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In this concise instructional video, Dr. Vince Leone addresses doctors who want to add a high‑ticket niche to their practice but are unsure which one to select. He proposes a three‑factor decision framework—space, pace, and budget. 'Space' refers to the physical area available; larger spaces can accommodate equipment‑intensive niches like decompression tables, while smaller spaces suit knee pain, plantar, or neuropathy treatments. 'Pace' concerns the practice’s operational tempo: older, slower‑moving practices align well with neuropathy, whereas newer, faster‑paced clinics can handle decompression, knee pain, and plantar services. 'Budget' examines the financial outlay required for equipment and multiple therapies; decompression needs only a table (lower budget), while knee and neuropathy involve multiple therapeutic tools (higher budget). By evaluating these three dimensions, clinicians can strategically choose a high‑ticket niche that fits their practice’s physical, operational, and financial context.

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