Website & Local SEO Case Study: How Optimal Chiropractic 33×'d Their Google Rankings

The challenge

Dr. Barney and Dr. Andrew had run Optimal Chiropractic in West Fargo, North Dakota for nearly a decade and already had a solid practice. But their online marketing had been a revolving door of companies and inconsistent results, their website was out of date, and they were about to open in a brand-new location they needed to own in search.

What we did

CHIROBASIX rebuilt their website and took over the whole online presence, a true one-stop shop covering local SEO and Facebook advertising. The doctors kept making the content they’re great at; we handled everything else and modernized the entire operation.

The results

The map tells it first. In March 2024, a 49-point scan of Google’s local results across the Fargo metro put Optimal at an average map rank of 12.1, red across most of the grid. Eight months later, the same scan averaged 2.2, ranking Optimal in the top 3 across nearly the entire metro for “chiropractor.”

The organic numbers followed. Per SEMrush, Optimal went from ranking for roughly 60 keywords to 1,956 in January 2025, a 33× jump, with 84 of them in Google’s top 3 that month. They went from inconsistent to one of the most-found chiropractors in their market.

“It’s kind of a one-stop shop, which is what we really love… they just really took the whole thing and ran with it.” - Dr. Andrew, Optimal Chiropractic