How Zhiva Chiropractic Crushed the "Small Town Myth" and Achieved a 9.5x ROI in Their First 6 Months
D.C. Óscar and D.C. Elisa are the definition of the "Modern Quiro." Both are graduates of the Madrid College of Chiropractic (MCC) and former faculty members. When the MCC clinical facility announced its closure, they saw more than just an ending, they saw a mission.
They opened Zhiva Quiropráctica in San Lorenzo de El Escorial with a dual purpose: to ensure the college’s existing patients weren't left stranded and to bring high-level chiropractic care to their local community. However, they faced the classic "Startup Trap": they were doing everything themselves. From adjusting patients to mopping floors and answering WhatsApp messages during sessions, they were "Quiro-Orchestras" at risk of burnout.
Can a chiropractic clinic thrive in a town of only 15,000 people?
Most practice owners think you need a prime spot in a major city like Madrid or London to see real growth with digital ads. They fear that in a small town, you’ll "burn through" leads or that people are too traditional for modern marketing.
Before QuiroAds stepped in, the challenges were clear:
- The Rural Fear: They were skeptical that Meta Ads would work in a smaller, tight-knit community.
- Administrative Chaos: Without a CA (Chiropractic Assistant), Óscar and Elisa were losing focus. They would literally have to leave a patient on the table mid-adjustment to run to the door and greet a newcomer.
- Lead Friction: They needed a way to filter for quality patients, not just "deal hunters" who wouldn't commit to a care plan.
The 360 Growth System with QuiroAds
We didn't just "run ads." We implemented a full-funnel ecosystem tailored for their specific location:
- The Irresistible Front-End Offer: We launched a high-converting Meta Ads campaign featuring a 25% discount ($50) for the initial consultation. This price point is the "Sweet Spot", low enough to invite new people, but high enough to maintain clinical authority. Instead of running generic ads, we implemented a conversion-focused Meta Ads system for chiropractors that pre-educated prospects before they ever stepped into the clinic.
- Strategic Local Targeting: Instead of broad "shotgun" marketing, we targeted specific demographics in the El Escorial area, positioning Óscar and Elisa as the local experts.
- The QuiroHiro CRM: We integrated our proprietary CRM to automate lead follow-ups. No more missed calls. No more forgotten messages. Every lead was tracked and nurtured automatically while they stayed focused on the spine.
Numbers That Demand Attention
The data from March to October (excluding summer breaks) is nothing short of legendary:
- Total Ad Spend: 1,742€
- High-Intent Leads: 259
- Lead-to-Visit Conversion: 25% (Extremely high for the industry).
- Initial Visits Generated: 66
- Care Plans: 39
- Direct Revenue from Ads: €16,615
- Overall ROI: 9.5x
- Care Plan Conversion: 59%. Nearly 6 out of every 10 people who walked through the door committed to a long-term care plan.
The biggest win isn't just the €16k in revenue, it’s the freedom.
By October, the volume of new patients was so consistent that they could no longer justify being "solo-preneurs." They hired Isa, their first full-time CA.
The Result?
Óscar and Elisa now spend 100% of their time adjusting and growing the clinical side, while Isa handles the "noise", the calls, the scheduling, and the payments. They went from a "job" to a "business."
The Secret Sauce: Evidence-Based Authority
Why is their conversion so high? Because Óscar and Elisa don't sell "crack-and-go" sessions.
They use a Sincerity-First Protocol. They educate patients using scientific evidence, explaining that chiropractic is a process of neurological reorganization, not a quick fix for back pain. By setting these expectations in the first visit, they build massive trust, leading to that incredible 59% retention rate.
Conclusion
When asked what they would change if they could go back, Óscar and Elisa had one simple answer:
"We would have opened 6 months sooner."
Their advice to new grads or struggling owners? Work for someone else first to gain humility and clinical skill, but once you're ready, don't wait for "perfect." Get the right systems in place and jump.
If you want results like these for your chiropractic practice, get in touch with us today and let’s build your success story.
Explore other success stories
.svg)