Episode 41: The Hidden Cost Of Scaling w/ Dr. Elise Rigney

In this episode of The Arena, Dr. Travis sits down with Dr. Elise Rigney—multi-location practice owner, investor, and mentor—to unpack the hidden cost of scaling and what it really takes to grow without burning out, breaking culture, or losing yourself in the process.

Dr. Elise shares her journey from building a single high-volume practice to scaling multiple locations through partnerships, startups, and acquisitions—while navigating leadership strain, operational complexity, and the internal pressure that comes with growth.

They break down topics including:

Why scaling without clear intention often leads to burnout, broken culture, and shrinking margins

The hidden operational and leadership costs that show up as practices grow

How owner, associate, and leadership paths diverge—and why structure matters more than hustle

The relationship between business model, office visit average (OVA), and marketing efficiency

Why growth forces leaders to confront internal limits, identity shifts, and new levels of responsibility

If you’re a chiropractor navigating growth—or feeling the weight that comes with it—this episode offers an honest, grounded conversation on leadership, systems, money, and mindset.

Also, if you’re a practice owner heading into tax season and want to better understand how money actually moves through your business, be sure to check out Dr. Elise’s Tax Strategies for Small Business Owners course—something Travis personally credits with helping him save significantly by implementing smarter tax strategies alongside his CPA.

👉 Explore Dr. Elise’s tax course:
https://www.dreliserigney.com/small-b...

👉 Connect with Dr. Elise on Instagram:
  / dr.elise.rigney  

👉 Connect with Making Mūvs:
  / makingmuvs_chiros  

👉 Book a free demo of Chiro-Ads Academy: makingmuvs.com/book-a-demo

🎧 Listen to the podcast on Spotify:
https://open.spotify.com/show/5STcHTO...

The Arena | Helping Chiropractors Make More Money, Reach More People + Change More Lives with Dr. Travis