246K
monthly searches for “chiropractor near me”
Semrush, US, 2026 — the engines answer all of them
Chiropractic Clinics
AI visibility for chiropractic and sports rehab clinics
Patients search the technique, not your clinic.
Nine in ten of your prospective patients begin with a problem or a modality rather than a practice name — 'dry needling' draws 90,500 searches a month, 'sciatica treatment' 27,100, 'spinal decompression' 14,800. None of them contain the word chiropractor. Meanwhile 246,000 people a month search 'chiropractor near me', and an assistant now answers that with a shortlist of one to five clinics. Two things decide whether you are on it, and neither is your website: whether the modalities you actually offer are published somewhere an engine can read them, and whether your accepted insurance is stated plainly enough to survive the follow-up question.
best dry needling in Austin
Here are some well-reviewed options:
- 1 Skin Society
- 2 Ageless Aesthetics
- 3 Radiance Group
- 4 Viva Wellness
- 5 Bella Vita
Your clinic Not mentioned
45%
of consumers now ask AI for local recommendations
up from 6% a year earlier
1–5
clinics named in a typical AI answer
there is no page two
4 services
What we do for chiropractic clinics
AI Visibility
Get named by ChatGPT, Gemini, Perplexity and Copilot — and measure it monthly.
Read more →SEO
Local and organic search built to feed both Google and the AI engines reading it.
Read more →Google Ads
Paid search managed against booked appointments, not clicks.
Read more →Facebook Ads
Demand generation on Instagram and Facebook, feeding the searches that follow.
Read more →Citation sources we audit
Where your patients' recommendations come from
Each engine reads a different set of sources. These decide whether a chiropractic practice gets named in your category.
| Source | Primarily feeds |
|---|---|
| Google Business Profile | Gemini / AI Overviews |
| Bing Places | ChatGPT / Copilot |
| Yelp | ChatGPT / Copilot |
| Healthgrades | All engines |
| Vitals | All engines |
| Foursquare | ChatGPT |
| Perplexity |
6 services × your markets
The prompts we test
Drawn from how patients actually ask, not from keyword tools. A full engagement tracks fifty per market across 4 engines.
- best dry needling in Austin
- dry needling near me Austin
- chiropractor that takes my insurance Austin
- top rated chiropractor Austin
How it starts
Three steps, and the first one is free to look at.
-
Baseline
We run fifty real customer prompts across ChatGPT, Gemini, Perplexity and Copilot for your markets, and show you exactly who gets named instead of you.
-
Build
We fix the sources those engines actually read — listings, structured data, review velocity, third-party and community presence — in the order that moves your score fastest.
-
Compound
Every month the score is re-measured and reported, with the citation source behind each mention. You watch the number move and you know what moved it.
Before you ask
The four things people say first.
"You cannot actually measure this."
We measure it every month
Fifty prompts, four engines, three runs each — logged with the source every engine cited. The number is reproducible and you get the raw log, not just a summary.
"We already have an SEO agency."
Keep them
The work barely overlaps. Theirs happens on your website. Around four fifths of ours happens off it — directories, review platforms, community and editorial. We will tell you plainly if we think you are paying twice.
"This is too new to spend on."
The shift already happened
Forty-five percent of consumers now ask AI for local recommendations, up from six percent a year earlier. The question is not whether it arrives, it is whether you are named when it does.
"Show us it works first."
That is exactly how we start
Every engagement opens with an audit. You see your score, your competitors’ scores, and the gaps — before committing to a retainer. If the number is already good, we will say so.
Comparison
What a traditional SEO retainer does not cover
Not a criticism of SEO — it still matters. These are simply different jobs, and most operators are only buying one of them.
| Traditional SEO agency | First Five | |
|---|---|---|
| Engines covered | ChatGPT, Gemini, Perplexity, Copilot | |
| Where the work happens | Almost entirely on your website | Roughly four fifths off it, where citations come from |
| What success looks like | A position on page one | Being named in a list of five |
| Primary data source | Google Search Console | Business Profile, Bing Places, Foursquare, Yelp, review platforms |
| How reviews are treated | Reputation management | A primary input to whether you get named |
| Monthly deliverable | A traffic report | A score, a per-engine breakdown, and a citation source map |
| When you are not cited | No visibility into why | The exact source that produced a competitor mention instead |
| What compounds | Rankings reset with each core update | Presence in the sources engines read |
Every row above is checkable. If your current agency covers a row we have marked, tell us and we will correct it.
Already working with someone?
How this compares to what you have.
Each comparison names the situations where the other option is the better one. If your current provider already covers this, the audit will show it and you should keep them.
A traditional SEO agency
What an SEO retainer covers, what it structurally cannot, and why the two jobs share almost no inputs.
Read the comparison →Brenton Way
A full-service growth marketing agency working across beauty, ecommerce, healthcare and med spas, SaaS, dental and several other c…
Read the comparison →Cardinal Digital Marketing
Cardinal is an Atlanta-based healthcare marketing agency with an established SEO and paid media practice. Aesthetics is one of sev…
Read the comparison →Growth99
Growth99 is a platform-plus-agency hybrid built specifically for aesthetics practices. It combines a CRM, marketing automation, on…
Read the comparison →9 questions
Questions chiropractic clinics ask
Which query matters most for a chiropractic clinic?
Two. 'Chiropractor near me' is the volume — 246,000 a month in the US — and it is now answered with a shortlist rather than a map of ten. But the modality searches convert better: dry needling alone is 90,500 a month, and a patient searching that has already decided what they want.
Do the engines know which insurance we accept?
Only if you have published it somewhere machine-readable, and most clinics have not. It is the first follow-up question after a recommendation, and an engine that cannot answer it for you will answer it for a competitor. Fixing this is part of the one-time Fix.
We offer Graston and ART. Does that help or hurt?
It helps, provided the modalities are published as structured data rather than buried in a paragraph. Named techniques are the clearest signal available in this category because they are specific and verifiable, which is exactly what engines prefer over claims about quality of care.
Our patients mostly call rather than book online. Can you measure that?
Yes, and in this category we insist on it before spending anything on ads. Call tracking with a recorded source is how cost per booked appointment gets measured at all. Without it you are optimising to clicks, which in chiropractic correlates poorly with new patients.
What about state board and FTC rules on what we can claim?
They shape the copy rather than block the work. We write specific, substantiated claims and avoid the outcome language that draws attention — which has the useful side effect of being what engines treat as credible. We will flag anything on your current site that looks exposed.
Is one location too small for this?
No. Single-clinic, doctor-owned practices are the core of what this is built for, and the entry engagement is a fixed-price project rather than a retainer. The local shortlist is winnable for one location in a way that a national ranking never is.
How long before the score moves?
Directory claims and structured data can register within two to four weeks. Review velocity and third-party presence compound over three to six months. We report monthly either way, so you see progress before it is complete.
Can you guarantee we get recommended by ChatGPT?
No, and you should be sceptical of anyone who does. No AI platform publishes how it selects sources. We work from measured output and correlations documented across the industry, we report honestly, and we re-baseline the source map quarterly because these systems change fast.
Is there a minimum term?
No. The monthly plans are cancel any time and the entry engagement is a one-time project with a fixed price. We would rather earn the next month than hold you to a contract. One caveat worth stating plainly: review velocity and third-party coverage compound over three to six months, so leaving at month two means paying for work you never saw finish.
Starts with an audit, not a contract
Be the one AI gets named
Fifty prompts, four engines, your markets. You will see your score and exactly who is being named instead — before you commit to anything.
Prefer to message? WhatsApp +91 92174 40013