10 Years of Brutal Chiropractic Marketing Advice — For Chiropractors Who Want Predictable New Patients

Every chiropractor eventually hits the same wall:

Ads stop working, content gets ignored, new patients slow down… and you start blaming the algorithm.
But after a decade of working with practices around the world, the real issues are brutally predictable.
These are the truths nobody tells you — but every chiropractor needs to hear.

1. Sell to problems people pay to solve.

Stop trying to market to everyone.
It’s why your ads fail and your calendar feels random.

In chiropractic, the "successful" are simply the clinics that serve patients with urgent, high-value problems:

Back pain
Sciatica
Headaches
Neck pain
Pins & needles
Loss of function

Solve those first - profitably.

Once you have predictable new patient flow, then you can build your brand content, wellness offers, performance streams, and long-term care.

Trying to “help everyone” from day one kills clinics.
Solve painful problems first. Build the rest later.

2. You don’t need more strategies. You need priorities.

Chiros aren’t short on information.
They’re drowning in it.

The reason your marketing doesn’t work isn’t lack of knowledge - it’s a lack of sequencing.

Build the system in this order:
1️⃣ Foundation - Ads
2️⃣ Reactivation - List
3️⃣ Communication - Content
4️⃣ Expansion - Network/Affiliates
5️⃣ Automation - AI and Tech

Skip a level? Everything breaks.
Follow the order? You get predictable growth.

You don’t need new ideas.
You need the right ideas in the right order.

Find out what level your marketing is stuck in and how to fix it...Complete the 60 second Profit-First Roadmap and we'll show you exactly what systems need to be built next 👇

3. Your marketing feels hard because the people doing it aren't as good as you think.

This includes you.

Your content isn’t strong enough.
Your ads aren’t sharp enough.
Your filming day isn’t consistent enough.
Your nurturing isn’t tight enough.

Most clinics operate at “acceptable,” not “excellent.”

When your creative improves → your results improve.
When your systems improve → your stress drops.
When your standards rise → your team rises with you.

Most NP problems start with weak creative and weak operations.
Fix those first.

4. If you need 50 rules for your team, you hired the wrong people.

Your CA shouldn’t need a checklist to reply to a lead.
Your associate shouldn’t need micromanagement to film 5 ads.
Your front desk shouldn’t need scripts taped to the counter.

Strong team + simple systems beats weak team + complex systems every time.

Hire for:
✓ initiative
✓ ownership
✓ clarity
✓ communication
✓ consistency

If you’re constantly chasing staff, your marketing will never scale.

5. If you want to grow, get better — not bigger.

Chiros think they need:
“More ads.”
“More services.”
“More associates.”
“More content.”

Wrong.

You need:
Better ads. Better systems. Better message. Better nurture.

Quality first → Quantity later.

6. You’re overwhelmed because you won’t let the unimportant stuff burn.

Your inbox is not an emergency.
Your DMs are not an emergency.
Your branding colours are not an emergency.

Filming day is the emergency.
Your Ad Drop is the emergency.
Your NP nurture is the emergency.
Your CRM is the emergency.

Most clinics feel chaotic because they prioritise noise over growth.

Protect the things that move the needle.
Let the rest burn.

7. A brand takes years to build — but it’s the best leverage you’ll ever have.

Content, reputation, trust, and communication lower your CAC over time.

You don’t build a brand to “look cool.”
You build it to make everything cheaper:

Cheaper leads
Cheaper conversions
Cheaper retention
Cheaper referrals

Your brand is a money-printing asset.
And every post, every story, every ad, every email is a brick in that wall.

8. If you don’t know the numbers of your system, you don’t have a system.

CAC
30-Day Cash
LTV
Visits to Break Even
Show-Up Rate
Close Rate
Content cadence
Reactivation cadence
Ad Drop cadence

If you can’t measure it, you can’t grow it.

Know the small levers → crank them hard → grow safely.

Most clinics operate emotionally.
The ones that grow operate mathematically.

Do you know if your marketing is profitable? Take this 60 second survey to get your custom Marketing report to show you exactly where your bottlenecks are and what you need to do to get out of them.

9. Stop hunting hacks. Master the system.

There is no:
“Perfect script”
“Perfect hook”
“Perfect ad”
“Perfect offer”

There is only repetition.

You win by:
→ Dropping 5 new ads every month
→ Posting consistently
→ Running a 10-day nurture
→ Reactivating your list
→ Following the 5 Levels
→ Improving 1% every month

Hacks collapse.
Systems compound.

10. The best people cost more — and are still the cheapest decision you’ll ever make.

The CA who converts leads is worth 10x their salary.
The associate who films clean ads is worth 20x.
The front desk who communicates with certainty saves you thousands in wasted leads.
A good media buyer pays for themselves in a week.

Cheap hires cost you new patients.
Expensive hires make you money.

11. The big, obvious problem is the problem.

You think your issue is:
“Targeting.”
“Seasonality.”
“Algorithm.”
“Competition.”
“Local demand.”

It’s none of those.

It’s always one of these:
→ No clear message
→ No creative variation
→ No Ad Drop cadence
→ No nurture
→ No reactivation
→ No tracking
→ No sequencing
→ No consistency

Solve the big thing first.
Everything else falls into place.

Want help with your New Patient Marketing? Book A Call With Pracdev