Idea 2: Chiropractic — Runner-up to Med Spa
Status: research phase, explored via Semrush MCP on 2026-09-14. Runner-up to [[med-spa-idea1]] in the ranked top-5 verticals; has a warm first-client lead (Dr. Joshua Fern, solo practice) which lowers the cold-start risk relative to med spa.
Why chiropractic ranked #5 originally, then moved up on closer look
- Strong, suburb-durable local demand: chiropractor denver = 2,400/mo (tied with dentist, ahead of med spa), and unlike med spa it holds up in the suburbs — chiropractor arvada co = 110/mo vs. med spa arvada co’s 10/mo. “chiropractor near me” = 246,000/mo nationally.
- Owners are already demonstrably searching for this kind of help — the clearest “help me” signal of any vertical checked (chiropractor seo = 2,400/mo, chiropractic answering service = 590/mo — see below)
- High CPC across consumer and B2B terms ($20-29) signals real ability/willingness to pay, similar tier to med spa
- Have a warm contact: Dr. Joshua Fern, solo chiropractic practice — real potential client #1 without needing cold outreach, sidesteps the inbound-only distribution constraint entirely for a pilot.
Local consumer demand (Denver metro, Semrush US database, 2026-09-14)
- chiropractor denver: 2,400/mo (same tier as dentist)
- chiropractor arvada co: 110/mo — meaningfully better suburb retention than med spa
- chiropractor near me (national): 246,000/mo
-
sports chiropractor denver: 40/mo chiropractic adjustment denver: 210/mo
Competitive landscape (who ranks for “chiropractor denver”)
- Fragmented, independent practices — denvercoloradochiropractic.com (#1), shiftchiropractic.com (#2), carechiropractic.com (#3), littlemountainchiro.com, 100percentchiropractic.clinic, reinhardtchiropractic.com — no chain dominance, same case-study-friendly pattern as med spa.
What chiropractors search for help with
- chiropractor seo: 2,400/mo (CPC $24.34, competitive density only 0.08 — wide open, same pattern as med spa’s low-density commercial terms)
-
chiropractor marketing: 1,000/mo (CPC $20.67) chiropractic marketing agency: 590/mo (CPC $19.90) chiropractic website design: 480/mo (CPC $21.11) -
chiropractic lead generation: 140/mo chiropractic consultant: 40/mo - Avoid: “chiropractic software” (1,300/mo, CPC $21.91 — ChiroTouch/established practice- management incumbents) and “chiropractic crm” (0 volume)
Important difference from med spa: “answering service” is already contested
Unlike med spa (where “med spa answering service” had 0 search volume), chiropractic has real, priced demand at this exact intersection:
- chiropractic answering service: 590/mo, CPC $28.86 (highest CPC of any B2B term checked in this vertical), competitive density only 0.04
- The SERP for this term is already crowded with national players who have dedicated chiropractic landing pages: wellreceived.com, myreceptionist.com, moneypenny.com, answermti.com, mapcommunications.com, smith.ai
- Multiple AI-native competitors already exist specifically for this niche: myaifrontdesk.com (“AI answering for chiropractic offices”), chirobasix.com (“AI front desk for chiropractors”), agentzap.ai. Med spa had zero competitors at this intersection — chiropractic already has at least three.
- chiropractor ai (50/mo) and ai for chiropractors (50/mo) both show non-zero, slowly rising volume — more established awareness of the AI-answering concept in this vertical than in med spa, which cuts both ways: validates the pain point is real and already being sold against, but means differentiation has to be sharper (can’t just “be first”).
Read on the tradeoff vs. med spa
| Med spa | Chiropractic | |
|---|---|---|
| Local Denver volume | 1,000/mo | 2,400/mo |
| Suburb durability | Weak (Arvada = 10/mo) | Better (Arvada = 110/mo) |
| “Help me” search signal | Strong, no AI competitors | Strongest, but 3+ AI-native competitors already selling into it |
| CPC / ability to pay | High ($17-56) | High ($20-29) |
| Warm first client | None yet | Yes — Dr. Joshua Fern |
Chiropractic has bigger and more durable local demand and a real warm lead, at the cost of entering a niche where the AI-answering angle specifically is already being sold by national competitors — so the pitch needs to win on differentiation (personal/local relationship, integration quality, price, bundled marketing) rather than “nobody else offers this.”
Open next steps
- Draft and send a warm, low-pressure message to Dr. Joshua Fern (not a sales pitch — he’s a personal contact, consistent with inbound-only/no-cold-outreach philosophy: referrals and warm network are an explicitly fine channel, cold prospecting to strangers is not)
- If he’s interested, treat his practice as the pilot/case-study client rather than a paying client from day one — get the before/after data, then decide together what’s fair compensation (discounted rate, case-study trade, or standard pricing)
- Re-run the med-spa “national commercial term” SEO/content approach for chiropractic once there’s a real before/after to point to