The Successful Chiro

Hosted by Noel Lloyd

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252

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Oct 2026

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About the show

Dr. Noel Lloyd had a super practice until a career-ending injury made it impossible to care for patients and put his back against the wall. What he learned allowed him to build dozens of top producing associates, 10 top producing clinics which he sold to his associates and built two management companies. He’s gone on to teach thousands how to build super successful practices and develop their own associates in the Win-Win Model through his companies, Five Star Management and The New Patient Academy. The Successful Chiro is for any chiropractor looking to bring their practice to the NEXT LEVEL. Dr. Lloyd’s super practical, easy to understand nuggets, gems, insights and ideas will definitely give you something positive to think about. Gain insight into foundational success concepts, new patient marketing, high volume low-stress practices, great patient retention and the Win-Win associate system. Enjoy!

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60 recent

October 21, 202615 min

Why Your Chiropractic Practice Stops Growing: How to Break Through Capacity Blocks

You’re growing. Patient visits are climbing. Then suddenly, everything gets harder. The schedule feels chaotic. Your team gets overwhelmed. Stress rises. And before long, the practice slides right back to where it started. That’s a capacity problem. In this episode of the Chiropractic Deep Dive, we break down Dr. Noel Lloyd’s approach to identifying and eliminating the hidden restrictions that prevent chiropractic practices from scaling. In this episode, you’ll discover: What a “capacity block” is and how it limits practice growth Why getting more new patients may actually expose bigger problems The 12 areas of your practice you should evaluate for capacity How clinic layout, scheduling, treatment time, and retention can create invisible ceilings Why your team may see problems that you don’t How giving your staff “diplomatic immunity” can uncover valuable feedback Why you should start by fixing an easy capacity block instead of the biggest one How project sheets create ownership and turn ideas into action Why removing capacity blocks can help you handle more volume with less stress The goal isn’t simply to push harder. It’s to build a practice capable of handling the growth you’re working so hard to create. Ready to identify what’s holding your practice back? Book a free call with Dr. George Birnbach and discover the hidden opportunities inside your practice: https://myfivestar.com/book-consultation/ Join Us Live in Dallas | November 14–15 Join Five Star Management for two powerful live trainings: Win Win Associates and New Patient Edge . Learn proven strategies to build your team, generate more new patients, and create greater growth and freedom in your practice: https://myfivestar.com/events/win-win-associates-new-patient-generation/ And don’t forget to subscribe to The Successful Chiro Podcast for more chiropractic practice growth strategies, systems, and deep dives. Note: This episode was created using AI-generated voices.

October 14, 202618 min

The 90-Day Chiropractic Staff Onboarding System: Train a High-Performing Team

Hiring the right person is only the beginning. The real challenge is getting that new team member trained, confident, and productive without creating months of disruption inside your practice. In this episode of the Chiropractic Deep Dive , we unpack a training led by Dr. Noel Lloyd and explore a structured approach to chiropractic staff onboarding designed to develop a capable team member within 90 days. You’ll learn why successful onboarding starts before an employee's first day, why core values and scripts should come before software and mechanical tasks, and how setting higher expectations early can help establish the standard for your clinic. The episode also explores the importance of pairing new hires with a designated job lead and creating a job book that preserves the systems and knowledge required for each position. We also cover how your management style should evolve as an employee becomes more competent, why ongoing certification matters, and how connecting employees to real patient success stories can help them understand the deeper purpose behind their role. In this episode, you’ll discover: The 90-day benchmark for training and certifying new hires The biggest onboarding mistakes chiropractic practices make Why pre-onboarding can dramatically improve an employee's first day The right order for training core values, scripts, and job responsibilities How to use job leads and job books to accelerate training Why new employees need more direction than veteran team members How ongoing recertification helps maintain high standards How better onboarding can remove a major barrier to practice growth Ready to strengthen your systems and build a practice that can grow without chaos? Book a free call with Dr. George Birnbach to learn how Five Star Management can help: https://myfivestar.com/book-consultation/ Join us in Dallas November 14–15 for Win Win Associates and New Patient Edge and learn proven strategies for building your team, growing your practice, and generating more new patients: https://myfivestar.com/events/win-win-associates-new-patient-generation/ And be sure to subscribe to The Successful Chiro Podcast for more actionable strategies to build a successful chiropractic practice.

October 7, 202626 min

How to Launch a Profitable Chiropractic Associate in 100 Days

Hiring the wrong associate can be expensive. But even the right associate can struggle if they are never given a proper launch. In this episode of the Chiropractic Deep Dive , we unpack Dr. Noel Lloyd’s approach to successfully launching a chiropractic associate and building profitability from the beginning. In This Episode You'll Learn: Why successful associate launches begin before the employment contract is signed How technique and philosophy alignment affect long-term associate success What Dr. Lloyd looks for in a highly “launchable” associate How the LEAD profile can help evaluate potential candidates Why the 100 in 100 goal creates urgency and momentum How to preload an associate’s schedule before their first official day How a customized “Six-Pack of Marketing” can generate new patient opportunities Why pairing your associate with a COA can accelerate growth How to explain the intense early launch period without creating burnout The difference between mentoring and micromanaging Why short daily “micro meetings” can dramatically improve performance How to gradually train an associate to confidently deliver Reports of Findings Why clinic owners must take extreme ownership of the associate launch process The goal isn’t simply to hire another doctor. The goal is to create enough momentum, training, accountability, and patient volume that your associate becomes a profitable and confident part of the practice. A strong associate program should create a win for the owner, a win for the associate, and ultimately a better experience for the patients you serve. Ready to Build a Stronger Practice? Book a Free Strategy Call with Dr. George Birnbach Want help applying these systems inside your own clinic? Schedule a complimentary strategy call with Dr. George Birnbach and discover your next steps toward greater growth, profitability, and freedom: https://myfivestar.com/book-consultation/ Join Us Live in Dallas | November 14–15 Join Five Star Management for two powerful events happening in Dallas, Texas: Win Win Associates — Learn the systems behind building productive, profitable, long-term associate relationships. New Patient Edge — Discover proven strategies for generating more new patients and creating consistent practice growth. Reserve your seat today: https://myfivestar.com/events/win-win-associates-new-patient-generation/ Subscribe to The Successful Chiro Podcast Subscribe so you never miss another Chiropractic Deep Dive, strategy, or actionable idea designed to help you build a more successful chiropractic practice.

September 30, 202622 min

How Chiropractors Can Use AI to Build a Smarter, More Efficient Practice

AI is changing the way chiropractic practices can operate, but simply opening ChatGPT and asking a few questions isn’t enough. In this episode of the Chiropractic Deep Dive , we unpack strategies shared by Dr. Noel Lloyd and Dr. George Birnbach for turning AI into a powerful tool for the business side of your practice. Inside the episode, you’ll discover: Why chiropractors should stop treating AI like a Google search bar How to build an AI knowledge library around your own philosophy, systems, and communication style The “Spice Girls question” that can dramatically improve your AI prompts How AI can help create SOPs, manuals, marketing systems, and staff training resources How to use KPMs, KPIs, and KPAs to create more actionable systems How to have AI interview you when you don’t know what information it needs Ways AI can audit your website and uncover opportunities for stronger SEO and AI visibility How AI can help evaluate front desk phone calls against your established standards Why dedicated AI project folders can save time and improve consistency The potential role of AI receptionists as the technology continues to develop Important considerations around patient privacy, medical information, advertising claims, and responsible AI use The biggest shift is simple: stop asking AI to complete random tasks and start managing it toward clearly defined outcomes. The practices that learn how to properly train, organize, and manage these tools will be positioned to use AI for greater efficiency while keeping their human energy focused where it matters most: serving patients and building relationships. Ready to Take the Next Step? Book a Free Call with Dr. George Birnbach Want to explore how AI, better systems, and smarter strategies could help your chiropractic practice grow? Book a free call with Dr. Birnbach to discuss your practice and identify opportunities to improve efficiency and scale: https://myfivestar.com/book-consultation/ Join Us Live in Dallas | November 14–15 Join Five Star Management for two days of live chiropractic practice-building training in Dallas, Texas. Learn strategies for generating more new patients and building a profitable Win-Win Associate practice designed for greater growth and freedom: https://myfivestar.com/events/win-win-associates-new-patient-generation/ Subscribe to The Successful Chiro Podcast Subscribe so you never miss another Chiropractic Deep Dive and get more strategies to help you build a stronger, more profitable chiropractic practice. Note: This episode was created using AI-generated voices.

September 23, 202623 min

How AI & Virtual Assistants Can Transform Your Chiropractic Practice

Your best team members should not be spending their day buried in administrative work. In this episode of the Successful Chiro Podcast , we break down insights from a Five Star Management training led by Dr. Noel Lloyd on how chiropractic practices are integrating virtual assistants and AI into their daily operations. You’ll discover how practices are moving computer-based tasks away from the physical front desk, allowing their in-office teams to concentrate on patient care, communication, and creating an exceptional clinic experience. In This Episode You'll Learn: Why “if it uses a mouse, get it out of the house” can completely change your clinic workflow How virtual assistants can handle scheduling, recalls, paperwork, reports, and other administrative tasks How some practices are using VAs to open and close their digital systems each day Why removing phones from the physical front desk can improve new patient scheduling How AI can help VAs handle communication, training, and patient objections How Trello and Loom can create a repeatable digital training system Why a structured 2–4 week training period can help prepare VAs before they interact with patients How virtual staffing can reduce payroll expenses while freeing your team to focus on growth How documenting your systems can protect your practice when employees leave or new team members are hired The goal is not simply to outsource tasks. It is to create an environment where your in-office team can focus on the things technology cannot replace: human connection, empathy, leadership, and excellent patient care. Ready to Build a More Efficient Practice? Book a Free Call with Dr. George Birnbach Want to identify the systems, staffing, or growth strategies that could make the biggest difference in your clinic? Schedule a free call with Dr. George Birnbach here: https://myfivestar.com/book-consultation/ Join Us Live in Dallas: November 14–15 Take your practice growth to the next level at our live Dallas training event featuring: New Patient Edge — Learn strategies designed to help your clinic generate more new patients. Win-Win Associates — Discover the Five Star system for building successful associateships that create more growth, freedom, and profitability. Reserve your seat today: https://myfivestar.com/events/win-win-associates-new-patient-generation/ And be sure to subscribe to the Successful Chiro Podcast so you never miss a new Chiropractic Deep Dive.

September 16, 202624 min

The Chiropractic Accountability System: How to Get Your Team to Follow Through

Is your team clear on exactly what they own, when it needs to be completed, and how success will be measured? In this episode, we break down the accountability mistakes that quietly create chaos inside chiropractic practices and the systems you can use to correct them. You’ll learn: Why accepting excuses can unintentionally lower your standards Why you need to inspect what you expect Why unwritten expectations create accountability problems How to delegate outcomes and deadlines without micromanaging Why your employees will not always work with an owner's sense of urgency How cross-training with a first, second, and third-string system can protect your practice How the Kramer Clipboard can simplify delegation How the BYLT: Before You Leave Today rule closes the accountability loop Why regular audits can improve billing, efficiency, and associate performance How AI and technology can help document meetings, assignments, and follow-through The goal is not to constantly watch your team. The goal is to create a practice where accountability is built into the system. Ready to Build a Stronger Practice? Book a free call with Dr. George Birnbach to learn how Five Star Management can help you create stronger systems, develop your team, and build a practice that can grow without depending on you for every decision: https://myfivestar.com/book-consultation/ Join us LIVE in Dallas, Texas, November 14–15 for our Win-Win Associates and New Patient Generation training. Learn proven strategies to grow your practice, develop successful associates, and generate more new patients: https://myfivestar.com/events/win-win-associates-new-patient-generation/ Subscribe to The Successful Chiro Podcast so you never miss our weekly strategies for building a more successful chiropractic practice. Note: This episode was created using AI-generated voices based on original Five Star Management content and insights.

September 9, 202623 min

How to Increase Chiropractic Patient Retention With a Wellness Care Program

Too many chiropractic practices lose patients as soon as relief care ends. In this episode, we explore Dr. Noel Lloyd’s approach to building a structured wellness program that helps patients understand the value of ongoing care while creating stronger retention and more predictable revenue for the practice. You’ll learn: Why patient retention starts on day one How to introduce wellness care without creating resistance Why re-exams and progress reviews matter How a named wellness program can improve commitment How recurring payments can reduce friction Why clinic culture and social proof can strengthen long-term loyalty Take the Next Step Book a FREE strategy call with Dr. George Birnbach to get personalized guidance for growing and systemizing your chiropractic practice. Join us LIVE in Dallas, November 14–15, 2026 , for hands-on training focused on growing your practice, attracting more patients, and building a stronger associate team. And be sure to subscribe to The Successful Chiro Podcast for more strategies to help you build a profitable, low-stress practice. Note: This episode was created using AI-generated voices based on insights and training from the Five Star Management team.

September 2, 202636 min

How Chiropractors Can Get More New Patients with SEO, Google Ads & Local Search | Corey Hiben

For decades, one challenge has consistently been at the top of chiropractors' minds: How do I get more new patients? Today, the answer increasingly starts with what happens when someone searches for a chiropractor online. In this episode, Dr. Noel Lloyd interviews Corey Hiben, founder of ChiroX , about how chiropractic practices can use SEO, Google Ads, Google Business Profiles, better websites, and data-driven marketing to create a more predictable new patient pipeline. Corey shares his journey from occupational therapy into digital marketing and explains why he ultimately chose to specialize specifically in helping chiropractors grow. In This Episode You'll Learn: Why new patients remain one of the most important KPIs for a growing chiropractic practice How to tell whether you actually have a new patient problem — or a retention problem What it really means to "dominate local search" Why appearing near the top of Google and Google Maps matters Common Google Business Profile mistakes chiropractors make Why the services listed on your website and Google Business Profile should align The difference between SEO and Google Ads When Google Ads may make sense for faster lead generation Why SEO should be viewed as a long-term business investment Why many chiropractic websites fail to convert visitors into patients What your website should communicate to a prospective patient Which marketing numbers chiropractors should insist on seeing Why attribution and tracking matter when evaluating a marketing company How marketing strategies differ between small and competitive markets Why marketing campaigns need time and data to improve What type of chiropractic practice is an ideal fit for Corey's approach SEO vs Google Ads: Corey explains a simple way to think about the difference: Google Ads can help create opportunities in the shorter term, while SEO is a longer-term investment in the visibility of your practice. For growing practices, the strongest strategy may ultimately involve both — paid visibility today while building organic visibility for the future. Your Website Isn't About You One of the biggest mistakes Corey sees is chiropractic websites filled with information about the doctor but lacking a clear path for someone who simply wants help. Prospective patients primarily want to know: Can you help me? Can I trust you? How do I schedule? Making those answers obvious can dramatically improve the effectiveness of your online presence. Track the Number that Matters Marketing shouldn't be a mystery. Corey recommends looking closely at how much you're investing and how many actual new patients are being generated from that investment. Cost per lead and other metrics matter, but ultimately the practice owner needs to understand whether marketing is producing real patients and real growth . Learn More about Corey Hiben & ChiroX If you'd like to learn more about Corey's approach to chiropractic SEO, Google Ads, websites, and local search: Visit: ChiroXMarketing.com You can also check out the ChiroX Podcast on YouTube, Spotify, and other major podcast platforms. Dr. Noel Lloyd has also appeared as a guest on Corey's show. Ready to Grow Your Chiropractic Practice? Getting new patients through the door is only part of building a successful practice. You also need the systems, team, leadership, and associates to serve those patients without making the owner responsible for everything. Learn more about Five Star Management: Visit MyFiveStar.com Ready to see what's possible for your practice? Book a consultation with the Five Star Management team and learn how the right systems can help you build a stronger, more scalable chiropractic practice.

August 26, 202610 min

How to Hire the Right Chiropractic Team Without Panic Hiring

Are you hiring because you found the right person — or because you desperately need someone to fill the position? Panic hiring is one of the fastest ways to bring unnecessary stress, turnover, and culture problems into a chiropractic practice. In this episode, we break down a hiring system shared by Dr. Noel Lloyd designed to help chiropractors identify better candidates before they ever join the team. You’ll discover: The biggest red flags to watch for during the hiring process Why background and reference checks are non-negotiable The 5 characteristics of a rockstar hire : integrity, common sense, proactivity, reliability, and hustle How Zoom and video pre-screens can eliminate weak candidates early Why group interviews can reveal behaviors a traditional interview misses How to conduct a working interview or “job audition” Why different chiropractic team positions require different personality strengths How the L.E.A.D. assessment can help match candidates to the right role Why hiring based purely on personality or “good vibes” can backfire How a repeatable hiring system helps eliminate desperation from the process The big takeaway? Your hiring results are often a reflection of your hiring system. Build a better process, and you give yourself a much better chance of building the dependable, high-performing team your chiropractic practice needs. Ready to build better systems inside your practice? Book a complimentary call with Dr. George Birnbach and Five Star Management: https://myfivestar.com/book-consultation/ Want to build a profitable Win-Win Associate practice? Join Five Star Management live in Dallas, Texas, November 14–15, 2026 , for our Win-Win Associates training. Learn the systems for finding, hiring, onboarding, training, and launching the right associate into long-term success: https://myfivestar.com/events/win-win-associates-new-patient-generation/ And be sure to subscribe to The Successful Chiro Podcast for more chiropractic practice growth, leadership, hiring, and management strategies. This Chiropractic Deep Dive episode was created using AI-generated voices based on educational content from Five Star Management.

August 19, 202622 min

The Hidden Reason Some Patients Drain Your Practice

Difficult patients can drain your team, derail your schedule, and follow you home mentally long after the clinic closes. But what if the difficult patient isn’t the real problem? In this episode, we break down lessons from Dr. Noel Lloyd on how chiropractic practices can create stronger boundaries and systems for handling high-friction patient situations. In this episode, you'll discover: The 5 common types of difficult patients Why difficult behavior often exposes a missing policy or boundary How to handle chronically late patients without creating confrontation Why natural consequences work better than reprimands How to prevent patients from monopolizing adjusting time The “transfer of authority” strategy for patients who try to change their care plan How to redirect chronically negative patients When a patient’s behavior crosses the line and it’s time to let them go Dr. Lloyd’s approach to de-escalating angry or frustrated patients Why taking ownership of a clinic mistake can actually strengthen patient trust The mindset shift that helps you stop taking difficult interactions personally The biggest takeaway? Stop asking, “What’s wrong with this patient?” and start asking, “What system, script, or policy could prevent this problem from happening again?” When your systems are strong, your team doesn’t have to rely on willpower or uncomfortable improvisation to protect the practice. Ready to Build a Stronger Practice? Want better systems, stronger leadership, and a practice that doesn’t depend on you putting out fires all day? Book a free call with Dr. George Birnbach to learn how Five Star Management can help you create more growth, freedom, and predictability in your practice. 👉 Book your free call: https://myfivestar.com/book-consultation/ Join us in Dallas, November 14-15: Ready to build an associate program that creates growth instead of more stress? Join Five Star Management in Dallas, Texas, November 14–15, 2026 for Win-Win Associates and learn the systems behind hiring, developing, leading, and profiting with associates. 👉 Register for Dallas: https://myfivestar.com/events/win-win-associates-new-patient-generation/ Subscribe to the Successful Chiro Podcast for more practical strategies to build a stronger team, better systems, and a chiropractic practice that thrives. This episode was created using AI-generated voices.