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Physiotherapy Marketing Agency Case Study

Updated April 2026

How this physio doubled their leads and reduced CPLs by over 50%, in 3 months

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.

Physiotherapist treating a patient's knee in a clinic

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.

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

3+

Ad Accounts

Scattered, siloed

None

MCC

No central control

Wasted

Ad Spend

No measurable ROI

Fragmented

Reporting

Manager flying blind

After Partnership

1

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.

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.

The biggest single win came from the Hand Injuries Northside campaigns. Conversion rate jumped 108% and total leads almost doubled (+97%), while cost per conversion fell 49%.

Across the whole network, the marketing manager now has one MCC, accurate reporting, and three accounts all pointed in the same direction.

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