A multi-location hand therapy practice wins the local pack across Sydney Real numbers: 11,572 organic clicks over 6 months, 0 ranking keywords, a top keyword at 5,577 clicks. Compounding traffic from intent-mapped landing pages, technical SEO, and 100+ business listings.
A multi-location hand therapy practice across Sydney metro came to us with the same problem every multi-location local business faces: each clinic has its own Google Business Profile, its own service area, its own reviews — but the website is one domain, one set of pages, one source of truth. The result was either thin location pages that rank for nothing, or duplicate location pages that Google filters.
The hand therapy category adds another layer. "Hand therapy" is a niche specialty — the search volume per suburb is small, the intent is high, and the competitive set is dominated by physio networks that out-rank individual hand therapists on every generic query. To win, we needed to own every suburb-level commercial query where the practice has a clinic.
We started with a 3-week technical rebuild: canonical location pages, hreflang-style location markup, LocalBusiness + MedicalClinic schema for each clinic, and a review velocity engine that turns every patient visit into a 5-star review. Then we shipped — unique content per location, condition-specific landing pages (carpal tunnel, hand fractures, post-surgery rehab), and a 6-month editorial calendar targeting the searches that bring referrals from GPs and surgeons.
The hand therapy playbook is different from a dental playbook. The content needs to read as written by a hand therapist, not an SEO. The schema needs to signal medical authority, not just local business. The reviews need to come from real patients, at the right velocity, with the right keywords inside. We built all of it.
Monthly trajectory over the engagement window. Source: Google Search Console + analytics. We track the primary commercial metric, not vanity traffic.
The 6-8 pages that carry 90% of the work. Service pages and location pages drive the leads; the homepage carries the brand.
| Page | Clicks | Impr. | CTR | Avg. pos. |
|---|---|---|---|---|
| handtherapyclinicsydney.com.au/ | 5,577 | 196,360 | 0.00% | 18.31 |
| handtherapyclinicsydney.com.au/what-causes-a-lump-on-palm-of-hand/ | 2,219 | 286,147 | 0.00% | 4.70 |
| handtherapyclinicsydney.com.au/what-causes-swelling-in-hands-and-feet/ | 1,193 | 334,285 | 0.00% | 8.09 |
| handtherapyclinicsydney.com.au/how-to-reduce-swelling-in-the-hands-naturally/ | 686 | 146,203 | 0.00% | 6.59 |
| handtherapyclinicsydney.com.au/how-to-get-rid-of-lump-in-palm-of-hand/ | 561 | 118,624 | 0.00% | 5.49 |
| handtherapyclinicsydney.com.au/tips-for-avoiding-mobile-phone-thumb-pain/ | 529 | 63,055 | 0.00% | 12.80 |
“We stopped guessing which SEO agency to hire. The reporting tells us exactly what's working, and the patient enquiries are real — not vanity traffic.”— Practice Manager, Hand Therapy Practice — Sydney metro
The numbers below are from Google Search Console + analytics over the engagement window. Same content live, same team running the work. The compounding part: the gains stack. Every quarter the footprint widens, the topical authority deepens, and the cost per acquired lead drops.
This is what an SEO engine looks like when it's built to win — not one good month, but 18 months of compounding traffic, leads, and authority. That's the deliverable.
Get a free audit, or book a 15-min call with a senior strategist. We'll show you exactly what's broken, what's working, and what we'd change in the first 30 days.