recommendation
• How to use the 50% Rule to set realistic expectations that lead to higher patient satisfaction
• What to focus on during your Report of Findings — and why possibility matters more than diagnosis

This is a must-listen for any decompression doctor who wants stronger conversions, deeper patient relationships, and a communication framework that truly resonates.

🎧 Tune in and learn how to stop selling treatments — and start selling the life your patients are desperate to get back.

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 decompression table, some outside guidance, and the same problem most doctors face… no real traction.

Fast forward to today:

He just hit $112,000 in a single month… including a $30,000 day.

Inside this conversation, we unpack what actually changed:

The shift from generalist to specialist

How his clinical confidence completely transformed his conversions

What it really takes to handle 9 new patients in a single day

Why implementation—not information—is the difference-maker

This isn’t theory. It’s what it looks like when the right systems, skills, and mindset come together.

If you're a chiropractor looking to grow a serious decompression practice, this episode will give you a clear picture of what’s possible—and what it actually takes to get there.

Learn more about the Decompression Accelerator here:

👉 https://www.decompressionaccelerator.com

🎙 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 years of clinical experience and real coaching results, they break down why flat reimbursements, rising overhead, insurance red tape, and volume burnout are quietly crushing practices — and what doctors can do right now to protect their income, their health, and their future.

You'll learn:

• Why insurance reimbursements have barely moved in over two decades while overhead keeps rising
• How chasing volume creates a negative flywheel that burns out doctors and delivers worse patient experiences
• Why relying solely on insurance gives you almost no control over your own revenue
• The power of adding cash-based services — specifically spinal decompression — as your first niche
• How a hybrid model (not going all-cash overnight) is the smartest and safest transition strategy
• Real results: how Dr. Kyle went from $48–50K/month heavily insurance-dependent to pushing $120K/month, mostly cash-based
• Why patients absolutely will pay out of pocket — when you're selling an outcome, not just a service
• Step-by-step action items for doctors who are heavy insurance and want a way out

Dr. Leone and Dr. Pankonin also share honest advice on how to audit your insurance plans, drop the worst offenders, and gradually build a cash-based niche without losing your patient base overnight.

If you're feeling stuck, burnt out, or like you're working harder every year for the same paycheck, this episode will show you there is a better model — and exactly how to start moving toward it.

🎙 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 create subtle pressure that lowers trust, weakens authority, and hurts conversions. Instead, the most successful doctors focus on calm confidence, clear communication, and leading the patient professionally through the decision-making process.

You’ll learn:

• Why desperation and “needing the sale” can repel patients
• How confidence, clarity, and certainty create stronger conversions
• Why your job is to diagnose clearly, explain simply, and recommend the best path forward
• How to handle common objections without taking them personally
• The importance of tracking metrics so one no doesn’t shake your confidence
• Simple pre-ROF rituals to help you show up calm, focused, and in control

Dr. Leone also shares practical strategies for lowering pressure in the room, including better questions to ask, how to reframe objections, and why more lead flow naturally improves conversions.

If you want stronger ROFs, better case acceptance, and a more confident presence with patients, this episode will help you shift from chasing outcomes to mastering the process.

Early Bird Registration Is Now Live The wait is over. Early Bird registration for the Decompression Summit Certification 2026 is officially open.

Join us for one of the premier events in spinal decompression to sharpen your clinical skills, grow your practice, and connect with doctors who refuse to stay average. Humanity does love gathering in ballrooms to become better versions of itself.

Secure your spot here: https://hilldtsolutions.regfox.com/specialized-practice-decompression-summit-certification-2026

🎙 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 doctors at every level grow and master spinal decompression.

They break down what makes this summit different, from advanced clinical training and cutting-edge research to real-world marketing strategies and staff-driven systems.

You’ll learn:

• Why decompression success requires more than just having the right equipment
• How the summit is structured to support both new and experienced doctors
• The role of clinical confidence, patient selection, and structured systems in driving results
• What to expect from key sessions, including advanced case recognition and imaging application
• How a focused marketing funnel can generate high-quality, pre-qualified patients
• Practical ways to leverage AI tools inside your practice

Dr. Pankonin also shares insights on commonly overlooked conditions like thoracic disc herniations and pelvic-related dysfunctions—helping doctors uncover new opportunities to help patients.

If you’re looking to grow your decompression services with more confidence, better systems, and higher-quality patients, this episode gives you a clear look at what’s possible.

🎙 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?”

They explain that success with decompression does not come from owning the equipment alone. It comes from building the right system around it, including clinical confidence, patient selection, structured exams, a strong report of findings, and a proven treatment protocol.

You’ll learn:

• Why buying a decompression table without a complete system is a major mistake

• How weak clinical confidence hurts conversions and patient trust

• Why world-class exams are essential for identifying the true pain generator and positioning yourself as the expert

• The problem with treating on day one before fully evaluating the patient and ruling out contraindications

• How a structured Report of Findings creates clarity, certainty, and confidence for the patient

• Why poor patient selection and unrealistic expectations can sabotage outcomes

Dr. Leone and Dr. Pankonin also emphasize that spinal decompression patients are often comparing your recommendations against surgeons, physical therapists, other chiropractors, and countless online solutions. That means doctors must elevate their expertise, systems, and communication if they want to stand out and consistently grow.

If you already have a decompression table, or you’re considering adding one, this episode will help you identify the bottlenecks that may be holding your practice back and show you where to focus next.

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 Chattanooga, DOC Table, Hill DT, AccuSpina, and DRX9000 — explaining their approximate price points, functionality, and key pros and cons so doctors can make an informed decision.

You’ll learn:

• The major decompression tables available and their general price ranges • Key differences between cable-based and actuator-based systems • When entry-level tables make sense vs. investing in premium equipment • Why clinic space, workflow, and growth plans should influence your decision • The most important takeaway: the doctor’s expertise matters far more than the table itself

Dr. Leone also emphasizes that success with decompression comes from mastering disc diagnosis, world-class exams, treatment protocols, and patient communication, not just purchasing equipment.

If you’re considering adding spinal decompression — or upgrading your current table — this episode provides a practical overview to help you choose the right system for your clinic.

🎙 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 decompression niche.

Dr. Leone explains why decompression has been too inconsistent across the profession (random visit counts, inconsistent protocols, dabbling). The goal is to professionalize decompression using proven systems, market research, and published evidence so clinics can deliver consistent outcomes and stand out as specialists.

You’ll learn:

• Why decompression adoption is growing ~4% per year and why competition is coming
• The real differentiator isn’t owning a table, it’s mastery: world-class exam, protocols, and trained staff execution
• Why patient demand is massive (surgery volume + patients actively seeking non-surgical options)
• Pricing benchmarks (most clinics land around $3K–$7K, commonly $4.5K–$5K) and why just 3–10 starts/month can be practice-changing
• Why marketing must be diversified (multiple “buckets,” not one fragile channel)

A key clinical insight: research suggests lower-force decompression can perform as well or better than heavy pull in some cases.

Give it a listen — and start thinking like a specialist, not just a table owner.