🎙 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.

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 dollars
• How missed calls after 5pm silently cost you tens of thousands per month
• The real problem with relying on staff to manually follow up with every lead
• How AI can answer calls, qualify prospects, book appointments, and send nurture content automatically
• Why tracking lead response and follow-up data is critical for real growth
• A case study where better systems — not more ad spend — generated an extra $80,000 in one month

If 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.

🎙 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.