129 - The Four Pillars of Chiropractic Practice Growth
Becoming a better chiropractor means knowing which part of your practice needs more of your attention—the art, science, philosophy, or business.
Dr. Lona and Dr. Andrew Alekna break down these four interconnected pillars and explore what happens when one develops faster than the others. Andrew shares why adjusting came naturally to him while business required intentional work, systems, coaching, and mentorship. They also look at the role philosophy plays in developing certainty, why understanding the science is different from being able to communicate it, and how continued training strengthens what happens both at the table and throughout the practice.
Rather than assuming experience will automatically make you better, this conversation offers a practical way to audit where you are today. Identify the pillar that feels least developed, find people who are already strong there, and deliberately build the skills needed to create a practice that is both deeply chiropractic and capable of growing.
Key Highlights
02:08 – Meet the four areas worth continually developing if you want to become a more complete chiropractor.
03:00 – Consider what gets lost when practice growth moves faster than your development in the fundamentals of chiropractic.
05:27 – Andrew’s adjusting journey offers a useful look at natural ability versus the skills that still require years of refinement.
07:08 – Explore the philosophical journey that can take you from knowing chiropractic works to developing certainty in the way you personally practice.
09:34 – Athleticism may offer an unexpected advantage when developing the precision, speed, and body awareness required for adjusting.
12:26 – Andrew reveals the pillar that challenged him most—and the limitation he discovered when “winging it” was no longer enough.
14:21 – A useful place to look when chiropractic school hasn't prepared you for the realities of running a practice.
15:20 – “Success leaves clues” becomes a practical strategy for strengthening the areas where you know you're falling short.
16:29 – Try looking at these four pillars as a foundation before focusing on everything you want to build on top of them.
17:28 – Applying a familiar chiropractic principle to your business may change the way you look at stalled practice growth.
18:43 – Andrew’s weakest area eventually became one of the most systematized parts of his practice.
20:31 – Patient communication adds another dimension to the art of chiropractic that technical knowledge alone doesn't teach.
22:04 – Use four practical audit points to identify where your art, philosophy, science, or business needs more work.
24:03 - Bringing X-ray imaging in-house can improve more than convenience. It can strengthen the entire patient care pathway. Dr. Timay speaks with John Conidi from Success Partner Next Healthcare about radiology reporting, reducing medico-legal risk, improving access to follow-up imaging, and helping Australian chiropractors deliver more timely care while creating additional value within their practices.
Resources Mentioned
For more information about Next Healthcare please visit: https://nexthc.com.au [https://nexthc.com.au]
To schedule a Strategy Session with Dr Lona: https://go.oncehub.com/DrLonaBuildPodcast [https://go.oncehub.com/DrLonaBuildPodcast]
To schedule a Strategy Session with Dr Bobby: https://go.oncehub.com/DrBobbyBuildPodcast [https://go.oncehub.com/DrBobbyBuildPodcast]
Learn more about the Remarkable CEO Podcast: https://theremarkablepractice.com/podcast [https://theremarkablepractice.com/podcast]