My position is unique in that I give recommendations all year long to more than a thousand chiropractors worldwide, and then get to see how everything turns out. It's not always pretty and it's never perfect, but I continue to be amazed just how fast and how far a chiropractic practice can grow with the right instruction.

I'd like to share some of the instruction with you that I have been giving to my clients this year which is already producing record breaking growth in hundreds of practices.

There is a huge difference between the mindset of small changes versus small growth. Making small changes has never meant small growth. Big growth always goes to those who expect the biggest growth. It turns out, making small changes is the most sure fire method of achieving significant growth in practice. The key is to make many small changes in shorter periods of time.

Small changes tend to have much higher confidence ratios with them, therefore, the small changes made will be followed through. The bigger the change, the fewer other changes accompany it, and the big change usually has a sizeable fear factor which often prevents successful follow through. The value of good instruction is knowing what set of small changes to be making together over the right period of time.

People tend to resist change but growth itself is change. Growth changes everything and you must embrace the fact that life will never be the same again. Of course, mostly for the better! A big part of the resistance comes from the law of attachment in practice. Attachments are cumulatively constructive or destructive over time.

Big growth comes when you can learn how to "detach" from something that is producing destructive results in your practice or your life. Once again, the right set of small changes can blow through two or three destructive attachments and cause enormous growth to occur.

Recently, I had a client of mine go from 20- minute adjustments to less than two-minute adjustments during an intense client training session. The chiropractor was in tears because he felt as if he had wasted the first 15 years of his career being attached to a 20-minute adjustment that never fulfilled his practice dreams. This practice has nearly tripled since then and he's making up for lost time.

There are thousands of stories of destructive attachments and the resistance to change them. If you have ever heard the phrase, "get out of your own way," now maybe for the first time it really means something personal to you. It's one of the biggest lessons you'll ever learn about growth.

The more growth someone wants to produce and/or maintain, the more focus, attitude and energy will be needed as an investment to insure the correct result. Unfortunately, focus isn't found naturally in the environment. That's why most chiropractors never achieve the practice growth they desire, because their level of distraction exceeds their level of focus.

How many times in one day do you find yourself distracted within your practice from the level of focus needed to make it grow? Then examine how many people and how many things contribute to your current level of distraction.

For many of you, the number is more than enough to keep yourself virtually in a continuous state of semi-distraction with occasional flashes of brilliant focus. Huge growth is always associated with a chiropractor's breakthrough in finally learning to establish and maintain focus within a sea of distractions. If you focus on distractions, your distractions become your reality.

Distractions cannot be eliminated from the environment, therefore, the ability of a chiropractor to infuse intense focus into his or her environment becomes paramount to all future growth of the practice.

The main flaw I see from a coach's perspective, is the true lack of a "game plan" to follow on a day-to-day basis within the practice. No plan at all is a plan to fail, and it allows for too many exceptions to occur in the schedule.

Chiropractors often tell me, once I've described this phenomenon to them, that actually management their practice consists of going from one distraction to the next! Obtaining big growth has a lot to do with gaining the inner faith to look beyond distractions and choose to focus on executing a plan full of actions which are target-specific.

Using your schedule book as the plan is destined for failure because performing what is scheduled will – at best – give you the level of practice you already have. To take your practice to the next level, you have to carefully construct a detailed plan that is full of purpose and driven by passion.

This step should be done with a growth coach who can leave you with the faith, confidence and belief in planning your work, then "working your plan." This must include those small changes made over short periods of time which is the formula to all lasting growth in practice.

Don't let another day in practice pass you by without making a decision to do something different. Get your practice moving in the direction of big growth!