Practice growth rarely stalls because of a lack of skill. More often, it stalls because certainty hasn’t caught up with ambition. Dr. Lona and Dr. Chris Grier unpack why certainty is the true foundation of sustainable practice growth. They explore the four pillars of certainty—clinical, philosophical, communication, and business acumen—and explain how each one shapes patient trust, leadership, decision-making, and practice culture. Through practical examples and personal experiences, they demonstrate that certainty is intentionally developed through observation, experience, and continual learning. They also explain why certainty is never something you permanently achieve. It must be continually strengthened through intentional growth, allowing chiropractors to lead with greater conviction, communicate with greater clarity, and build practices that continue to thrive year after year.
Episode Highlights
02:28 – Why certainty is one of the greatest hurdles every young chiropractor must overcome before they can truly thrive.
03:48 – Why certainty is the foundation of practice growth and why volume is built on conviction first.
05:08 – What pressure reveals about your philosophy, your technique, and what really comes out when you’re under stress.
06:23 – The first two forms of certainty every chiropractor needs to develop and how they shape patient care.
09:23 – The four pillars of certainty that influence your clinical decisions, communication, leadership, and business.
11:08 – Why most chiropractors naturally develop one area of certainty while the others quietly limit their growth.
12:18 – The three ways certainty is developed and how observation, experience, and study work together throughout your career.
15:08 – Why your team’s certainty determines how far your practice can grow.
16:28 – Dr. Chris and Dr. Lona share where they lacked certainty early in practice and what helped them build it.
20:33 – Why certainty requires continual investment and what happens when you stop intentionally strengthening it.
22:40 – Better decisions start with better data. Dr. Stephen sits down with Dr. Josiah Fitzsimmons from Success Partner Lucro to discuss insights from the 2026 State of Chiropractic Report and how Lucro helps chiropractors benchmark performance, uncover hidden opportunities, and make data-driven decisions that improve profitability and long-term growth.
Resources Mentioned
For more information about Lucro please visit: https://morelucro.com/
Get the 2026 Lucro Industry Report: https://report.morelucro.com/
To schedule a Strategy Session with Dr Lona: https://go.oncehub.com/DrLonaBuildPodcast
To schedule a Strategy Session with Dr Bobby: https://go.oncehub.com/DrBobbyBuildPodcast
Learn more about the Remarkable CEO Podcast: https://theremarkablepractice.com/podcast/