10 Strategies for Chiropractors to Grow a Thriving Practice

From the Seven Figure Chiro Podcast with Dr. Jeff Berard & Kristin

In this episode of the Seven Figure Chiro Podcast, Dr. Jeff Berard and Kristin reveal proven ways to increase revenue in your chiropractic office by adding new services and creating multiple income streams. If you're looking to build a seven-figure chiropractic business, this is your blueprint.

Whether you’re just starting out or scaling your practice, diversifying your chiropractic services is key to improving patient care and maximizing profit.

Why Multiple Revenue Streams Are Essential for Chiropractors

In today’s competitive healthcare market, running a successful chiropractic clinic means more than just offering spinal adjustments. Patients want comprehensive wellness care—and if your office delivers it all in one place, you become their go-to provider.

Adding services not only improves outcomes—it builds patient loyalty, increases retention, and provides financial stability during slow seasons.

1. Sell Health & Wellness Products in Your Chiropractic Clinic

Retail sales are one of the easiest ways to increase income. Your patients already trust your expertise, so when you recommend products they can use at home, many will purchase them directly from your office.

Top Chiropractic Retail Products:

• Nutritional Supplements (e.g., fish oil, magnesium, turmeric)
• Posture Correction Tools (lumbar cushions, cervical pillows)
• Massage & Recovery Tools (foam rollers, stretch straps, massage balls)
• Custom Orthotics (partner with companies like TOG or Foot Levelers)

Pro Tip: Patients want the products you actually use in your clinic. Offering convenience, education, and trusted recommendations is a winning formula.

2. Add Massage Therapy Services

Massage therapy and chiropractic care go hand-in-hand. By integrating massage into your practice, you provide more value to your patients and increase recurring visits.

Massage helps:

• Reduce muscle tension
• Improve circulation
• Enhance chiropractic adjustment results

If you find and retain a great massage therapist, treat them well—they're not just a team member; they’re a revenue-generating asset.

3. Launch Assisted Stretch Therapy (High ROI Service)

One of the most profitable chiropractic services to add in 2024 is assisted stretch therapy. It requires minimal overhead and attracts a wide range of patients, especially athletes and active individuals.

In Dr. Jeff’s clinic:

• 40+ new patients per month come in just for stretch therapy
• 75% purchase a stretch package
• 50% convert into chiropractic care patients

Stretch therapy improves:

• Flexibility
• Posture
• Joint mobility
• Patient satisfaction and retention

Ready to get started? Visit StretchCenter.com to learn how to integrate this turnkey system into your chiropractic clinic.

4. Offer Physical Therapy (PT) Services

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Benefits of adding PT:

• Increases referrals from medical doctors
• Enhances rehabilitation offerings
• Attracts post-surgical patients
• Opens up new insurance billing opportunities

Pro Tip: Partner with a physical therapist who supports chiropractic care. It makes for a powerful, team-based healing approach.

5. Add Acupuncture or Dry Needling

Acupuncture and dry needling are popular for pain management, anxiety relief, and muscle recovery. You can hire an acupuncturist or create a contractor-based relationship where they only get paid per visit—keeping overhead low. Integrating acupuncture:

• Brings in a new patient demographic
• Improves care outcomes
• Offers excellent return on investment

6. Introduce Virtual Consultations

Offering telehealth or virtual consultations for chiropractic care is a smart way to expand your reach. These online appointments help build trust with potential patients before they commit to in-person visits.Benefits of chiropractic virtual visits:

• Attract out-of-area patients
• Offer flexible appointment options
• Add a low-overhead income stream

7. Provide Nutrition & Wellness Coaching

If you or someone on your team is certified, nutrition and lifestyle coaching is a valuable add-on that supports long-term wellness goals.

Popular coaching topics:

• Weight management
• Healthy eating
• Chronic inflammation support
• Stress and sleep management

This isn’t for every clinic—but for the right patient base, it’s a game changer.

8. Train Your Team to Promote Services

Don’t overlook your support staff. With proper training, they can actively promote services, educate patients, and help drive additional revenue through cross-selling and patient engagement.

When front desk staff or massage therapists are trained to recognize patient needs and recommend services, your clinic becomes more efficient—and more profitable.

9. Create Add-On Services

You don’t need a massive overhaul to boost profits. 

Offer add-on services like:

• 15-minute chair massages
• Stretch sessions
• Percussion therapy
• Cold packs or stim units to-go

Small add-ons add up—especially when they’re easy to bundle with existing appointments.

10. Start Small, Scale Smart

Dr. Jeff and Kristin are clear: You don’t need to become a full-service wellness center overnight. Start by adding one service that aligns with your existing model. As it grows, use that momentum to expand further.

If space is tight or you’re not sure where to begin, reach out. There are creative solutions that allow you to scale with what you already have.

Final Thoughts: Build a Chiropractic Business That’s Built to Last

When you offer more than just adjustments, your practice becomes a hub for wellness—and that leads to longer retention, stronger referrals, and predictable income.

By adding retail products, stretch therapy, massage, physical therapy, and even telehealth, you position your chiropractic clinic as the go-to destination for holistic health.

Key Takeaways:

• Sell the health products you recommend
• Offer services patients want—like massage and stretch therapy
• Expand into PT and acupuncture for more revenue streams
• Train your staff to support your business goals
• Create a scalable practice, one service at a time

Want the full breakdown?

Listen to the latest episode of the Seven Figure Chiro Podcast and learn how Dr. Jeff and Kristin built a multi-service, multi-seven-figure chiropractic practice. 

Visit StretchCenter.com to start implementing assisted stretch therapy today. 

Don’t forget to subscribe, leave a review, and share this episode with your chiropractic colleagues!

Until next time, keep growing, keep leading, and keep up the good fight.

Dr. Jeff & Kristin
Seven Figure Chiro Podcast