A patient who cannot straighten up searches “chiropractor near me”, taps the top few listings, reads two reviews each, and books whichever one has an opening and looks like it is still running. Your website is not part of that sequence. Your listing is.
What stings is that you are better at this than the franchise clinic down the road with the rotating associates. You are not losing on care. You are losing because their profile has a post from Tuesday, forty more reviews, and every one of them answered.
So the front desk tries to keep up. Someone posts when the schedule allows, which means nothing goes out in the busy weeks, which are the weeks it would have mattered. Review requests get made when someone remembers. The gaps stretch and the listing quietly slides.
Then a patient says they nearly booked the clinic across town because it came up first, and you realise you have no idea how many people searched this month, saw someone else, and never knew you existed.