Website & Local SEO Case Study: How Lexington Spinal Care 8×'d Their Google Rankings

The challenge

Lexington Spinal Care, Dr. Edward Carpenter’s practice in Lexington, South Carolina, had a website that Google mostly overlooked. Per SEMrush, the site ranked for just 184 keywords in March 2023, and for well over a year, that number barely moved, drifting between roughly 100 and 200 with no real upward trend. In a competitive local market, that meant prospective patients searching for a chiropractor near Lexington were consistently finding other practices first. The site simply wasn’t pulling its weight as a source of new patients.

What we did

CHIROBASIX rebuilt the website from the ground up and paired it with a sustained local SEO program. The new site gave the practice a fast, clean technical foundation, clearly structured service pages, and content organized around the questions and treatments real patients actually search for. On top of that, we built consistent local signals tuned specifically to the Lexington market, the kind of groundwork that helps Google understand who the practice serves and where. Every piece was designed to compound over time rather than spike and fade.

The results

By July 2026 the site ranked for 1,499 keywords, up from 184 in March 2023, an 8× increase in organic visibility on Google (SEMrush). The climb was steady and sustained: rankings more than doubled over the second half of 2025 and kept accelerating into 2026. Just as important, the growth held: 1,454 keywords in June 2026, about 99% of May’s 1,464, then a new high in July, rather than sliding back the way short-lived SEO bumps often do. For a single-location chiropractic office, that meant showing up for far more of the searches people make on Google.

The takeaway is simple: a full rebuild and disciplined local SEO turned 184 keywords into nearly 1,500 by July 2026.