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In this episode of the Rocket Chiro Podcast I talk about three parts of practice that will completely change your business over time. These are not quick fixes. They are not instant wins. They will not solve your new patient problem this month. But if you make them a priority now, you will look back years from today and feel genuinely grateful that you started.
Why Chiropractors Fixate on New Patients
I start by talking about the profession's obsession with new patients. Every marketer, coach, and guru leads with new patient promises. You know the messages. They claim they can get you forty new patients a month or grow your practice instantly.
New patients feel exciting. They create cash flow. They inflate your numbers. And they can cover up bad systems. Even a poorly run practice can survive if there is a constant stream of fresh bodies coming through the door.
The problem is that running a practice this way is extremely stressful. If you ever have a slow month, the weaknesses in your systems show immediately. You never feel stable because the entire practice sits on top of a shaky foundation. You are always looking for the next new patient hit.
The Purpose of This Episode
I created this episode to help you shift your focus toward three long-term levers that make your practice healthier, steadier, and easier to run. These are not urgent. They do not give you a dopamine hit. But they are the building blocks of a business that does not fall apart when the new patient flow slows down.
The three long-term levers are reviews, relationships, and retention.
Why Reviews Matter More Than You Think
Reviews are one of the easiest and most powerful things you can invest in. They help your local SEO. They help your conversion. They help Google understand what you are known for. They even help AI tools understand what people think about you.
One of the biggest advantages reviews provide is the keywords hidden inside them. If your patients mention migraines, sciatica, pregnancy, sports injuries, or anything else, Google takes note. Those words help determine which searches you show up for.
I tell the story of a client who asked me if they had too many reviews because they had several times more than every chiropractor in their area. My answer was simple. I would keep going. If I could have ten times more reviews than my competitors, I would not slow down for a second. Being the obvious choice in your community is never a disadvantage.
The Power of Building Real Relationships
Next I shift into the value of relationships. As an introvert this one has always been a challenge for me. I would rather sit at my computer than go out and meet new people. But chiropractic is a relationship business. We work with human beings. We serve a community. We depend on trust.
Relationships with patients matter. Relationships with business owners matter. Relationships with coaches, trainers, teachers, community leaders, and other professionals matter.
When people know you and have something good to say about you, everything becomes easier. New patients come more naturally. Opportunities show up. Referrals increase. Sometimes your relationship with a respected person in the community even creates a little bit of authority or credibility transfer.
These relationships take time. They take intention. And they are absolutely worth it.
Short Term Retention and Why It Affects Results
Then I talk about short-term retention. This is not about long-term wellness care. This is simply helping someone stay consistent during their initial care. When you have a clear plan, patients get better results. They feel more connected to you. They are more likely to think of you as their chiropractor.
Without a plan you swing between two extremes. You either forget to follow up with people and they slip away, or you accidentally harass them without realizing how many times you have reached out. A system keeps you in the middle where you are caring, consistent, and helpful without being annoying.
Long Term Retention and Why It Stabilizes Your Practice
Long-term retention does not blow up your numbers overnight, but it is one of the key stability builders in a mature practice. This is where you check in with people who have not been in for three months or six months or a year. You are not trying to guilt them. You are not trying to pressure them. You are simply serving as a reminder for people who actually need your help but have been busy or distracted.
These occasional visits do not seem like much in the moment. But over the course of five or ten years, they create steady, predictable support for your practice. They also reinforce that you are their chiropractor even if they do not come in very often.
A Reminder for the New Year
I wrap up by reminding chiropractors that the best time to start these habits was years ago, but the next best time is right now. As we head into a new year, commit to being better in these three areas. You do not have to be perfect, but you do have to be intentional.
Make reviews a priority. Build more relationships. Put a plan in place for both short-term and long-term retention.
If you do that, your practice will be radically healthier five years from now.
Resources Mentioned
Free Website/SEO Review: https://rocketchiro.com/chiropractic-practice-assessment Best chiropractic websites: https://rocketchiro.com/best-chiropractic-websites
In this episode of the Rocket Chiro Podcast, Jerry Kennedy dives into one of the biggest traps chiropractors fall into — chasing vanity stats. From gross income to new patient counts to website traffic, these numbers can look impressive on the surface but often lack the context that actually matters.
Jerry shares hard-earned wisdom on how to separate meaningful metrics from meaningless ones, how to keep your ego in check, and how to focus on the numbers that truly move your practice forward.
1. What Are Vanity Stats?Jerry explains that vanity stats are numbers that sound impressive but don't actually reflect real success. These include:
Gross income without expenses
New patient counts without retention
Website traffic without conversions
Rankings without relevance
Without proper context, these stats can create false confidence or unnecessary frustration.
2. Why Vanity Metrics Are DangerousVanity stats are seductive because they make chiropractors feel successful, but they can easily distort reality. Jerry warns that:
People exaggerate or manipulate their numbers online.
Gross income often hides massive overhead.
Social media and professional circles amplify unrealistic comparisons.
He shares a story about a chiropractor friend who appeared far more successful based on gross revenue but actually took home only a little more than Jerry — at the cost of massive stress and a complicated business.
3. The Comparison TrapJerry compares vanity metrics to social media highlights — people showing their best moments and hiding the rest. Chiropractors often compare their unfiltered reality to someone else's filtered image of success, which leads to unnecessary frustration and burnout.
He reminds listeners that success isn't defined by looking impressive — it's defined by how well your practice serves you, your patients, and your life.
4. Examples of Vanity Stats in ChiropracticJerry gives real-world examples of chiropractic vanity stats and how they can mislead:
Gross income: Without understanding expenses, it's meaningless.
New patients per month: If retention is low, this stat is hollow.
Patient visits per week: A high number doesn't mean success if fees are unsustainably low.
Website traffic or Google ranking: Traffic that doesn't bring in new patients is worthless.
He even shares how his own site once ranked for "ring dinger" searches — great traffic, but totally irrelevant for his business.
5. What Metrics Actually MatterJerry offers practical guidance for what chiropractors should really focus on:
Net income: What you actually take home.
Expenses: Keep them tight; most chiropractors overspend.
New patient origin: Know where people are finding you.
New patient quality: Focus on patients who are a good fit for your care.
Retention: Track how long patients stay and how often they return.
These are the metrics that indicate the health and sustainability of your practice.
6. Jerry's Tips for Avoiding the Vanity TrapDon't believe every number you hear — most lack context or honesty.
Don't brag about your stats — it feeds your ego but helps no one.
Share stats only in a teaching environment — context is what makes them valuable.
Focus on meaningful growth — not looking impressive to others.
Keep your expectations grounded — unrealistic goals only cause frustration.
Vanity stats might look good on paper, but they won't make your practice better or your life easier. Focus on metrics that actually impact your income, your stress level, and your ability to serve patients well.
Quotes to Remember"Gross income out of context doesn't mean anything."
"You're comparing your real life to someone else's highlight reel — and you can't win that."
"Your ego is not your friend."
"Know your stats, focus on the ones that actually matter."
Rocket Chiro – Website & Local SEO for Chiropractors
NEXT Step Membership — On-demand chiropractic coaching for chiropractors who feel stuck or are just getting started.
If you're ready to focus on what really matters and stop chasing numbers that don't move your practice forward:
Visit RocketChiro.com to learn about websites, SEO, and coaching for chiropractors.
Leave a review on Apple Podcasts or Google to help other chiropractors find the show.
This episode of the Rocket Chiro Podcast dives deep into one of the most common local SEO questions chiropractors ask me: "Why don't I rank in the town next to mine?" It's a simple question, but the answer isn't always what chiropractors expect.
I start by explaining that local SEO is heavily influenced by proximity. Google knows exactly where your practice is located, so if you're in Chesterfield, Missouri, you're naturally going to rank best for "Chesterfield chiropractor." Ranking in a nearby town like Town and Country is possible, but difficult. The biggest factors that make it hard are your location, the density of chiropractors in the area, and how competitive their SEO is.
I also talk about the few situations where ranking outside your city is possible. You might be able to do it if there aren't many chiropractors in that other town, if the ones there have poor SEO, or if you're located in a gray metro area where town borders overlap—like being technically outside of St. Louis but still part of the St. Louis metro.
Then I shift gears to talk about smarter ways to expand your reach. You don't have to chase unrealistic ranking goals. Instead, you can focus on keywords that naturally extend your visibility—like "sports chiropractor," "chiropractor during pregnancy," or "chiropractor for kids." These kinds of searches reduce your competition because fewer chiropractors optimize for them, and they allow you to reach patients from a wider area.
I also mention a tool called Local Falcon, which I use in my free website and SEO reviews. It's a great, affordable option for chiropractors who want to track their own local SEO and see how they're performing across different search areas.
To wrap up, I remind chiropractors to go into SEO with realistic expectations. There's no secret trick or quick fix. If someone makes SEO sound easy or overly complicated, that's a red flag. The best strategy is to focus on strong local SEO for the area you're actually in, optimize for the services and terms that make you unique, and let that naturally radiate into surrounding areas.
Resources Mentioned
Free Website/SEO Review: https://rocketchiro.com/chiropractic-practice-assessment Best chiropractic websites: https://rocketchiro.com/best-chiropractic-websites Chiropractic SEO: https://rocketchiro.com/chiropractic-seo
In this episode of the Rocket Chiro Podcast, I dive into a topic that most chiropractors think about but rarely say out loud: what makes a bad chiropractic patient. Every chiropractor wants to help people, but the reality is that not everyone is a good fit for your care or your practice. Learning to identify those bad fits early on can save your sanity, protect your business, and create space for better patients who actually value what you do.
I start by sharing a story about speaking at Logan University years ago, where I asked a group of chiropractic students who wasn't a good fit for their future practices. The room went silent. That moment reminded me that many chiropractors don't think about who they don't want to serve—and that's a huge problem when it comes to marketing and practice happiness. Saying "anyone with a spine" is not a strategy. It's bad marketing and bad business.
From there, I break down several general categories of bad chiropractic patients. Some of these are universal red flags, while others depend on your specific practice style or personality.
Here's a rundown of what we talk about:
1. Contraindicated Patients There are clear medical situations where chiropractic care just isn't appropriate—or at least not right now. I talk about conditions like fractures, dislocations, severe osteoporosis, and spinal cord compression. Responsible chiropractors know when to refer out and when it's simply not safe or effective to adjust.
2. People Who Can't Pay This one might sound harsh, but chiropractors aren't running charities. If someone can't or won't pay, you can't build a sustainable practice around them. I share how I handled this in my own office by creating limited "hardship agreements" for people in genuine need. It's a way to be compassionate without sabotaging your business.
3. People Who Can't Keep a Schedule You know the type—always late, constantly rescheduling, or no-showing altogether. They throw off your day and drain your energy. I explain why these patients are toxic for your practice and how enforcing basic boundaries can help you reclaim your time and sanity.
4. Unrealistic Expectations Patients who expect miracles in one or two visits, or who think you can fix years of damage without any participation on their part, are setting everyone up for frustration. I discuss how to set realistic expectations early through good communication and leadership.
5. A Bad Fit for Your Care Not every patient is a match for your technique or philosophy. Whether it's someone looking for a style of chiropractic you don't offer, or a condition you're not confident treating, referring out can be the best move for everyone involved. It's better to admit when you're not the right chiropractor than to fake it and disappoint someone.
6. Energy Suckers This last group is the hardest. These are the know-it-alls, complainers, boundary-pushers, and emotional vampires who drain you every time they walk in the door. I explain how to spot them early and why letting them go—no matter how hard it is—can make your practice (and your life) a whole lot better.
I wrap up by talking about how this lesson applies beyond chiropractic. I've made the same mistakes in my own business at Rocket Chiro—taking on clients who weren't a good fit and regretting it later. I remind listeners that identifying bad fits isn't about being judgmental; it's about protecting your mission, your business, and your mental health.
If you're a chiropractor who's struggling with patients who stress you out or drain your energy, this episode is for you. You'll walk away with practical insight into how to define your "bad fit" list and create boundaries that let you build the kind of practice you actually want—one filled with patients who respect your time, value your care, and make you love coming to work again.
You can find more business and marketing advice for chiropractors at RocketChiro.com. If you'd like me to take a look at your website and SEO and give you my honest feedback, request a free review while you're there.
And if you want to go deeper than what I cover on the podcast, check out NEXT Step—my on-demand chiropractic coaching designed to help new and stuck chiropractors grow their ideal practice.
Thanks for listening to the Rocket Chiro Podcast, the chiropractic podcast that helps you grow your business, simplify your marketing, and fall in love with practice again.
Resources Mentioned
Free Website/SEO Review: https://rocketchiro.com/chiropractic-practice-assessment Best chiropractic websites: https://rocketchiro.com/best-chiropractic-websites Chiropractic SEO: https://rocketchiro.com/chiropractic-seo
In this episode of the Rocket Chiro Podcast, I dig into the process of improvement. When we first start anything, whether it's adjusting patients, running a practice, or marketing, the truth is we usually aren't very good at it. That's normal. But I also want to clear up a point I made recently about not focusing too much on things you're terrible at. While I believe your greatest growth comes from leaning into your natural strengths, there's still a necessary period of struggle in the beginning.
I talk about what it looks like to move from being brand new and bad at something, to becoming competent, and ultimately excellent. The goal isn't to stay stuck in the "bad" stage but to understand that it's part of the journey and to know how to work through it without getting discouraged.
Here are some of the things I cover:
Why everyone stinks at the beginning and why that's okay
How competence is the stepping stone to greatness
Why you shouldn't waste too much time trying to be great at something you're naturally bad at
The importance of finding and developing your strengths so you can build a thriving practice
If you're a new chiropractor, or even if you've been at it for a while but feel stuck, this episode will help you reframe where you are in the process and give you clarity on how to move forward.
Best chiropractic websites: https://rocketchiro.com/best-chiropractic-websites Local Chiropractic SEO: https://rocketchiro.com/chiropractic-seo Business & marketing training for chiropractors: https://rocketchiro.com/join Free Chiropractic Webiste/SEO Review: https://rocketchiro.com/chiropractic-practice-assessment
In this episode of the Rocket Chiro Podcast, I'm sharing something that's been on my mind lately. Over the years, I've talked to a lot of chiropractors who've tried to follow the "success formulas" promoted by charismatic gurus, seminar speakers, and social media personalities—only to end up frustrated, burned out, and wondering what's wrong with them.
I've been there too. I know what it's like to look at someone who makes practice-building look effortless and think, "If they can do it, why can't I?" In this episode, I'm going to explain why their one-size-fits-all formula often only works for a specific type of personality and why trying to copy it may actually set you up for failure.
I'll break down three common chiropractor "profiles" (charismatic front-end attractors, clinical technicians, and relationship builders), explore the strengths and weaknesses of each, and show you how to build your practice strategy around your natural talents instead of forcing yourself into someone else's mold.
If you've ever wondered why someone else's "simple" blueprint doesn't work for you, this episode will give you clarity, permission to stop beating yourself up, and a framework for building a practice that truly fits you.
What You'll Hear Me Talk About:Why some chiropractors seem to attract new patients effortlessly—and why that's not necessarily a sign of better skill or better care.
How charismatic, technical, and relationship-driven chiropractors each have different advantages and blind spots.
The hidden danger of personality-specific advice at seminars, in coaching programs, or on social media.
How to identify your own "superpower" and use it as the foundation for a more stable, authentic practice.
Why improving your weaknesses matters—but why your strengths will ultimately move the needle in your business.
How to exercise discernment when listening to advice (including mine!).
Resources Mentioned
When I started my own practice, I thought success would be a straight line up. It wasn't. Running a chiropractic business is a roller coaster. One month you're crushing it, the next you're wondering if you'll make payroll. SEO rankings bounce. Patient numbers dip. Finances fluctuate. The problem isn't the ups and downs themselves — it's how we respond to them.
In this episode of the Rocket Chiro Podcast, I talk about why paying attention to patterns matters more than reacting to every blip in your stats. I share real-world examples from my own practice days and from chiropractors I've helped over the years. You'll also hear practical tips on how to stay calm, make better decisions, and build a business that weathers the inevitable swings.
Here's What I Cover in This Episode
Resources Mentioned
A lot of chiropractors get stuck asking the wrong questions. They focus on the urgent stuff that feels important in the moment but doesn't actually move the needle in practice or life. In this episode, I talk through three simple but powerful questions that every chiropractor should be asking.
These questions will help you:
Simplify your practice and stop wasting money on things you don't need
Understand why patients choose (or don't choose) you
Figure out what "enough" really looks like so you're not constantly chasing more
What You'll Learn in This Episode
Why "Do I really need this?" should be asked about almost everything you spend money or time on
How to think about your practice from the perspective of a patient who has to choose you over someone else
The overlooked value of contentment and defining "enough" before stress and hustle culture run your life
If you've never sat down and really asked yourself these questions, you're probably making things harder than they need to be.
Want My Help?
If you'd like me to take a look at your website and SEO, I'll do it for free. You'll get honest feedback, recommendations, and a clear picture of where you stand. No pressure, no gimmicks. Just head over to Rocket Chiro and request a review.
And if you're ready for more in-depth training and coaching, check out the NEXT Step program. It's perfect for chiropractors who are just getting started or who feel stuck.
Resources Mentioned
In this episode of the Rocket Chiro Podcast, I wanted to balance the conversation around micro practices. I've talked plenty about the upside of starting and running a small solo practice, but I think it's only fair to also be honest about the challenges.
The goal here isn't to talk you out of it. In fact, I still think a micro practice is the smartest way for most chiropractors to get started. But if you want to make the best long-term decisions for yourself, you should know what you're signing up for.
Some of the downsides we cover include:
At the end of the day, micro practices are still a fantastic way to start with less risk and stress, especially if you're new. But if you know in your heart that you want to build something much bigger, you need to be careful about overcommitting to a setup that could hold you back.
If you're a new chiropractor or you're feeling stuck and you want more help beyond the podcast, check out my NEXT Step program. And if you want me to look at your website or local SEO, reach out through Rocket Chiro.
Resources Mentioned
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