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August 22, 2025 38 mins

Most chiropractors think stepping out of the adjusting room means giving up what they love. But what if it’s the only way to grow both your practice and your purpose?

In this case study, Dr. Eric Kowalke shares how he transitioned from being the face of Higher Health Chiropractic to becoming a leader of leaders utilizing the TRP System, freeing himself to also grow SKED, a chiropractic tech company serving hundreds of practices. With six kids at home and two businesses on his plate, Eric didn’t just want to scale, he wanted to build something that could thrive without him. You’ll hear how he used structure, leadership development, and accountability to create durable systems that let him work above the business without losing momentum.

In this Case Study you will:

  • Hear how Eric scaled from 1,400 to 1,600 weekly visits while stepping out of adjusting
  • Learn the difference between scalability and durability—and why it matters
  • Discover how reporting systems and accountability can replace micromanagement
  • See how to lead your team through layers of leadership and not lose culture
  • Understand why slowing down was essential to long-term growth

Episode Highlights

02:06 – Learn how Dr. Eric discovered TRP while searching for structure in his associate pay model
03:28 – See what his practice looked like before coaching and why he was still stuck in the adjusting room
04:47 – Discover the reason he started SKED and how it challenged his capacity as a practice owner
05:57 – Understand why leading two growing companies required stepping out of the day-to-day
07:00 – Hear the difference between scaling a practice and making it durable enough to free you
07:37 – Learn why giving up adjusting was emotionally tough—but strategically necessary
08:06 – Discover how his leadership had to evolve to meet the needs of his team and companies
09:40 – Understand the intentional approach Dr. Eric and his wife take to align family and business
13:15 – See how moving through layers of leadership changed the way he leads and communicates
14:19 – Hear why scaling a large team means letting go of brute force and building clarity instead
16:02 – Learn how he avoided the trap of letting one business decline while growing another
17:07 – Discover how small gaps exposed the need for systems and accountability
18:38 – Understand the essential role accountability plays in creating traction and team ownership
19:48 – See how reporting systems and meeting rhythms replaced micromanagement
20:28 – Learn how clear accountability roles became the language that fuels team culture
22:12 – Hear what Dr. Eric sees as the most valuable part of TRP coaching across all levels of his team

23:02 - Success Partner Dr. Adrian Dennewald, creator of the Denneroll, sits down with Dr. Oz for an engaging conversation about how this simple yet powerful tool is transforming patient care. He explains how the Denneroll helps correct spinal imbalances, improve posture, and enhance outcomes both inside and outside the clinic. You’ll hear how it works hand-in-hand with chiropractic adjustments, keeps patients actively involved in their own recovery, and delivers measurable benefits like improved range of motion, reduced muscle tension, and stronger long-term results.
 

Resources Mentioned

To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceo

For more information about Denneroll please visit: https://www.denneroll.com/

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Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1

To listen to more episodes visit https://theremarkablepractice.com/podcast/ or follow on your favorite podcast app.

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