01
THE SITUATION
A Growing Chiropractic Practice in a Competitive Local Market
Chiropractic care is a mainstream healthcare service that offers patients a drug-free alternative for treating pain. And the demand is growing, employment of chiropractors is projected to grow 10% from 2021 to 2031, faster than the average for all occupations.
The client is a goal-oriented, correction-based chiropractic practice. They've treated a wide variety of conditions using that model, including neck pain, migraines, low back pain, shoulder pain, and sciatica. But while the practice had deep clinical expertise, their PPC campaigns weren't capturing the full opportunity the market offered.
Our objective as an agency is simple: make search marketing affordable for every entrepreneur and small business. We help clients grow their web traffic and sales so they can scale nationally or locally. For this chiropractor, that meant finding the wasted spend, the missed keywords, and the underperforming ads, and fixing all three.
Keyword Gaps
Missing high-volume search terms
Weak Local Targeting
Missing local-intent searchers
Wasted Ad Spend
High CPC eating into margins
02
WHAT WE DID
Keyword Intelligence, Local Targeting, and Creative Testing
Rather than guessing at changes, we rebuilt the campaign's foundation on data, analyzing what people were actually searching for, where the competition was bidding, and which ad creatives were earning the click.
1
Search Term & Competitor Keyword Analysis
We analyzed search terms and competitor keywords in depth, then added the most-searched keywords to the account. We also layered in locally-oriented keywords to capture patients searching for chiropractic care in their immediate area, a critical factor for any clinic-based business.
2
High-Volume Keyword Expansion
We prioritized keywords with strong average monthly search volume. This strategic expansion increased campaign reach and performance while ensuring we were bidding on terms that actually mattered to the practice's service areas.
3
Pausing Underperforming Keywords
At the same time, we paused underperforming keywords that were draining budget without producing results. This cut wasted spend, lowered average CPC, and improved overall campaign efficiency.
A/B Testing of Ad Creatives
Finally, we ran A/B tests on ad creatives to find the messaging that earned the strongest click-through rate. Winning variations were scaled while weaker ones were retired, a simple process that produced a dramatic lift in CTR.
03
THE RESULTS
More Conversions, More Clicks, and Lower Costs
The changes didn't just improve one metric, they improved every metric that matters. Conversions went up, clicks increased, CTR nearly doubled, and both cost per conversion and average CPC dropped.
Conversions
224
↑ 29%
Up from 195
Cost / Conversion
$50.44
↓ 5.43%
Improved from $55.87
Total Clicks
2,559
↑ 24.8%
Up from 2,050
Click-Through Rate
1.82%
↑ 94%
Nearly doubled from 0.88%
Avg. Cost Per Click
$4.41
↓ $0.90
Improved from $5.31
Net Outcome
All Metrics Up
More leads, lower cost per lead
The Real Takeaway
A 94% lift in CTR and a 29% increase in conversions didn't come from increasing budget, they came from removing wasted spend, adding the right keywords, and testing creatives until the best one won. That's what affordable, effective search marketing looks like.
04
THE TIMELINE
From Baseline to Breakthrough
A step-by-step view of how the campaign moved from its initial numbers to a stronger, more efficient lead engine.
FAQ
CHIROPRACTOR PPC
Frequently Asked Questions
Common questions about our chiropractor PPC case study and process.
How much did conversions increase in the chiropractor PPC campaign?
Conversions increased from 195.00 to 224.00, a 29% lift, through keyword optimization, local targeting, and A/B testing of ad creatives.
What happened to the click-through rate and cost per click?
CTR nearly doubled from 0.88% to 1.82% (a 94% increase), and average CPC improved from $5.31 to $4.41 while total clicks grew from 2,050 to 2,559.
Can this PPC strategy work for other chiropractic or healthcare practices?
Yes. The combination of keyword intelligence, local targeting, and creative A/B testing works exceptionally well for chiropractors, physical therapists, dentists, med spas, and other local healthcare practices looking to grow patient volume affordably.
Ready to Scale Your practice's PPC Campaigns?
Let us show you what we can do for a Dallas Fort Worth business.
"Selph Marketing has been a major boost to our business. Reasa and her team provide excellent service and produce real results. I'm extremely happy we have them as an extension of our team. Thank you!"
Dustin Hulett
Hulett Insurance