The Challenge
The practice serves its market, with chiropractic care, acupuncture, massage and light therapy. A practice with several services across several suburbs has to be found for each of them, in each town, and the website and ad account have to be set up so that the visits and bookings that result can actually be counted.
The goal of this work was to improve local visibility in each of those towns and to build the measurement that good ad decisions depend on.
The Approach
Local search across three towns. We tracked the practice's positions for chiropractic, acupuncture and massage searches in its market, and made sure there is a page for each service and town so the right page can match the right search. This is the kind of local work our system is designed for.
Booking tracking. On October 26, 2026 we added booking tracking to the website. A completed booking now reaches a confirmation page and sends a booking event to Google Ads, so the ad account can see web bookings.
A cleaner Google Ads account. The same day we made a set of changes that do not disturb the account's learning or raise spend. We added 32 negative keywords to each of the two search campaigns, added three Exact-match keywords for high-intent searches, paused 79 Broad-match keywords that had received no traffic in 90 days, pointed two ads at a matching services page and submitted a new responsive search ad. Budgets and bidding strategies were left unchanged.
The Results
| Measure | Result | Source |
|---|---|---|
| Google Maps ranking | #1 for its main city searches and #2 for "chiropractor near me" | Local rank check, October 1, 2026 |
| Organic rankings | #3 and #4 for local chiropractic and massage searches in three towns | Local rank check, October 1, 2026 |
| Searches on page one or in the map pack | 6 non-brand searches | SEO report, October 1, 2026 |
| Google Business Profile | 4.5 stars across 143 reviews | SEO report, October 1, 2026 |
| Website speed, mobile and desktop | 100 out of 100 for performance, accessibility, best practices and SEO | Google PageSpeed Insights, October 27, 2026 |
| Google Ads changes applied and read back | 32 negatives per campaign, 3 Exact keywords, 79 idle keywords paused | Google Ads account record, October 26, 2026 |
"Chiropractor near me" is a search with about 22,000 monthly searches nationally, and the practice holds the number two map position for it in its own area. The practice's brand name also holds the first position.
The booking tracking and ad cleanup went live on October 26, 2026, which is very recent. We have not yet measured their effect on bookings or on the cost of a booking, so we are not making a claim about them. We are also not publishing patient counts or income for this practice.
What Made It Work
The practice's strength is breadth: several services in several towns. Separate pages for each service and town let the practice appear for acupuncture, chiropractic and massage searches in places where a single generic page would have lost out. Pairing that with tracking that counts bookings gives the practice what it needs to spend ad budget on searches that produce patients.
Results are specific to this practice, market and time period. Rankings change daily and individual results vary. This case study does not promise any outcome for other practices.