07/13/2026
Doing 100s of intake/consult call with chiros now here’s the trend off offices not making it in 2026. These are the offices that aren’t calling me to grow these are the offices calling with bankruptcy on the line.
(Of course there are people doing fine with these types of offices but these are the most common problem offices.)
1. The instrument only office. (I unfortuely dont/wont work with this office)
The public is getting more and more away from wanting this or being able to be convinced this method is better. You’ll see many of them switching to manual adjusting or trying to add neuropathy or something else because the year long instrument plans aren’t cutting it.
2. The far niched practice (pediatrics , disc only , sports only, etc). These people have niched themselves into such a small demographic usually than their area can handle and they can’t get any consistent new patient flow.
3. The high end “disc” office. These are the offices with expensive decomp tables, lasers, shockwaves, etc. Their care plans are usually too expensive for their local median household income and demographics. The overhead is too high and they are trying to get people to start care just to break even. They weren’t given a map of when you strategically add these therapies for consistent growth and they are playing catch up usually for years.
4. The “subluxation” based old school practices. These are the heavy day 1/2 offices filled with scripting , and sales tactics that are just nothing but a funnel. The start rate in these offices is low, patients are not on board and getting too hard to convince.
5. The scripted office. This is the office usually that has a coaching group that teaches them a line for anything. They can’t handle any outliers from that script or are able to pivot and shift when something outside that process happens. They don’t usually have an answer for everything and revert back to the cop out script line. Patients palpate this a mile away and do not have trust for this doc. Their referrals are usually the lowest of all.
6. The chiropractor that opened up “all cash” in a heavy insurance area because a mentor or someone on FB that has no idea how to run a practice in that town, told them to.
The patient demographic in that area is heavy corporate and they want to use their insurance they pay well for. These are usually practices in the Midwest.
7. The single technique/way of doing things office. This is the office that only has a hammer and everything is a nail. Every single problem fits into their method of treatment and if it isn’t working, they just tell the patient they need more time or they’re not being consistent enough. Their office visits usually aren’t enjoyable and the patient doesn’t leave there happier than when they walked in. The patients at these clinics, feel like they’re going in for a work session instead of having their questions answered and their problems fixed. These docs usually have no referral network, I have never ordered an MRI, and second opinions are not an option. This office has the lowest new patients of all and they don’t build long-term commitment.
Covid Changed practice big time. Are you adapting or slowly winding down?

