Local SEO

133 #1 Rankings and 12x Search Visibility with Local SEO

First Step Chiropractic, Rowlett, TX

#1 keyword rankings: 133
First-page rankings: 273
Active keywords tracked (up from 22): 373
Visibility index growth: 12x

Overview

The client

First Step Chiropractic, a Rowlett, TX clinic specializing in pain relief and spinal alignment, wanted to boost online visibility and attract more local patients through search.

The Challenge

The clinic had low search visibility, ranking for only 22 keywords, and struggled to appear in top positions on Google. They needed SEO to increase traffic and generate new patient leads.

Goals

What we set out to do

Increase visibility in local search results
Improve rankings for service-related and location-specific keywords
Drive more organic traffic to the website
Generate new patient appointments

How we did it

Our Approach & Strategies

01

Local SEO Optimization

Targeted "Rowlett + service" keywords to capture local intent.
02

On-Page SEO Improvements

Optimized content for readability, keyword relevance, and search intent.
03

Technical SEO Fixes

Enhanced site structure, internal linking, and indexing.
04

Google Reviews Growth

Encouraged patients to leave reviews to improve trust and local rankings.
05

Continuous Keyword Tracking

Monitored 373 keywords month over month to identify growth opportunities.

Results

What changed

See the live site

133 #1 keyword rankings, including "Rowlett chiropractor," "Rowlett neck pain" and "sciatica relief Rowlett"
227 top-5 rankings and 273 first-page rankings
306 rankings across the first two pages of Google
Active keywords tracked grew from 22 at baseline to 373
Search Engine Visibility Index grew roughly 12x, from about 550 to more than 7,000
Stronger local trust with 700+ Google reviews