Case Study
Overview
Client: Gonstead Physical Medicine
Location: Phoenix, AZ
Industry: Chiropractic, Disc & Nerve Center
Goal: Strengthen local search visibility for chiropractic care and decompression therapy services in the Phoenix market.
When Gonstead Physical Medicine partnered with LVRG Media to launch its brand-new website in October 2024, it marked the beginning of a strategic effort to elevate its online visibility and position it as one of Phoenix’s top chiropractic providers. From the outset, the goal was to create a high-performing website that would dominate local search results and generate qualified patient inquiries.
The Results
Metric
Before
After
Growth / Change
Total Organic Keywords
44
125
+184%
Keywords Ranking #1
12
46
+283%
Keywords in Top 2–5
32
79
+146%
Monthly Organic Traffic
671
742
+10.6%
Average Local Map Rank
18.8
5.7
↑ 13 positions
Competition Map Visibility Score
11.62
53.3
+359%
Gonstead Physical Medicine now ranks in the Top 5 locally for multiple high-value keywords and continues to see substantial month-over-month gains in visibility.
The Challenge
- Current website lacked a strong SEO foundation, missing key technical SEO elements and structural best practices that limited its visibility
- Slow mobile performance
- Poor sitemap structure – something that also made it hard for Google to categorize for search results
- Poor map rank in search results
Before optimization, the site wasn’t fully optimized for Google’s algorithms, limiting visibility for patients searching for chiropractic services locally.
The Strategy
1. Technical SEO
- Improved mobile site speed and overall performance
- Optimized sitemap and fixed indexing issues
- Implemented structured data and semantic heading hierarchy
2. Content SEO
- Created 17 new condition and service pages targeting local search demand
- Dramatically overhauled 46 existing pages the client brought from their previous site to improve performance and readability
- Optimized on-page copy, titles, and meta descriptions for better search intent alignment
- Strengthened internal linking to improve crawlability
3. Local SEO
- Optimized Google Business Profile with proprietary local ranking strategies
- Cleaned up citations and ensured NAP consistency across listings
- Targeted high-intent keywords like “chiropractor near me”
4. Authority Building
- Worked with the client to produce over 36 educational videos embedded on service pages, optimized for search visibility and repurposed across YouTube to build off-site authority through ongoing channel management and video SEO
- Boosted engagement and reinforced topical authority
A Few Examples of Top-Gaining Keywords
Analyzing keyword performance reveals significant improvements in ranking across high-value search terms. These gains demonstrate how well-targeted content and local optimization translated directly into top organic positions:
- “spinal decompression phoenix az” — improved from position #15 → #1
- “chiropractor for headaches phoenix az” — improved from #11 → #1
- “chiropractor near me” — improved from #8 → #1
These results highlight Gonstead Physical Medicine’s ability to capture highly competitive, location-specific keywords that drive qualified traffic and patient inquiries.
Number Of Keywords Ranking Change
October 2024
October 2025
Growth / Change
#1
12
32
+283%
#2-5
46
79
+147%
Dominating Local Search: Google’s Map Pack and Competition Map
Google Map Pack Results
Local visibility is one of the most critical factors for a chiropractic clinic’s success. The Google Map Pack—those top three map results shown above organic listings—often captures the majority of clicks from people searching for nearby services like “chiropractor near me.”
Before optimization, Gonstead Physical Medicine had an average map rank of 18.8, meaning they rarely appeared in front of potential patients.
After optimizing their Google Business Profile, strengthening citations, and integrating keyword-rich local content, their average map rank jumped to 5.7, moving them firmly into the Map Pack for key search terms. This improvement dramatically increased visibility in the Phoenix area, leading to more calls, website visits, and patient inquiries directly from Google Maps.
October 2024 (Before)
September 2025 (After)
Competition Map Visibility
Beyond individual rankings, the Competition Map provides a visual comparison of how websites perform against local competitors. It plots the top 10 domains within the same market and measures keyword coverage and visibility over time. The x-axis shows how many keywords a site ranks for in Google’s top 100, while the y-axis shows the average ranking position for those keywords. The larger the circle, the greater the visibility of that domain overall.
Before optimization, Gonstead’s competition map visibility score was 11.62, reflecting limited keyword coverage and low comparative visibility. After the campaign, their score rose to 53.3, a 359% improvement—demonstrating major gains against competitors in both reach and average keyword positions. This result shows how their improved SEO performance not only boosted visibility but also outpaced other local chiropractic providers in the Phoenix market.
October 2024 (Before)
October 2025 (After)
Client Impact
”LVRG Media did a great job creating our website, and our visibility online is definitely much better than before! We have found Tyler to be very pleasant to work with!
Dr. Kimberly Lara, DCGonstead Physical Medicine
Summary
By building a performance-optimized website and implementing a holistic long-term SEO strategy, LVRG Media helped Gonstead Physical Medicine establish a foundation for sustained growth in local search results. The result: a fast, search-friendly site that continues to attract new patients over time and reinforces Gonstead’s authority as a trusted chiropractic provider in Phoenix.