Episode 6 | Dec 26, 2025
Clarity in Chiropractic: Chiropractic at a Crossroads with Dr. David Fletcher

Synopsis
Dr. Steve Tullius and Pacha Hornaday sit down with Dr. David Fletcher of CLA to discuss where chiropractic stands today, the profession's branding problem, and how shifting the conversation from symptoms to nervous system function can grow the field. They also explore how large scale scan data is being used to measure patient outcomes and what it will take for chiropractors to think bigger about their impact. The conversation matters for any subluxation-focused chiropractor trying to position their practice and their message for the future.
In this episode of Subluxation Squad, Steve and Pacha sit down with Dr. David Fletcher, longtime chiropractor and owner/CEO of Chiropractic Leadership Alliance (CLA), to talk about where chiropractic is really at and what’s holding it back.Dr. Fletcher shares how he went from a busy practice to leading CLA. With tens of thousands of offices using CLA technology and millions of scans flowing through their systems, he has a unique vantage point on what’s working in chiropractic and where the cracks are showing.He and Steve dig into what Fletcher sees as the profession’s biggest subluxations:A confused brand: mixed messages about what chiropractic actually is.A culture of fear: fear of using the word “subluxation,” fear around the cervical spine, fear of being “too chiropractic.”A crisis of self-worth and small thinking inside many chiropractors themselves.From there, they talk about how modern scanning and big data support the Big Idea showing changes in adaptability, coherence, and neuroplasticity over time and why exams and scans are the start of the journey, not the end. Fletcher lays out what separates thriving offices from struggling ones, why so many chiropractors underestimate how big they can actually be, and how often the real subluxation is in the doctor’s own mindset, not in the marketplace.
Key takeaways
- 1
Chiropractic's branding problem
Dr. Fletcher argues that one of the profession's biggest subluxations is a weak, inconsistent brand that fails to communicate its true value.
- 2
Shifting from symptoms to nervous system
The hosts discuss moving the public conversation away from symptom relief and toward a neurocentric understanding of subluxation and nervous system function.
- 3
Big data as proof of impact
CLA's millions of annual scans are presented as a tool for measuring patient adaptability and holding the profession accountable for real outcomes.
In this episode
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