The 80/20 Reality of Practice Success
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August 27, 2025 | Vismai
Hey there,
It’s been a while since we spoke.
I want to share something that might resonate with your daily experience as a practice owner.
The Exhausting Cycle Most of Us Know Too Well
Here's what I noticed in my early years, and what I hear from chiropractors worldwide:
We get caught in this endless loop of marketing to new patients, converting them, losing them, then starting all over again. It's exhausting.
Marketing. Converting. Losing patients. Repeat.
It doesn’t have to be like this.
After 20+ years in practice, I've learned something crucial:
80% of your practice success comes from just 20% of your efforts.
But here's the thing: most of us are spending our time on the wrong 20%.
We're focused on:
Complex marketing funnels
Expensive advertising campaigns
Useless promotions
Constant patient acquisition
When we should be focusing on the patients already in our care.
What if There Was a Different Way?
What if instead of needing dozens of new patients every month, you only needed one new patient for every 2,000 returning visits?
What if your practice could run so smoothly that you could take a vacation without worrying about your numbers tanking?
What if your patients became so engaged in their health journey that they naturally stayed in care for life?
This isn't wishful thinking.
It's about creating what I call congruency: alignment between your personal values and your professional practice.
By the way,
I’m currently accepting 1 on 1 discovery calls to explore us working together on improving the retention in your practice, and the peace in your life.
The Power of Rhythmic Care
The chiropractors I've worked with who've cracked this code all share one thing in common: they've moved beyond just delivering adjustments.
They've created an environment where healthy rhythms naturally emerge.
Think about your most successful, long term patients.
They're not just coming in for adjustments, they're living a lifestyle that supports their spinal health.
They understand that chiropractic care is part of a bigger picture.
They become long term buyers.
They don't ghost you after their initial symptoms resolve.
They become partners in their own health journey.
A More Peaceful Path Forward
Running a practice doesn't have to mean constantly being "on" as a marketer, salesperson, and business owner.
When you create the right environment, one that naturally supports patient engagement and retention, you can focus on what you love most: helping people heal and thrive.
The goal isn't to work harder or see more patients.
It's to create sustainable systems that allow both you and your patients to flourish.
Your practice deserves to be profitable.
Your patients deserve consistent, lifelong care.
And you deserve to feel peaceful and aligned in the work you do every day.
All the best,
-Vismai
Remember, if you’d like to catch up with me…
I’m always available to chat about the retention bottlenecks in your practice.
Don’t hesitate to reach out, I’m here to help.
P.S. If you are looking for some new inspiration,
I’ve recently uploaded an informative actionable video on how I’ve managed to keep
my clients over the course of my career.
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.
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Loyal Clients. Sticky Momentum. Simplify Life.
I dive deep into one burning question. What keeps people in chiropractic care longer?
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