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Email vs. SMS: Which Gets Better Results for Chiropractic Marketing?

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Email vs. SMS: Which Gets Better Results for Chiropractic Marketing?

When it comes to staying in touch with leads and patients, most chiropractors use one (or both) of two powerful tools: email and SMS (text messaging). But which one actually drives better results? And more importantly—which should you use for your practice?

Let’s break it down and compare email and SMS side by side, so you can use each one strategically to grow your practice.

Email: Great for Nurturing & Education

Email marketing has been a trusted tool for years, and for good reason. It’s perfect for delivering longer-form content, educational info, or updates to your patients.

Email Pros:

  • Ideal for newsletters, appointment reminders, and patient education

  • Easy to format with visuals, links, and calls-to-action

  • Can be automated and personalized over time

  • Cost-effective for large lists

Email Cons:

  • Lower open rates (~20–30% on average)

  • Can land in spam or promotions folders

  • Slower response times

Best Use Cases:

  • Monthly newsletters

  • Re-engagement campaigns

  • Educational email sequences

  • Promotions or seasonal offers

SMS: Built for Speed & Action

Text messages have an open rate of 90%+, and most are read within 3 minutes. That makes SMS an unbeatable tool for time-sensitive messages and real-time communication.

SMS Pros:

  • Super high open and response rates

  • Immediate delivery and action

  • Perfect for appointment reminders and lead follow-up

  • Feels more personal and direct

SMS Cons:

  • Must be short and to-the-point

  • Limited formatting options

  • Overuse can feel intrusive if not done right

  • Requires opt-in to comply with regulations

Best Use Cases:

  • New lead follow-up

  • Appointment reminders

  • Quick check-ins or updates

  • Limited-time offers or flash promos

So… Which One Wins?

It’s not about choosing one—it’s about using both together.

The most successful chiropractic marketing strategies use email and SMS in tandem, based on timing and intent.

Here’s how they can work together:

GoalBest ChannelWhy
Immediate lead follow-upSMSFast, personal, drives quick response
Educational contentEmailRoom for detail and visuals
Appointment remindersSMS + EmailCovers all bases and reduces no-shows
Reactivating old patientsEmailWarm, non-intrusive re-engagement
Limited-time offerSMSCreates urgency and fast action

How We Do It at PatientConnect

Our Marketing Suite includes built-in SMS and email automation designed specifically for chiropractors. When a new lead comes in, we trigger instant text messages, followed by a strategic email sequence that educates, nurtures, and encourages booking.

With both tools working together, our clients get:

  • Faster response times

  • Higher show-up rates

  • More care plans and long-term patients

Ready to Automate Your Follow-Up?

If you’re tired of leads going cold, we can help. Book a free discovery call and see how we combine SMS and email to fill your schedule and grow your practice—without the manual work.