Local SEO & Reputation Management Case Study: How Tri-States Chiropractic Reached #1 in Dubuque Search

Dr. Peter Lynch · Dubuque, IA

“It jump-started elevating our weekly practice volume from 25 to 30 in the short term now to around 45 to 50 visits. It was tremendous.”

Website Local SEO Reputation Management

Get Results Like Tri-States Chiropractic

Weekly patient visits

25–30 45–50

Peak keywords ranking on Google

751 1,999

2.7× · Mar 2023 to Jul 2025

Local Google ranking

for chiropractor searches · Jul 2025

Organic Growth

Climbing Google, Month After Month

Every keyword Tri-States Chiropractic ranks for on Google, tracked monthly since launch.

Keywords ranking on Google

Source: SEMrush (US)

Watch Their Story

Hear It From Dr. Peter Lynch

The challenge

Dr. Peter Lynch had built a well-regarded practice in Dubuque, Iowa, but his online presence didn’t reflect it. The website wasn’t pulling its weight in Google search, new patients weren’t reliably finding the practice online, and the review profile was thin. He wanted a stronger Google footprint that would actually bring people through the door.

What we did

CHIROBASIX rebuilt the website and layered on a local SEO program targeting the searches Dubuque patients actually use. We paired that with an automated reputation-management system that made it easy for satisfied patients to leave Google reviews, steadily building the review volume and local ranking signals that drive the map pack.

The results

The clearest signal showed up in the schedule: weekly patient visits climbed from 25–30 to 45–50, a jump of roughly 70%. Per SEMrush, the practice ranked #1 for chiropractor searches in Dubuque in July 2025, the same month its organic footprint peaked at 1,999 ranked keywords, up from 751 in March 2023 (a 2.7× increase). Dr. Lynch says Google reviews climbed sharply too.

“Now when I ask people when they came through Google, we are the top one it seems like most of the time, and our Google reviews have skyrocketed.” - Dr. Peter Lynch, Tri-States Chiropractic

Questions About This Case Study

How much did Tri-States Chiropractic's patient volume grow?

Weekly patient visits went from 25–30 to around 45–50. Dr. Lynch says the work jump-started that growth. He also says the practice came up first on Google most of the time, and that its Google reviews climbed sharply.

How much did Tri-States' Google rankings grow?

Per SEMrush, the site's ranked keywords grew from 751 in March 2023 to a peak of 1,999 in July 2025, about 2.7 times as many. The count came down after that, to 1,168 in June 2026.

What did CHIROBASIX do for Tri-States Chiropractic?

CHIROBASIX rebuilt the website, ran local SEO aimed at the searches Dubuque patients use, and set up an automated reputation-management system that made it easy for satisfied patients to leave Google reviews. Before that, its review profile was thin and the site wasn't pulling its weight in Google search.