In episode 691 of the Chiro Hustle Podcast, James Chester welcomes Dr. Jason Alviene, Vice President of Operations at 100% Chiropractic. With over 25 years in the field, Dr. Jason brings a unique perspective that bridges hands-on chiropractic care with large-scale operations leadership. This episode covers everything from corporate chiropractic strategy to mindset, communication, and why hospitality might be one of the most underrated tools in a chiropractor’s toolkit.

HIGHLIGHTS

• From massage therapist to Vice President of Operations, Dr. Alviene shares the pivotal moment that sent him down the chiropractic path.

• Why hospitality experience might matter more than previous clinical experience when hiring CAs.

• The importance of making it about the you, not the we - aka “The Paris Syndrome”.

• His advice for new DCs: develop people skills through high-end service roles and communication training.

• Why follow-up and lead management are make-or-break skills in modern practice growth.

• Thoughts, traumas, and toxins - and why the “thoughts” piece is often ignored in chiropractic care.

• A compelling vision for the future: cash-based practices, preceptorships, and a new wave of hands-on, competent adjusters.

ABOUT DR. JASON ALVIENE

Dr. Jason Alviene, DC, MS, is the Vice President of Operations at 100% Chiropractic and a long-time educator in chiropractic, massage therapy, and sports medicine. 

With experience ranging from The Joint Chiropractic to academia, Dr. Alviene brings a wide-angle lens to the profession with a focus on operational excellence and patient-centric care.

DIVING INTO ...

CORPORATE CHIROPRACTIC OPERATIONS

Dr. Alviene’s current role is trailblazing a new path in chiropractic corporate leadership. As 100% Chiropractic’s first-ever VP of Operations, he works closely with doctor-owned and non-doctor-owned offices to streamline systems and amplify patient care. His approach is simple yet powerful: empower the team, clarify the message, and lead with service.

THE POWER OF COMMUNICATION AND HOSPITALITY

A standout moment in this episode is the concept of “The Paris Syndrome.” Dr. Jason challenges chiropractors to stop saying “we do this” and start saying “you get to experience this.” His emphasis on language highlights the subconscious psychological impact of personalized care. He draws a compelling connection between successful CAs and backgrounds in hospitality, like bartending and concierge service, where reading and connecting with people is second nature.

TACKLING THOUGHTS, TRAUMAS, AND TOXINS

While most chiropractors are trained to address traumas and toxins, Dr. Alviene points out that the “thoughts” element is often neglected. He advocates for chiropractors to help patients connect the dots between emotional blocks and their physical health. His perspective? Adjust the spine, yes, but also help guide the mindset. This is a bold yet necessary expansion of chiropractic’s role in holistic health.

MARKETING AND LEAD FOLLOW-UP: A PRACTICE GROWTH ESSENTIAL

Dr. Jason doesn’t shy away from practical strategy either. He emphasizes the critical nature of timely lead response, ongoing follow-up, and creating systems that support high conversion rates. His advice: call every lead like they’ve already said yes and never assume a patient is a “no” until they tell you directly. Smart, sharp, and service-oriented.

CLOSING THOUGHT 

“If a patient isn’t thriving, it might not just be the subluxation. It might be the story they’re telling themselves.”

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