The Practice Builders
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.
- Indexed episodes, last 90 days
- 7
- Latest publication
- Aug 31, 2026
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- Checking…
- Earliest in this view
- Jul 14, 2026
Latest episodes
62. 10 Common Decompression Mistakes (opens the original)
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🎙 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 force than necessary, many of these issues come down to the same thing: matching the recommendation to the actual patient in front of you. History, exam findings, imaging, neurological status, inflammatio
61. Stop Selling Technology, Start Selling a Future (opens the original)
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🎙 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 doctors naturally want to explain the science, the equipment, and the procedure. But patients are usually thinking about something much more personal: getting back on the golf course, traveling with their
60. Creating a Remarkable First Visit (opens the original)
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🎙 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 parking lot. The way your office looks, sounds, smells, and feels can either reinforce confidence or quietly work against you. Vince breaks down a simple Weekend First Impression Audit to help you identify
59. Do You Need That MRI? (opens the original)
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🎙 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 practice. Most doctors fall into one of two traps: never ordering imaging, or ordering an MRI for every patient. Neither is right. The real question isn't whether a scan looks impressive — it's whether it wi
58. Specialists Win: Why the Future of Chiropractic Belongs to Specialists (opens the original)
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🎙 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 of two traps: chasing every high-value cash service, or staying stuck as a generalist competing on insurance and price. Neither builds a lasting practice. The real question isn't how many modalities you of
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