Physiotherapy Marketing Agency Case Study

Updated April 2026

We 2x'd the leads and halved cost per lead for a physio franchise — in 10 weeks

Action Rehab had 3 ad accounts under different logins, no MCC, and budget quietly bleeding out across overlapping campaigns. We unified everything into one account structure, rebuilt the campaigns from scratch, and lifted conversion rate 108% — while dropping cost per lead 49% on their highest-spend campaigns.

↑108%

conversion rate

↑97%

total leads

↓49%

cost per conversion

↑83%

CTR across ads

Physiotherapist assessing a patient's lower back in a clinic

Action Rehab is one of Victoria's most established hand and upper-limb physiotherapy networks, with 12+ clinics across Melbourne and regional Victoria.

Their team treats everything from post-surgical rehab to complex hand injuries, and they've built a reputation as the go-to specialists when GPs and surgeons need a serious referral partner.

But their ads didn't reflect any of that authority. Spend was leaking, reporting was fragmented, and nobody could see the full picture.

The Challenge

We had ad accounts spread across different emails and business units. Nobody could actually see the full picture.

— Action Rehab marketing team

Action Rehab had grown fast — over a dozen clinics across Melbourne and Victoria — and their digital marketing setup hadn't kept up. They had three separate Google Ads accounts living under different emails and different parts of the business. No MCC. No central reporting. No way for the marketing manager to log in and see what was actually working.

Spend was bleeding out across all three accounts. Some campaigns were targeting the wrong locations. Others were competing against each other. The CTR was sitting well below where a network with their reputation should be, and cost per lead on the Northside hand-injury campaigns was pushing margins in the wrong direction.

They needed someone to walk in, take stock of the chaos, and rebuild the foundation — without breaking the leads they were already getting. That's where our Google Ads specialist team came in.

What We Found in the Audit:

✕
Three separate ad accounts under different logins
✕
No MCC structure for centralized control
✕
Wasted spend across overlapping campaigns
✕
Low CTR despite a strong clinical reputation
✕
High cost per lead on Northside hand-injury ads
✕
No unified reporting — marketing manager couldn't see results

From 3 disconnected accounts to one unified system that scales

Before

Ad Accounts

Scattered, siloed

None

MCC

No central control

Wasted

Ad Spend

No clear ROI

Fragmented

Reporting

Manager flying blind

After Partnership

MCC

Unified structure

↑83%

CTR

Sharper targeting

↓49%

CPL

On Northside campaigns

Full

Visibility

Centralized reporting

How We Rebuilt the Foundation

From scattered chaos to a unified, optimised network

Phase 1

Audit & MCC Consolidation

Mapped every ad account, login, and campaign across the business. Pulled all three accounts into a single MCC so the marketing manager finally had one place to see everything.

Phase 2

Ad Rebuild Across 3 Accounts

Restructured campaigns by clinic and service line. Rewrote ad copy to lean into Action Rehab's specialist hand-and-upper-limb positioning. Tightened targeting so each clinic only paid for its own catchment.

Phase 3

Analytics & WordPress Cleanup

Cleaned up the analytics layer and ironed out tracking gaps across their WordPress sites. Fixed broken landing-page sections and rebuilt key conversion paths so the ads had somewhere strong to send traffic.

Phase 4

Optimisation & New Account Launch

Continuous bid, creative, and keyword optimisation across the network. Launched a brand-new ad account for Hands Physio from scratch — and within months it was matching the established accounts on key metrics.

And now, the results

↑108%

conversion rate

↑97%

total leads

↓49%

cost per conversion

↑83%

CTR across ads

On the main Action Rehab account, the rebuild paid off across the board. Conversion rate climbed 42%, total leads rose 16%, and CTR jumped 83% as sharper copy and tighter targeting pulled in clicks from people who actually needed treatment. ROAS lifted 26%, cost per conversion dropped 22%, and overall ad cost fell 10% — all while the network appeared in the top #1 ad slot 12% more often.

Hands Physio launched as a brand-new ad account with no historical data, no audience signals, and no quality score to lean on. Within a few months it was already matching — and in some areas beating — the established Action Rehab account on conversion rate and cost per lead. That's the upside of building a new account on top of a properly structured MCC instead of bolting it on to chaos.

The biggest single win came from the Hand Injuries Northside campaigns, where the old setup had been quietly burning budget. Conversion rate jumped 108% and total leads almost doubled (+97%), while cost per conversion fell 49%. Impressions rose 15%, CTR lifted 14%, and impressions lost due to bad ad rank dropped 12% — the campaigns finally started showing up where they should, to the people who needed them.

Across the whole network, the marketing manager now has one MCC, clean reporting, and three accounts all pointed in the same direction. Other multi-location healthcare groups can browse our full digital marketing case studies to see how the same playbook works in dental, cosmetic, and sexual health clinics.

4.8 stars out of 116 reviews