The Practice Builders

🎙 Episode 44 – Why Most Doctors Struggle Growing DecompressionIn 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 outcomesDr. 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 itselfDr. 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.

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 clinics with massive overhead and staff stress, Dr. Thai shares how he turned to AI to eliminate bottlenecks, reduce chaos, and dramatically improve speed-to-lead — without hiring more people.You’ll learn:Why speed-to-lead is the #1 reason practices waste marketing dollarsHow missed calls after 5pm silently cost you tens of thousands per monthThe real problem with relying on staff to manually follow up with every leadHow AI can answer calls, qualify prospects, book appointments, and send nurture content automaticallyWhy tracking lead response and follow-up data is critical for real growthA case study where better systems — not more ad spend — generated an extra $80,000 in one monthIf you’re running ads for decompression, neuropathy, or any high-value service and suspect leads are slipping through the cracks, this episode will open your eyes.🎧 Tune in to learn how better systems, smarter automation, and consistent follow-up can help you squeeze more revenue and profit out of the marketing you’re already paying for — while making practice enjoyable again.