How To Nudge Long Term Chiropractic Adoption (Without Being Needy)
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March, 2025 | Vismai
How To Nudge Long Term Chiropractic Adoption (Without Being Needy)
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Most Chiropractors are stuck in the same trap, causing their clients to leave just as fast as they came in.
You’re the last thing on their mind, and the first to go.
A client walks into your chiropractic office with a twinge in their back. You adjust them, the pain fades, and poof—they’re gone. Back to their busy lives, their noisy phones, their Netflix binges. Maybe they leave because you fixed them. Maybe they leave because you didn’t. Either way, you’re stuck in the "LIFO" loop—Last In, First Out.
I used to be there too. Eight years ago, I was blue in the face explaining chiropractic to anyone who’d listen. Some got it. Most didn’t. I was drowning in my own expertise, spewing abstract jargon while their eyes glazed over. My PVA (patient visit average) hovered at a measly 20—meaning one new client for every 20 visits. I was sprinting on a hamster wheel, chasing new faces to keep the lights on.
Then I zoomed out.
Pathway to engineer serendipity.
Build the enabling tools to give your CA a chance to engineer serendipity – it's impossible without CA tools.
Study the anatomy of the serendipity pathway as seen in the diagram above– You will need to role play this pathway over and over again for solid results achieved naturally.
Monthly Depth: A book recommendation that aligns with their curiosity (12 a year, not 52—trust me, I tried).
Quarterly Anchor: A newsletter like Energy For Life—not too much, not too little, just right.
Six-Month Cycle: A community challenge + open day that reignites their "why."
Get the sequence wrong, and you’re either a needy nag or a forgotten footnote. Get it right, and you ascend clients from "my back hurts" to "I’m an advocate for this work."
Today, my PVA’s climbed past 100 in Singapore after four years—and in Holland, it’s one new client for every 2,000+ returning visits.
The Vortex isn’t a script; it’s a framework. It’s the silent lighting and white walls of an art gallery—there to make the art (your adjustments) shine.
The Office Matters TooStep inside my 53-square-meter space. Wooden floors. Antique desk. No IKEA fakery. A lending library with our quarterly newsletters on the shelf. Divider walls that open for healthcare classes. It’s minimal, elegant, and screams "naturalist"—because the environment you invite people into is your loudest subliminal ad.
Your MoveBuilding your Vortex takes six to eight months. Training your team to wield it—another six. Is it worth it? Ask me in three years when your retention metrics soar while others scramble for new clients on Instagram.
Want the full blueprint? Grab Keep Your Clients—link below. It’s 200 tested touchpoints distilled into 15 that transform symptom-chasers into lifelong advocates.
Zoom out. Design the journey. Build the space. Watch them stay.
Get Keep Your Clients Here | Explore More at thevismai.com
I’ll end with this:
If you want to learn more about developing loyal clients, watch my playlist on YouTube.
If you want to build some retention tools and use them for impact, check out my Create and Master Your New Client Welcome Book (for on boarding new clients effectively) and Create and Master Your Quarterly™ Newsletter (to ascend clients in a rhythmic way)
– Vismai
Who Is Vismai?
I’m the author of Keep Your Clients, The CA School and writer obsessed with the mind, keeping people in chiropractic care longer and helping chiropractors gain more peace in practice.
When You’re Ready, Here’s How I Can Help You:
Keep Your Clients.
Create a retention vortex for your own chiropractic office.
Audit your chiropractic office for retention potential.
Just how ready is your chiropractic office for long term loyal clients?
New Client Welcome Booklet template and training how to use it.
First impressions matter. A must have tool that needs to alter the main reason people come to you apart from pain.
This tool ascends your client's level of understanding of chiropractic not by cognitively explaining it but getting them to experience it in their own body.
Buy the Welcome Booklet Template
Loyal Clients. Sticky Momentum. Simplify Life.
I dive deep into one burning question. What keeps people in chiropractic care longer?
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