Google Ads for Chiropractors
Built for $1M+ practices. Focused on continuity from the first click to the new patient appointment.
Most chiropractic Google Ads campaigns leak money in two places: the gap between the ad and the landing page, and the gap between the lead and the front desk. We close both.
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Why most chiropractic Google Ads campaigns underperform
If you've run Google Ads before and felt like you were lighting money on fire, here's what was probably happening.
A patient searches "sciatica chiropractor near me." Your ad shows up. They click. They land on your homepage, which talks about your team, your philosophy, your gentle approach to wellness, and somewhere in the footer mentions you treat sciatica.
That patient is gone in 4 seconds.
They didn't want a tour of your practice. They wanted help with their sciatica. The ad promised one thing, the landing page delivered another, and Google charged you for the click anyway.
This is the continuity problem, and it's the single biggest reason chiropractic Google Ads underperform. Generic agencies treat Google Ads as a campaign-management problem (bidding, keywords, audiences). It's actually a message-alignment problem. The bidding doesn't matter if the post-click experience falls apart.
The second leak happens after the lead converts. They fill out the form, the front desk calls them back six hours later, the patient already booked somewhere else. Or worse, the lead sits in someone's inbox for three days.
You can have the best ads in the world and still bleed money if those two things aren't handled.
How we run Google Ads for chiropractic practices
Two principles drive everything we do:
Continuity from search to schedule.
When someone searches "decompression therapy for back pain", the ad copy mentions decompression. The landing page is about decompression. The headline, the offer, the call-to-action - all about decompression. We don't send sciatica searches to a generic homepage. We don't send auto injury searches to a wellness landing page. Every search intent gets a matched experience that reinforces the original promise.
This is the boring version of Google Ads execution. It's also the version that converts.
Lead pipeline that doesn't drop leads.
When a lead comes in, it doesn't sit. We build a follow-up system that triggers immediately - text and email automations that engage the lead within minutes, not hours. The front desk gets a notification. The lead gets confirmation that they're not being ignored. If the lead doesn't book in the first attempt, they get nurtured until they do.
Most agencies hand you the lead and walk away. We make sure the lead actually turns into a patient.
What this looks like in practice
Real results from the practices we work with:
We've taken clients from $150 per lead down to under $70 per lead
Active clients consistently generate 20+ new leads per month from Google search alone (varies by ad spend and market)
One of our clients, Thrive Wellness Center in Fayetteville, Arkansas, runs a continuity-driven Google Ads system that feeds their schedule consistently month over month
These aren't outlier results. They're what happens when the ads, landing pages, and follow-up are actually built to work together instead of being three separate disconnected things.
What's included
When we manage Google Ads for your practice, you get:
Search campaign strategy
Built around your specific service mix (general chiropractic, decompression, auto injury, sports rehab, etc.)
Intent-matched ad copy
Ad copy written to match each search intent, not generic templates
High-converting landing pages
With built-in A/B testing on every campaign
Call tracking and form tracking
You know exactly which keywords drive actual phone calls and bookings
Offline conversion tracking
Google's algorithm optimizes for booked patients, not just form fills
Lead pipeline automation
Leads get followed up with immediately
Spam-fighting
Guard your Google Business Profile to protect your local presence
Monthly reporting calls
We show you what's working, what we're testing, and where the budget is going
You pay Google directly for ad spend. We manage everything else.
Who this is for
We work exclusively with chiropractic practices doing $1M+ in annual revenue. That's a real qualifier, not a marketing line.
This is built for you if:
You've tried Google Ads before and gotten poor results
You have at least one associate doctor and the capacity for 20+ new patients per month
You want a marketing partner, not a vendor who sends you a report and disappears
You're willing to give a real campaign 90 days to dial in
This isn't right for you if:
Your practice is under $1M in revenue
You want to micromanage the campaign day-to-day
You expect leads in week one
You're shopping on price — we're not the cheapest
What it costs
Google Ads management is part of our Standard Engine and Empire Engine packages. Pricing depends on the number of locations and the complexity of your service mix.
Ready to stop wasting ad spend?
We take on a limited number of new clients each quarter. If you're a $1M+ chiropractic practice that wants Google Ads done right, the next step is joining our priority waitlist.