Niche SEO delivers a 309% ROI for a local physio clinic

Brief

Physio & Exercise Lab is a single-clinic physiotherapy practice in Perth competing against well-funded multi-site operators. Over 12 months, we deployed a purely organic SEO campaign to:

• Increase patient bookings from 188 to at least 282
• Secure 100 top-3 SERP positions for high-value physiotherapy terms
• Grow monthly organic sessions from 1,019 to at least 6,114

Challenges

Physio & Exercise Lab faced three key obstacles:

• High-competition keywords in general physiotherapy forced head-to-head against national chains
• Limited resources meant we needed a scalable content-creation model
• No established online presence made rapid visibility gains essential

We needed to avoid head-on battles for broad terms, maximise small-team efficiency and secure quick wins in overlooked niches.

Strategy

We developed a multi-pronged, niche-focused approach:

• Injury-specific keyword targeting: zeroed in on low-competition, high-intent searches such as “vestibular physio Perth” and “sports rehabilitation Perth” to attract patients seeking specialist care
• EEAT-centric page templates: rolled out ten condition pages per month featuring practitioner credentials, transparent pricing, five client-provided FAQs and clear calls to action
• Hub-and-spoke content model: created targeted blog posts (eg “vestibular physio exercises”) that linked directly to conversion-optimised landing pages, maximising internal link equity
• Technical SEO excellence: achieved Google PageSpeed scores above 90 on mobile and desktop, ensuring fast load times and reduced bounce rates
• Natural link acquisition: published in-depth rehabilitation guides that earned high-quality backlinks, boosting domain authority from 9 to 17
• Google Business Profile optimisation: refined categories, expanded service areas, encouraged reviews and added professional imagery to increase calls and direction requests

Results

The campaign exceeded all targets within 12 months:

• Organic rankings: top-3 positions rose from 9 to 133; tracked keywords grew from 443 to 6,560
• Sessions: monthly organic sessions climbed from 1,019 to 7 340 (+620 %)
• Patient bookings: grew from 188 to 283 (+51 %)
• ROI: delivered a 309% return on a total spend of $26,000
• Local authority: referring domains increased from 28 to 48; GBP clicks up 31% (153→201); impressions up 59% (596→949)

This focused, purely organic approach allowed Physio & Exercise Lab to capture untapped search real estate, outperform larger competitors and drive substantial business growth on a modest budget.