In this video Dr. Vince Leone warns chiropractors and spinal decompression practitioners against the common mistake of purchasing a decompression table without first establishing a comprehensive system. He argues that equipment alone does not produce patient outcomes; a successful practice requires a trained staff, a time‑tested, evidence‑based protocol, and an appropriate treatment dose. Leone critiques the industry habit of offering only six visits, citing research (including Dr. Kyle’s findings) that shows a minimum of twenty visits is needed for a patient to reach maximum medical improvement, with the most significant changes occurring between weeks three and seven. He emphasizes that when the protocol, staff, and dosing are correctly aligned, both clinical results and financial returns improve, whereas a haphazard approach leads to failure.
Mistake number 1, buying a table without a system. Okay, so again, equipment does not equal outcomes. And, you know, a lot of doctors, they'll buy a table and then they'll hire a marketing agency to try to drive in new patients. Big mistake, right? Gotta layer in the system before, um, uh, before you start the marketing, right? That's, that's going the cart before the horse type of thing.
You have to have the right staff in place. You have to have the staff trained before you start really Processing quite a few of these patients, you have to have a very specific time-tested protocol that you build around the table because decompression is not just a table. It's a program. It's a, it's a protocol, and each part of the protocol works synergistically together to produce the best possible outcome. Or result for that patient. So you just, you just don't buy a table and say, oh, I'm just gonna start haphazardly having a few people do some, you know, 3 or 4 decompression visits. That's, that's a recipe for failure. It's just, it's just not gonna work that way. And so you have to have that protocol built in and understand the ins and outs of it, and then be able to effectively communicate. What that is to the patient. When you have that in place and you have a time-tested and proven protocol, the results will come, and then so will the, the fruit of that, the, the finances and things like that that you're looking for.
Yeah, well said. And there, there is one group, and I'm obviously I'm not going to name them, but it really frustrates me. It's one of, one of my irks is they do this, well, just try 6 visits and see how it goes. And then, you know, you kind of go 6 more and 6 more. It's like, that's terrible. I'm just going to say it. The research is clear, right? I mean, if you just do 20 visits is the minimum effective dose to get a patient to MMI. So why in the world would you be recommending you starting a patient at 6 visits? Because the vast majority of them are not going to get better in 6 visits. They may have a little bit of change. But if you're, if you're expecting to get significant change in 6 visits, you're mistaken. Dr. Kyle has already shown the research where most significant changes happen between week 3 and 7. So, uh, you know, that's where I, I don't like— in some, you know, in, in our industry, it's a little loosey-goosey, right? It's like, hey, you know, you ask your buddy, well, what are you doing? And, you know, it's like, that's no way to run high-level healthcare, right? It needs to be run based on research and proven outcomes, um, protocols that work.
