Marketing For Chiropractors: A Strategy That Drives Predictable Revenue
Many chiropractic clinics test a variety of marketing channels (e.g., local SEO, paid ads, etc.) but never achieve sustainable results.
You might receive a few leads here and there, but the results are neither sustainable nor predictable.
Unpredictable patient lead volume makes it difficult to grow as you don’t know how much to invest in marketing, which channels are most/least effective, or how to optimize specific campaigns.
In this post, we’ll discuss common pitfalls to avoid and outline a proven chiropractic marketing strategy that enables you to generate predictable, sustainable leads.
Why Many Chiropractic Marketing Strategies Fail
Most content related to chiropractic marketing offers similar advice – a list of different marketing channels you should execute.
However, the real reason your marketing isn’t generating patients is usually because of how you’re executing the strategy.
Before we delve into the marketing strategy, here are some common mistakes to avoid that often lead to the failure of chiropractic marketing strategies.
Inconsistent Execution and Misaligned Expectations
Most marketing channels require some time to start yielding results.
For example, if you shut down paid ads after a week or two, you never gave Google’s algorithm enough time to determine which visitors are most likely to convert.
Similarly, your SEO strategy will fail if you only execute in bursts.
For example, you might create pages for local keywords, but only build two or three local links per year.
As a result, most chiropractic marketers become frustrated and prematurely shut down campaigns.
However, if you’re executing inconsistently, none of your marketing efforts will ever drive results.
This is why working with a marketing agency that can consistently execute a proven playbook for you is an advantage.
Over-reliance on a Single Channel
Many chiropractic clinics rely exclusively on word of mouth referrals or paid ads.
The problem with relying exclusively on word of mouth referrals is that it’s unpredictable and difficult to scale.
Similarly, paid ads are excellent for immediately driving traffic to your website. However, ad platforms can ban your account at any time, which would result in the loss of all your patients overnight.
Additionally, if patients conduct thorough research on your clinic and can’t find much information on third-party websites or reviews, they’ll likely be more skeptical and may not convert. As a result, you’ll see low conversion rates, resulting in higher patient acquisition costs.
Instead, we diversify our marketing efforts and help you establish a sustainable online brand presence.
No Lead Nurture or Patient Retention Strategy
Most people land on a website and never return. Instead, we build lead capture and nurture strategies to continue communicating with website visitors after they leave.
This lead nurture strategy enables us to convert a higher percentage of website traffic and reduce patient acquisition costs.
A Simple 4 Step Chiropractic Marketing Strategy Blueprint
Now that we’ve discussed the pitfalls of marketing for chiropractors, here’s a simple four step chiropractic marketing strategy that generates consistent leads.
1. Invest in Local SEO
Many people use Google to search for chiropractors in their area. If your website appears first in the results (either in the map or the blue links), you’ll generate a significant number of qualified leads.


SEO is a strategy to help your clinic rank higher in these search results.
And, SEO efforts can also help you rank in LLMs, like ChatGPT.
For example, you’ll notice that Venture Chiropractic and Joint Chiropractic also show up in ChatGPT for the search “best chiropractors in Charlottesville VA” (where I’m currently searching from):

Here’s the step by step local SEO process we use for chiropractors.
Create a Google Business Profile
To show up in the map results, you must have a Google Business Profile. The Google Business Profile also gives your website a nice information box in the search results if people search your practice’s name:

It’s free to set up your Google Business Profile.
You’ll be guided through the steps to fill out your name, address, phone number, and hours.
You can also add images of the clinic itself, though Google specifies that all photos should only show the clinic itself. Therefore, don’t include photos of patients, doctors, or service offerings.
Finally, add your products and services:

After completing the profile, you can always come back to it later and add posts to keep it active:

Target Relevant Keywords
The majority of qualified leads will come from patients searching for chiropractors in your city.
If you only have one location, you can target the keyword “chiropractor in (your city)” on the homepage:

However, if you have multiple locations, create specific location based keywords (e.g., “chiropractor in (city)”).
For each location page, fill it with content about:
- The doctors who work at that location
- Conditions treated at that location
- Discuss any local events you’ve taken part in
- Include images of that location
- Directions and general parking information
- Link to nearby businesses and community resources
However, not all potential patients are searching for a chiropractor.
Some people may be searching for specific conditions, like back pain, sciatica, pregnancy, or other conditions.
Select a handful of the most common conditions you treat and create pages targeting condition-based keywords within your city. Here’s an example:

Keep in mind that not every person searching for this condition will know that a chiropractor can treat it, so you may need to target the keyword framework “condition (city).”
For example, instead of searching “chiropractor for back pain LA,” people may just be searching “back pain treatment LA.”
If you need more inspiration to find keywords related to the condition you treat, type in a few different competitors’ websites with the “local” filter on Ahrefs:

Many of them will be variations of your main city keyword, but you’ll also find some treatment keywords. For example, there are a few excellent condition-based keywords in this list that any LA-based chiropractor should target:

For each of these pages, include the following content:
- Information explaining the symptoms and when it’s a good time to visit a chiropractor
- How the treatment works (process, timeline, recovery period, etc.)
- Information on health insurance/payment
- Next steps and a CTA
Start with conditions that you commonly treat and conditions that have a lot of search volume for the local variation (i.e., contain your city name in the keyword).
Then, you can eventually create blog content for more variations. In fact, here are just a few of the many variations that have search volume in Ahrefs:

However, keep your main menu relatively simple and clean by including only about 5-10 of the most common conditions.
Build Credibility With Physician Pages
Search engines don’t want to send visitors to healthcare websites that lack credibility, so websites with strong trust signals tend to rank higher.
One easy way to build credibility is to create pages for each of your doctors.
On each page, outline their:
- Credentials
- Education
- Experience
- Area(s) of expertise
Execute Basic On-Page Best Practices
Search engines and users should be able to easily skim any page on your website and immediately find relevant information.
Here are some basic best practices for optimizing a web page so that search engines understand what it’s about:
- Include the main keyword in the headers and subheaders
- Include semantic keywords (related keywords) on the page
- Use alt text for images
- Include internal links to other relevant pages (e.g., doctor’s pages, condition pages, etc.)
- Write unique title and meta descriptions and include the main keyword in each
- Use clean URLs (include only the keyword and omit prepositions)
Users should also be able to understand the gist of a page by simply skimming it.
Therefore here are a few additional tips to make each page easy to consume:
- Use the same color palette and fonts across the website
- Use bullet points and bucket brigades to break up text
- Avoid paragraphs that are more than 3-4 lines tall
Optimize For Technical SEO
Many marketers are wary of technical SEO, but for most websites, it’s fairly simple.
First, create a Google Search Console account.
The first thing Google Search Console allows you to do is submit a sitemap. To learn more about generating and submitting a sitemap, SEMrush offers an excellent article.

Google Search Console will tell you if you have any indexation issues and which pages are affected. Some pages are purposefully noindexed. For example, you don’t want a thank-you page indexed.
However, if your blog posts or main pages are noindexed, that’s a problem you should fix immediately.
Thankfully, Google Search Console tells you which pages are and are not indexed:

It’s also important that both your mobile and desktop sites load quickly. Page speed is a ranking factor in Google, and users will also leave if your page doesn’t load quickly.
The “Core Web Vitals” report shows you page speed information. If you notice your desktop or mobile versions load slowly, you can hire a developer on Upwork to fix it.

Finally, buy an SSL certificate to secure your website. This will give your website an https:// instead of the http://.
As Google only wants to send users to secure websites, this can impact your ranking in the search results.
The final technical SEO tip is to design a website architecture that enables users to access any page on your website in three clicks or fewer.
Here’s an example of good website architecture:

Build a Review Generation Strategy
Reviews are crucial for both converting new patients and improving rankings in LLMs and Google.
While it’s illegal to offer monetary incentives for patients to leave reviews (positive or negative), you are allowed to request and encourage patients to leave reviews.
The real reason most chiropractors don’t have many reviews is that they often run short-term campaigns asking for reviews, rather than building long-term systems and processes that ensure patients are asked for a review when they’re most likely to give one (e.g., right after a successful appointment).
Here’s how to build an effective review generation strategy:
- Create a QR code for your review link and tape it on your reception desk. Instruct receptionists to ask each patient to leave a review and direct them to the QR code.
- Create SMS reminders asking for reviews.
- Send follow-up emails asking patients to leave reviews.
This review system helps you increase patient reviews because it ensures every patient receives a review request at an opportune time rather than reaching out to past patients who may have forgotten about your practice altogether.
Build Local Links and Citations
Any patient researching a doctor will likely look up reviews on Yelp, ZocDoc, or other directories.
If your clinic doesn’t have a presence on any of those directories, that’s a red flag for potential patients, as well as search engines and LLMs.
In fact, when I asked ChatGPT for the best chiropractors in my hometown, I noticed that it said it sourced these listings from multiple review platforms:

Additionally, Yelp ranks very well in Google’s search results for keywords like “best chiropractors near me,” so you’re missing out on free visibility if your clinic doesn’t have a profile in these directories.

Therefore, building citations (local directory listings) is critical.
There are two things to consider when building citations:
- Accuracy: Your name, address, and phone number must be the same across all citations. Otherwise, your rankings in Google will likely suffer.
- Relevant Volume: The more relevant citations you have, the better.
You can identify and manage local citations with a tool like Bright Local:

2. Establish Industry Credibility With Links
Search engines and LLMs only want to recommend credible chiropractors to patients.
One way they judge credibility is by analyzing how frequently others mention clinics in their local community and within the broader chiropractic industry.
So, how can you earn links and mentions from websites in your local community and the broader chiropractic industry?
Earning Links/Mentions in the Local Community
- Sponsor local events/organizations: Offer to sponsor a local community event (e.g., a 5k run) or a youth sports team.
- Offer scholarships: Consider sponsoring a scholarship for a local college.
- Offer a raffle item: If a charity or non-profit is hosting a raffle, consider donating an item.
- Ask partners for links: Reach out to your referral partners (such as doctors, coaches, etc.) and ask for links from their websites.
- Host local workshops/events: You could partner with gyms to offer collaborative workshops for peak performance. Your partners will then link to you on their website.
Earning Links/Mentions in the Chiropractic Industry
Becoming known within your local community is excellent for brand awareness and signals to search engines and LLMs that you’re an active clinic.
However, it doesn’t necessarily mean you’re a quality chiropractic clinic.
To build industry credibility, it’s important to also become active in the national chiropractic community. Here are a few ways you can do that:
1. Speak at or sponsor conferences and industry events: Most conferences accept sponsors. You can simply ask ChatGPT to give you a list of relevant industry events:
2. Be a guest on health and wellness podcasts: Ask ChatGPT to give you a list of relevant health and wellness podcasts that might accept a chiropractor. If you’re just starting out, only target mid sized health and wellness podcasts:

3. Contribute quotes to relevant publications: These can be health and wellness specific publications (like Runners World or Healthline) as well as more general publications (like Forbes). You can also use this prompt to discover relevant health and wellness publications:

Similarly, you could use this prompt to discover chiropractor-specific publications to pitch:

Before reaching out to any publications or podcast hosts, realize that your acceptance rate will likely be lower than if you were simply asking about sponsorship opportunities.
Here are a few tips to increase your response rates:

1. Reach out to the right person
If you’re reaching out to a written publication or blog, find the editor and reach out to them either via email or on social media.
If you have an active social media profile and you notice that they’re also active on social media, you’ll probably have more luck reaching out via DM rather than email. However, you can always do both.
If you’re reaching out to a podcast, the host is often the best person to contact directly, especially for small to mid-sized podcasts. If it’s a larger podcast, they may have a manager you’ll need to find.
To find the correct email address, you can use a tool like Hunter.io. It allows you to find most email addresses:
2. Offer a compelling story
Whether you’re pitching a podcast host or a journalist, they need compelling content.
Here are a few ideas for compelling pitches you could offer different types of publications:

3. Follow-up at least three time
Creators with a sizable audience are pitched frequently, so follow up regularly.
A good rule of thumb is to follow up at least three times and send messages 2-3 days apart.
3. Create a Lead Nurture and Retention Strategy
Most people don’t book an appointment the first time they visit a website. They’ll probably evaluate a few different chiropractors before eventually selecting one.
If you don’t collect a visitor’s email address when they land on your website, there’s no guarantee you’ll be able to get them to come back.
While you can retarget them with paid ads, it’s cheaper to capture their email address and send them nurture emails.
To capture their email address in the first place, you’ll need a lead magnet.
Here are a few ideas to use as lead magnets:

Then, create email nurture sequences. Here’s an example of an email nurture sequence:

As you grow, you can also offer lead magnets for specific conditions, like knee pain or neck pain, or specific demographics, like pregnant mothers or runners.
Then, create email nurture sequences for each of those more specific lead magnets.
4. Invest in Paid Ads
By this point, you have established a strong organic presence and built a library of solid evidence that demonstrates your doctors are reputable and trustworthy professionals.
Now, if you run ads, you’ll see a much better return on your investment.
To get started, set up Google Local Services ads because they show up above everything else in the search results, and you only pay for real leads, not clicks.
Therefore, you’ll only pay when someone:
- Calls or messages you directly through the ad
- Books an appointment
- Leaves a voicemail or asks for a quote
Here’s an example of a Google Local Services ad:

In many cities, no chiropractors are running local service ads, so this is an easy way to steal business from your competitors.
To get started, you’ll specify that you’re a chiropractic clinic:

For a more detailed guide, here’s a full video from Google that walks you through the signup process.
During the process, you’ll have to submit information that proves you’re a licensed chiropractic clinic:

However, this will also work in your favor, further establishing the legitimacy of your clinic to patients.
In addition to running local service ads, you can also run traditional Google ads to appear in the map pack and the blue links.
Here are a few examples of traditional Google ads:

To run a traditional PPC campaign on Google, you can still create a goal that targets people within a certain radius of your clinic and set a specific goal to generate calls or leads.
To get started, log into Google Ads.
Unfortunately, you won’t be able to use personalized audience targeting or remarketing to comply with Google’s health-related advertising policies. Instead, focus on precise keyword and location targeting.
To set up an effective Google Ads campaign for a chiropractic clinic, start by creating a new campaign in your Google Ads account and select the objective “Leads,” then choose a Search campaign.

Name your campaign clearly, such as “Chiropractic | Back Pain | [Your City].”
You can set up different campaigns for different conditions and cities.
Under campaign settings, uncheck the Display Network to focus solely on search ads, and target a radius of 5–10 miles around your clinic location.
Keep the language set to English unless your audience requires otherwise, and set a daily budget of around $30–$50 to start. This budget gives you sufficient data to identify patterns in what does versus does not work.
For bidding, choose “Maximize conversions” if you’ve never run ads before, or set a target CPA if you do have historical data.
Organize your campaign into tightly themed ad groups based on common patient needs, such as:
- “Chiropractor Near Me”
- “Back Pain”
- “Sciatica Treatment”
- “Prenatal Care”
It’s also important to add negative keywords like “school,” “free,” or “DIY.” People searching these terms clearly aren’t looking for your services and therefore wouldn’t convert.
I recommend writing multiple ads per ad group that include your target keyword in the headline and highlight unique selling points, such as years of experience or same-day appointments.
Use clear calls to action like “Call Now” or “Book Online Today.”
You can also add ad extensions, including call and location extensions, sitelinks, and callouts like “Walk-Ins Welcome” or “Free Consultation” to encourage prospective patients to take action.
Arguably one of the most important steps of this process is setting up conversion tracking to measure phone calls, form submissions, and online bookings.
You can use a call tracking solution, such as Google forwarding numbers or CallRail, to accurately attribute phone leads.
Once your campaign is live, review your search terms report after about a week to add negative keywords and refine targeting.
It will take some time to dial in your ads, so regularly optimize your bids and test new ad copy every two weeks.
Take Your Clinic’s Marketing To The Next Level
This is the step by step playbook we use to help chiropractors generate more patients, though there are plenty of nuances to each step, and not everyone has the bandwidth to execute the plan in-house.
If you want some additional help executing this chiropractic marketing plan, reach out to our team today.
We can assess your current marketing strategy and identify opportunities to help you multiply your patient lead volume.


























































































































