In this episode of The Successful Chiro, we unpack how chiropractors can leverage artificial intelligence to eliminate operational bottlenecks, scale their marketing, and create consistent growth — without adding more hours to their week. Dr. Noel Lloyd and digital marketing specialist Nick Fisher break down a practical blueprint for implementing AI in two critical areas of your practice: marketing and operations. From ChatGPT content creation to AI avatars, automated blog distribution, and virtual CAs that engage patients 24/7, this episode shows how technology can free you up to focus on what matters most — delivering excellent patient care. If you’ve been stuck in the tug-of-war between running your clinic and growing it, this conversation will show you how to win both sides.
This episode explores a powerful shift happening in chiropractic practices: using AI to eliminate friction in both marketing and operations.
The first pillar focuses on marketing and content creation. We discuss how tools like ChatGPT and other AI platforms can instantly generate blog topics, patient education articles, email newsletters, and structured video scripts. Instead of staring at a blank screen after a long day in clinic, you can use AI as a brainstorming partner to draft your ideas in minutes. The key insight? The quality of the output depends on the quality of your input. Specific prompts tied to your philosophy, tone, and patient demographic produce far better results than generic requests.
We also explore how chiropractors can build digital authority through AI-generated podcasts and voice cloning. Publishing consistent audio content on platforms like Spotify and Apple Podcasts strengthens SEO and builds trust with prospective patients. Additionally, AI avatar tools now allow you to create polished educational videos without repeatedly filming yourself — while still maintaining authenticity by layering in real clinic footage as B-roll.
The second pillar dives into operational automation. Nick outlines how a simple trigger — like entering a topic into a Google Sheet — can automatically generate a full SEO-optimized article, publish it to your website, draft an email campaign, and schedule multiple social media posts. What once took two hours can now take three minutes.
We also discuss AI phone systems that automatically generate call notes, website chat widgets that act as 24/7 virtual CAs, and automated review responses that improve local SEO. Modern patients increasingly prefer digital communication, and clinics that fail to offer text or chat options risk losing new patient opportunities.
The overarching takeaway is simple: start small. You don’t need to implement every automation overnight. Begin by experimenting with ChatGPT, learn how prompting works, and build comfort using AI as a tool. As you grow in confidence, you can layer in more advanced systems.
If AI handles the business bottlenecks — marketing, communication, distribution — it frees you to focus on the one thing technology can never replace: delivering exceptional chiropractic care.
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Learn more about Nick Fischer's Chiro Basix Marketing here: https://chirobasix.com/
Episode Note: This episode was produced using AI-generated voices for delivery efficiency. The strategies and insights shared are based on real Five Star Management training and expertise.
Welcome to the Chiropractic Deep Dive. Uh, this is a special part of the Successful Chiro Podcast and we are just so glad to have you with us today. Yeah, really excited to get into this one. It's, um, it's a big topic. It is a massive topic, and, uh, I should mention right at the top, this deep dive is brought to you by Five Star Management.
That's a premier chiropractic consulting company. The best in the business. Absolutely. And you know, speaking as a part of the five star management team, we see the hurdles that clinics are facing today firsthand. I mean, we spend our days figuring out how to help you thrive in what is honestly a really complex landscape right now.
Yeah. The landscape has changed so much just in the last few years alone. Right, which is exactly why we're exploring the tech solutions we have on the docket today. We're tackling the core problem that, um, almost every single practice owner runs into eventually. It's that exhausting tug of war. Oh, the tug of war.
We hear about it constantly. You know exactly what I mean. On one side, you have the operational reality of running a clinic. You've got the charting, the patient flow, managing the front desk. The stuff that keeps the lights on. Exactly. But then on the other side, you have the absolute necessity to grow the clinic.
Marketing, patient education, community outreach, and time is the ultimate bottleneck there. Time is the bottleneck. There are only so many hours in a day and you are constantly being pulled between being a doctor and being a marketer. Which is the classic bottleneck of any scaling business. Right? Yeah. But it hits healthcare particularly hard.
Historically, you simply couldn't clone yourself to handle both sides of that equation. No, you couldn't, but, and this is where today's deep dive comes in. The source material we're looking at today changes that narrative entirely. It really does. It blew my mind a bit, honestly. Same. So we are analyzing a highly insightful zoom call that was led by Dr.
Noel Lloyd, and it featured a digital marketing specialist named Nick Fisher. And Nick is an interesting guy because he's been navigating the digital space since what, 2012? Yeah, 2012. But he kind of accidentally snowballed into the chiropractic niche around 2019. Right? He started helping a few clinics.
The results were undeniable, word spread, and his whole focus shifted to this specific industry. And what makes Nick's perspective so valuable is that he brings an outsider's technological lens to the very specific pain points of a chiropractic office. He sees the inefficiencies that we just accept as normal.
Exactly. So the mission of this deep dive today is to lay out Nick's exact blueprint for using artificial intelligence. We're looking at how to use these tools to erase repetitive manual labor, scale your marketing presence, and ultimately drive practice growth without adding hours to your work week. Sign me up, right?
So to organize all this, Nick breaks down AI implementation in a practice into two distinct pillars. Let's get into the first bucket. So the first bucket is marketing and content. Essentially how you get your face, your voice, and your specific philosophy of care in front of your community, which is getting harder and harder to do organically.
Very true. And then the second bucket is operations. That's drastically reducing the friction and manual labor that slows down your front desk and your patient management. So we should start by looking at that first pillar, the AI content engine. And that really begins with mastering chat-based AI platforms like Chat, GPT or Gemini.
And Nick makes a great point about how we frame these tools. They aren't magic wands that just do your job for you, right? They're not gonna just run your clinic while you go to the beach. No. But they are tireless brainstorming partners. Think about staring at a blank screen at six o'clock on a Thursday evening after a full day of adjustments.
Oh, your brain is just fried at that point, completely fried. You know, you need a blog post or an email newsletter, but the creative energy is gone. So Nick did this live demonstration on the Zoom call. To show how you bypass that block entirely. It was so fast, too. Instantly, he typed in a simple prompt asking the AI to provide a list of 10 patient educational blog articles, specifically tailored for a chiropractic office, and within seconds, the AI spit out 10 highly relevant, distinct topics.
But the demonstration didn't stop at just getting a list of ideas. Nick took one of those 10 topics. Plugged it right back into the chat interface and asked the AI to write a full length article based on that single concept. And it handled the structural writing and the basic research just like that.
It did. Mm. But what stood out even more to me at least, was his use of the voice to text feature. This is where the barrier to entry practically vanishes. For a busy practitioner, that was a brilliant workflow because instead of sitting at a keyboard trying to type out the perfect written prompt, which takes time, Nick just picked up his phone and spoke to the AI naturally, like he was talking to an assistant.
Exactly. He asked it to write three 90 second educational video scripts about headaches, but he didn't just ask for generic scripts. He gave it very specific formatting instructions. Right? He told the AI to start with an interesting hook, deliver the core educational value in the middle, and finish with a soft call to action to book an appointment, and the output was immediate.
Three structured scripts dropped right into the chat. If we think about the practical application for you as a clinic owner. You could literally speak your thoughts into your phone during your commute. Yeah. Sitting in traffic. Sitting in traffic. By the time you pull into the clinic parking lot, the foundation of your marketing content for the entire month is already drafted.
It's incredible, but, and we do need to pause here. Nick offered a very serious caution during this part of the call. He did. It's a crucial one, right? Because there's a clear vulnerability when we rely on machine learning for medical or philosophical content. The AI doesn't inherently understand the nuances of a specific subluxation philosophy, does it?
It doesn't, and that is the trap. Nick reminded everyone on the call that AI is essentially a massive summarization engine for the internet, and the internet is definitely not always right, especially regarding healthcare and specific chiropractic methodologies. It is not always accurate or aligned with your practice's core values.
Mm. You cannot treat this output as a final draft that you just copy and paste. So how much editing are we actually talking about then? Because if it's just summarizing the internet, aren't we risking putting out generic watered down advice that doesn't sound like us at all? That is exactly where the concept of input quality comes into play.
As Nick put it, the quality of the output. Is directly proportional to the quality of your input. So bad prompt equals bad blog post. Exactly. If you give the AI a vague instruction, like write a post about back pain, you will get generic sterile content. But if you take the time to build a detailed prompt that explains your specific approach to care, your clinic's tone of voice and the specific patient demographics you treat, the AI actually adapts to that.
It adapts beautifully. Yeah. You still have to review and refine it to ensure it meets your professional standards, of course, but the heavy lifting of the initial draft is done, which leads to a really interesting strategy Nick shared regarding audio content. We've got these scripts drafted, but he suggested taking it a step further by using AI to clone your own voice.
This part is wild. It is. You can have the AI read the very scripts. It just helped you write using a digital replica of your natural speaking voice and then publish that as a podcast. The underlying strategy here is brilliant. It comes down to building digital authority. Nick specifically mentioned the SEO benefits search Engine optimization.
Let's break down the mechanics of that for a second. Why does a link from Spotify matter so much to a local chiropractor? To put it simply, Google operates on a system of trust. When a massive, highly trusted domain like Apple Podcasts or Spotify links back to your local clinic's website, Google views that as a massive vote of confidence.
It's like a digital endorsement. Exactly. It tells the search algorithm that your clinic is a recognized, authoritative entity. That SEO juice, as Nick called it, pushes your website higher up in local search results. When a patient in your town, Googles chiropractor near me, and you don't need to be aiming for a national broadcasting award here, just having that presence powered entirely by AI scripts and your cloned voice solidifies your authority.
It's working smarter, not harder, but as great as that audio authority is, we live in a highly visual world. Patients scrolling on their phones, wanna see their doctor's face. They wanna feel a connection before they ever walk through your front door. Exactly. Which brings us to the real bottleneck we hear about all the time getting on camera.
It is incredibly intimidating. The video problem is well documented in our industry doing multiple takes, setting up the lighting, finding a quiet room, and then spending hours trying to edit out the awkward pauses. It is a massive time sink, and the solution Nick presented on the Zoom call. Sounds almost like science fiction, but it is fully accessible right now.
He demonstrated a platform called Heygen, which creates AI avatars. The psychological insight here is fascinating to me. It's about scaling intimacy without scaling your time, right? Because patients need to feel a parasocial connection to you to build trust. They need to feel like they know you, and this avatar technology allows you to build that trust at scale consistently while remaining completely hands off in the creation process.
The setup process he described is remarkably simple. You feed the Hagen platform about two minutes of raw video footage. Just two minutes. Just two minutes. You sit in front of a camera, speak naturally, and keep your hand movements relatively subdued to give the AI a clean baseline. The software then processes that footage and clones your physical likeness, your facial expressions, and your voice.
So from that single two minute investment. You effectively never have to hit record for a standard talking head video again. Never again. You take the script, the chat, GPT wrote for you, paste it into Heygen, and your digital avatar speaks the script flawlessly. And Nick actually ran a live generation on the call to prove the speed, didn't he?
He did. And under 10 minutes, the platform generated a full polished video. It didn't just animate his face. It automatically layered in background music and added professional text overlays, highlighting the key points of the script entirely without him even prompting it to do so. The reaction from the participants was great on that.
One participant jumped in and said the avatar looked incredibly close to reality, though they did joke that the AI version of Nick looked like he had maybe hit the gym recently. Yeah, hit the gym and had a slightly shinier forehead. It's a funny observation. But to a prospective patient scrolling rapidly through their Facebook feed, they are not scrutinizing the pixels.
They just see a polished, confident doctor educating them on their health. However, there was a very practical, technical question raised by one of the participants regarding B roll, right? B roll, that secondary cutaway footage that plays over your voice, like a shot of you performing a spinal adjustment or a patient smiling at the reception desk, the stuff that keeps the video visually engaging.
The participant wanted to know if the AI could just handle adding all of that automatically, and this is where Nick issued a major warning. Yes, the AI will try to add B-roll if you ask it to, but you really do not want it to. Oh, it's so bad. AI generated medical imagery is notoriously bad. It often looks like bizarre, uncanny stock photography.
Nick joked about the AI frequently generating images of people with six fingers or worse, it will hallucinate random, scary looking medical equipment that has absolutely no place in a modern chiropractic clinic. It looks like something out of a horror movie sometimes. And you spend all this time building trust with the avatar, and you instantly break that trust.
If bizarre, unsettling imagery flashes on the screen, it undermines your professionalism entirely. Nick had a very elegant, practical workaround that blends the high tech AI with the authentic reality of your practice, the hybrid approach. He suggested having a team member take a standard iPhone and shoot a few minutes of real authentic B roll of you in your actual clinic.
Just capture the real environment. Adjusting real patients interacting with your staff. You then take the polished avatar video that Heygen created, drop it into a free simple editing program like iMovie, and just splice your real iPhone footage right over the top of the AI video. It grounds the high tech efficiency in the tangible reality of your clinic.
The patient sees the real environment, but you didn't have to spend hours filming the spoken dialogue, which is a perfect segue. That brings us to the second major pillar. Nick covered supercharging operational efficiency. This is where we transition from creating content to putting the entire distribution and practice management system on autopilot.
Nick called this the nerd level of automation. Nerd level. Yeah. Yeah. It is all about setting up custom workflows. You connect different software platforms together so that one single action sets off a cascade of automated tasks like falling dominoes. Let's give them a concrete example of how this looks in a real world scenario based on the workflow Nick walked through.
Okay? Imagine it's a Wednesday morning, you wanna get a piece of content out, but you have a packed schedule. In this automated system, your initial trigger is incredibly minimal. You open a basic Google sheet, just a standard spreadsheet. Just a spreadsheet. You type in a single topic, let's say sciatica relief, and you drop in a photo from your clinic.
That is the end of your manual labor. And from that one action in a spreadsheet, the automation takes over. That trigger sends a signal to the AI to write a brief summary of a potential article about sciatica. It automatically sends that summary to your phone or email for a quick review. And the moment you click approve, the cascade accelerates.
The AI immediately drafts the full long form SEO optimized article based on that approved summary. But the workflow doesn't stop at content creation. It handles the distribution right. Through automation tools. That finished article is pushed directly to your clinic's website and published, and we keep going down the chain.
It then draft a dedicated email campaign summarizing that new blog post and automatically loads it into your email marketing software ready to send to your entire patient database. It doesn't stop there. Finally, it takes that long article. Chops it up into three or four bite-sized pieces and drafts and schedules, your social media posts for the entire week.
The math on the return on investment here is staggering. Let's talk about that math. Well, Nick calculated that historically for a clinic owner or a staff member to manually write the article, log into the website, to post it format the email newsletter, and schedule the social media posts, it would take roughly two hours of focused labor.
With this workflow, that entire process is condensed into a three minute interaction with a Google sheet. Three minutes. Think about the compounding effect of saving an hour and 57 minutes every single time you want to communicate with your audience. That is time you get back to focus on patient care or simply go home to your family.
But the operational upgrades Nick discussed go beyond just content distribution. He introduced a massive shift in patient interaction with the concept of the virtual CA or AI employees. This is where AI moves from the background into direct patient engagement. For example, Nick highlighted new AI phone systems that actively listen in on live patient calls, listening in the background right as your front desk is speaking with a patient about their symptoms or scheduling.
The AI is running in the background. Instantly generating clean, accurate copy, pastable notes summarizing the entire conversation. The days of frantic scribbling on sticky notes or trying to remember the details of a call five minutes after you hung up are over. Thank goodness, but even more impactful is the website widget.
Nick pointed out a stark reality of consumer behavior in 2026. A massive portion of the population simply refuses to make phone calls. They really do. They find it intrusive or inconvenient. They want a text or they want to engage with a chat interface on their own schedule. If your clinic's only gateway for a new patient is a phone number that goes to voicemail after hours, you are actively losing those modern patients to competitors who offer digital communication.
The solution is embedding a virtual ca chat widget directly on your website. But we had to distinguish this from the clunky, frustrating chatbots of five years ago that just aggressively asked for an email address and told you to call the office, right? Those old bots were basically just digital brick walls.
This new generation of AI is highly trained specifically on your business, and the training process Nick outlined is brilliant because of how hands off it is for the clinic owner. The bot essentially scrapes your entire website. It reads every page, learn exactly what serving as you offer, the specific conditions you treat your pricing structures and your accepted insurance networks, and you supplement that automated learning with an onboarding questionnaire.
You feed the ai, all the nuanced, frequent questions that your front desk answers 50 times a week. The questions that might not be explicitly detailed on your website. Exactly. So when a prospective patient is experiencing back pain and visits your website at 11:00 PM on a Sunday, they don't hit a dead end.
They engage with the virtual ca and they get highly customized, accurate responses instantly. The virtual ca can even step into reputation management. Nick demonstrated how the AI can automatically draft and post articulate personalized responses to your incoming Google reviews, which is huge for SEO.
Responding to reviews is a massive signal to Google's local search algorithm. It boosts your visibility immensely, but let's be honest, it's one of those chores that constantly gets pushed to the bottom of the front. To-do list. The AI handles it instantly and professionally. This naturally leads to the most critical logistical question, which many practitioners on the call were likely wondering a booking question.
Yep. You have this bot answering questions and building rapport at midnight. How does this actually tie into securing the appointment? Bots don't natively integrate perfectly with every single electronic health record or EHR system on the market. That handoff from bot to human calendar can be a major friction point.
It is the ultimate hurdle. If the bot can't book them, it's just a fancy FAQ page. But Nick offered a few very clear workarounds to ensure the patient actually gets on the schedule. The first option is using an AI specific calendar system that the bot controls, though that does require your staff to manually copy those appointments over to your main EHR the next morning.
A little manual work there. The second more streamlined option he suggested is using integration tools like Review Wave, right? The virtual ca can simply send the patient a dedicated, secure booking link through that third party software, which already has the API Connections built to talk directly to your specific EHR.
But the third option he described, the live transfer is really where the customer service shines. It's so smooth. The AI handles the entire top of the funnel interaction. It answers the questions about insurance. It explains what an initial consultation looks like and it builds the rapport and the exact moment the patient types something indicating they're ready to schedule.
The bot pauses and transfers that live chat interface directly to a front desk team member screen to finalize the booking and take over the human connection. It acts as a tireless filter and the technology can even be configured to operate in reverse. Nick noted that these systems can be set up to place outbound voice calls to warm leads.
People who have filled out contact forms on your website or engaged with your social media ads initiating the contact immediately while their interest is at its peak. It is an employee that works 24/7. Never calls in sick and never has a bad day. So as we look at this entire landscape, what is the immediate takeaway for you, the listener? Right now as we wrap up
I think Nick's final piece of advice to Dr. Noel Lloyd. For those just entering the space is the most important thing we'll discuss. His advice was simple. Do not get overwhelmed. It is incredibly easy to look at a massive, interconnected automation cascade, triggering emails and social posts, or a highly trained virtual ca managing your patient intake and feel completely paralyzed.
It feels like you need a degree in computer science to catch up, but Nick's advice cuts through that anxiety start incredibly simple. He recommended just going to OpenAI, signing up for the free tier of chat GPT, and getting your feet wet. Play around with it. Use it to write a single email to your patients, get used to the cadence of writing prompts and having that conversational back and forth.
With the ai. You have to understand the basic mechanics before you even attempt to build out a fully automated hands-off practice system. It's about building the fundamental muscle memory of using AI as a tool rather than viewing it as a looming technological shift that you have to master overnight.
That brings us to a provocative thought. I wanna leave you pondering as you go back to your clinic today. Yeah, let's hear it. We have just spent this entire deep dive exploring how artificial intelligence can flawlessly draft your marketing, perfectly clone your face and voice for video education and digest your entire clinic's operational knowledge to engage with leads and book appointments while you sleep.
The technology is rapidly eroding all the friction of running the business side of a clinic. So if the software eventually handles all of that heavy lifting, if the marketing and the operational bottlenecks simply disappear, the profound question becomes, what will you do with the time you get back? Wow.
Because there's one undeniable reality in all of this. There is one thing. The most advanced AI in the world absolutely cannot do. Cannot physically lay hands on a patient. Exactly. It cannot assess the tension in a spine, and it cannot perform the deeply human healing art of the chiropractic adjustment.
If AI takes care of the business of your practice, it frees you up to completely master the art of your practice. It gives you the space to be the doctor again, fully present with the patient in front of you. That is a profound paradigm shift. It moves the practitioner from constantly managing a stressed business to truly focusing on patient care, clinical excellence, and human connection, and facilitating that shift is exactly what we are passionate about at Five Star Management.
It really is if you are listening to this deep dive and you recognize that it is time to get serious about streamlining your practice, stopping the tug of war, and implementing these kinds of growth strategies. We have an incredible opportunity for you. I strongly encourage you to take advantage of this book, A free, no obligation strategy call with Dr.
George Birnbach. Dr. George Birnbach is a master at identifying exactly where a practices bottleneck and mapping out the path to scalable growth. The link to book that free strategy call with him is provided right down there in the show notes. It is an invaluable step for any clinic owner who wants to move from just maintaining their practice to actively scaling it with intention.
It truly is. Mm-hmm. Furthermore, we have another major announcement that ties directly into scaling your clinic. You do not wanna miss our highly anticipated live two-day event taking place in Chicago, Illinois on March 21st and 22nd. The event is called Too Many New Patients, and we are going be diving deep into actionable, proven strategies just like the ones we unpacked
today. It is about building a system that predictably brings patients through your doors. Registration is open right now and the link to secure your spot is also provided in the show notes. Getting in a room with other forward thinking practitioners and focusing purely on growth for two days is often the catalyst that completely changes the trajectory of a clinic.
Absolutely. Finally, if you found value in our discussion today, please take a moment to subscribe for more tips. We are consistently bringing you deep dives and expert insights, entirely focused on helping you build a wildly successful practice without burning yourself out in the process. Thank you so much for spending your time with us today.
Get out there, start experimenting with these AI tools and keep changing lives in your community. We will catch you on the next deep dive.