Dr. Vince LeoneOwner, Consultant, Specialized Practice · Owner, Consultant at Specialized Practice

Doctors: Equipment vs. Expertise! See My Spine Treatment Success

1 Aug 2025 · 2 min

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1:34

In this segment of Dr. Vince Leone’s YouTube video, Dr. Leone cautions that merely purchasing advanced equipment—such as a spinal decompression table, laser, or shockwave device—does not automatically confer expertise in treating spinal conditions. He argues that true competence comes from systematic practice and outcome measurement, not just ownership of technology. A second speaker, who began offering decompression therapy, describes how he instituted a rigorous data‑tracking system using an Excel spreadsheet. For each patient he recorded baseline pain scores, low‑back disability index, the specific protocol used, and then calculated percent improvement after treatment. He has maintained this tracking annually, consistently reporting success rates ranging from a low of 82 % to a high of 94 % for his decompression cases. The dialogue underscores the importance of evidence‑based practice and continuous outcome monitoring over reliance on equipment alone.

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But here's the thing. Doctors buy a decompression table or a laser or a shockwave, and they assume in some cases that that makes them an expert in that niche or that, you know, condition, etcetera.
Well, the first year that I started decompression, it was one of those things when I added to my practice, I was like, well, okay, I have the table. We developed this protocol. But, you know, you don't know. You, you know, you hear about other doctors around the country that are doing well, but I, I needed to know for myself. So what I did my first year of doing decompression is I literally kept an Excel spreadsheet, put their name on it, put their start pain, their start low back disability index, the protocol that I use maybe on their laser, whatever. And I tracked all their percent improvement. So I did their beginning pain, their outcome assessment, And percent improvement, and then that when I got to the end, then I would do their ending pain, their ending index, and overall percent improvement. And I did that for every decompression case I had in my first year. And I figured I did it the first year. I might as well just keep on doing it. So I've done it every year since then. And what we have consistently found. I think the lowest year I ever had was 82% success rate, and the highest year I ever had was a 94% success rate.