Every chiropractor feels it, Facebook ads are harder than they used to be.

CPMs are up nearly 400% since 2018

Your audience is numb.
Your ads work… until they don’t.
And what used to cost you $10–$20 is now $40–$70+ without warning.

But here’s the uncomfortable truth no one wants to say out loud:

Advertising costs have risen 4x… but chiropractors’ advertising skill has not.

That gap, the widening distance between platform sophistication and clinic capability,
is why so many practices feel like they’re “good clinicians stuck in a bad marketing system.”

It’s not your fault.
But it is your problem.

This blog breaks down the exact system we use to generate 2,000+ New Patient leads every single month for chiropractic clinics.

If you want predictable growth, start here.

Step 1: Understand the New Enemy — Meta Andromeda

Before you blame the algorithm, you need to understand what happened to the algorithm.

Meta quietly released Andromeda, their new machine-learning retrieval engine —
the thing that decides which ads even get a chance to be shown.

The headlines sounded like a sci-fi movie:

• New hardware

• New AI architecture

• 10,000x model complexity

• Faster retrieval

• Hyper-personalised selection

But here’s the practical translation for you, the chiropractor buying ads:

✔️ Andromeda doesn’t care about your “perfect targeting.”

Age, gender, interests, all your old habits?
They matter less than ever.

✔️ Creative now is targeting.

Meta learns who responds to what.
Your angles matter more than your audience settings.

✔️ Variation wins. Not volume - variation.

Different hooks, different messages, different personas, Different content types.

And here’s the kicker:

Andromeda exists because advertisers now produce more ad variations than ever…
but chiropractors are still producing the exact same three ads from five years ago.

"Do you have back pain, neck pain & sciatica"....🥱

Or some Canva Overlay like this...(Literally a Canva Template - And you paying Agencies for this...) 👇

This is the real reason your ads are expensive.

Read more about Meta's Andromeda Here

Step 2: Accept That Your CPM Problem Is Actually a Creative Problem

Yes, CPMs (What you pay to get eyeballs on your ads) have gone up - way up.

But CPM inflation affects everyone.

So why do gyms, dentists, derms, real estate agents, and e-com brands still scale profitably?

Because they adapted.

Chiro's didn’t.

Here’s what most clinics are still doing:

• Running the same single adjusting compilation video

• Filming on an iPhone with no structure

• Talking about themselves instead of the patient

• Posting generic “back pain? call now” scripts

• Using white-label ads downloaded from a coaching group

• Repeating the same angle every month

Meta is not punishing chiropractors.
Chiropractors are punishing themselves by refusing to evolve.

If you only give Meta one creative angle, it can only show one angle.
If you give it ten?

So what are we doing at Pracdev?

Our clients run ads like these.

Dr. Gabe - Tassell Chiropractic

Dr. Kareem Malek - Burwood Wellness Chiropractic

Dr. Ed - North Fremantle Chiropractic

Dr. Hayes - Back For The Future Chiropractic

Curated. Distilled. Templated.

Meta will find ten different pockets of people who respond to each message.

Your CPM rises when your creative options fall.

You don’t need to become an influencer.
You don’t need to post 5 times per day.

But you do need a system that produces new creative consistently.

Which brings us to…

Step 3: The Ad Drop - The Only Reason We Can Scale to 2,000+ Leads Monthly

Most clinics fail because they rely on random effort, not repeatable systems.

Your calendar gets busy → filming stops
You’re stressed → creative drops
You feel awkward on camera → you delay
Then one morning your leads die and you start from zero again.

This is how most clinics operate.
This is why most clinics stay stuck.

The solution isn’t “try harder.”

The solution is The Ad Drop — a monthly creative production system where 5 new high-performing chiropractic ads are scripted, filmed, edited, and deployed… every 30 days.

This is how we consistently generate 2,000+ leads per month for clinics:

✔️ 1 Day Per Month

You film everything on one day so life never gets in the way.

✔️ 5 Completely Different Angles

Pain-based. Story-based. Demonstration. Adjustment. POV. Education.

✔️ Built for Andromeda

Creative diversity → better matching → better performance → lower CPM.

✔️ Month After Month After Month

Predictable creative → predictable leads.

No clinic can scale without this.
Not anymore.

...And ignoring it is ignoring Meta, not Pracdev. We're just the messenger.

Step 4: The 5-Level Profit-First Marketing System

Even with the Ad Drop, you still need structure.

Ads alone don't do all of the heavy lifting. They get people to click, but getting people to book is the job of the backend system...That's where the 5 Level Profit-First Marketing Roadmap comes in.

Here's the correct order that you need to build — full breakdown linked at the end.:

LEVEL 1 — FOUNDATION

Build the engine that turns strangers into booked consults.
This is your message, your ads, your booking system, your Ad Drops, your nurture, your CRM.
If this level is weak, nothing else matters.

LEVEL 2 — REACTIVATION

Turn your dead list into predictable revenue.
Email, SMS win-backs, dormant patient campaigns, monthly reactivations — this is steadiness.

LEVEL 3 — COMMUNICATION

Build trust, lower your ad costs, and make people recognise you.
Three strong weekly posts that teach, clarify, and position you as the chiropractor — not just another one.

LEVEL 4 — EXPANSION

Make your name unavoidable in your town.
Referrals, workshops, events, partnerships, community presence.
Ads give speed.
Expansion gives scale.

LEVEL 5 — AUTOMATION

Remove friction and make the system run without you.
AI booking, follow-ups, workflows, SOPs, dashboards, reminders.
Less effort. More predictability.

If you want the full version of each level — including examples, mistakes, and how to install each one —
👉 Read the full 5 Levels breakdown here

The Real Reason We Can Generate 2,000+ NP Leads Per Month

It’s not magic.
It’s not luck.
It’s not better “targeting.”

It’s this equation:

(Creative Volume × Creative Variety × Message Clarity) × Consistency × Correct Level Placement = Predictable New Patient Growth

Most clinics don’t fail at advertising.
They fail at systems.

You don’t need 50 more fancy strategies.

You need one simple system, done in the correct order, and repeated every month.

Want to stop worrying about new patients forever?

If you want to know exactly what level your clinic is at and exactly what to build next

👉 Download the Profit-First Marketing Roadmap
(Find out your level in under 3 minutes)

If you want predictable new patient flow, this is where it starts.

Want Pracdev to run your practice ads for you?

Join the Practice's that are trusting Pracdev with their Ads using the monthly Ad drop. We're taking on clients right now - Apply Here