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Target the injury, not the sport, on Google Ads

Patients search the problem, not your profession. Build the campaign around that.

By Pete Flynn · 15 June 2026 · 7 min read

A physio clinic owner told me he wanted to niche his Google Ads down by sport. Running, CrossFit, that kind of thing. It is a good instinct and it comes from the right place, because he knew his clinic was brilliant with athletes. But it is the wrong way to set up the account. People at the top of search are not typing in their sport. They are typing in the thing that is hurting. After running ads for over 120 Australian clinics, this is the mistake I correct most often, and fixing it is usually the single biggest lever on the whole account.

What you want to say vs what they're searching

Patients don't Google your sport. They Google their injury.

What you advertise

What they type

"Sports physio"

The label on your door

"knee pain when I run"

What they type at 9pm

"Initial assessment"

The service line you sell

"why does my shoulder click"

The problem, not the product

"Occupational therapist"

Your profession

"my child melts down after school"

They don't know who fixes it

"Remedial massage"

The modality

"tight lower back won't loosen"

The feeling in their body

Google: you target the search

You bid on the words a person types. You are matching their intent in the moment, not the person. So the keyword is the injury, the body region, the problem. Demographics barely matter here.

Meta: you target the person

On Facebook and Instagram you choose who sees the ad by who they are. That is where the avatar matters. On Google you cannot pick the person, only the search, which is why owners overbuild avatars here.

People Google the injury, not the sport

Here is the line I gave that physio. People are Googling the injury more so than the sport. A runner with a sore knee does not search 'running physio'. They search 'knee pain when running', or 'sharp pain outside of knee', or just 'how do I fix my knee'. The sport is context in their head. The injury is what makes them open their phone.

So I would not build a campaign called Running. I would build campaigns around body regions and conditions. Low back. Mid back. Shoulders. Knees. Each one is its own theme, because each one is a different search and a different person in a different amount of pain. The sport specialist still wins those searches, because the ad copy speaks to the runner inside the knee pain campaign. The structure just follows how people actually type.

The same trap catches every profession, not just physios. Podiatrists want to advertise 'podiatry'. OTs want to advertise 'occupational therapy'. The patient is not searching for your job title.

People are Googling the injury more so than the sport.

They often do not know which profession fixes it

This goes deeper than swapping a sport for a body part. A lot of the time the patient does not know which profession solves their problem at all. I was talking with an OT practice owner about this and said it straight: I imagine they're not searching for an OT, they're probably more searching for the problem, not quite knowing what the solution is.

Think about a parent whose child melts down every afternoon after school. They are not searching 'occupational therapist near me'. They have never been told that is the answer. They are searching 'my child has meltdowns after school', or 'how do I help my child calm down'. If your whole campaign is built on the words 'occupational therapy', you are invisible to the exact person you are best placed to help.

They might look for the problem and just how do I fix this, how do I fix, how do I learn, those are common Google search terms. Build for that language. 'How do I fix' is a buyer raising their hand. Your job is to be standing there when they do.

What you want to say versus what they search

This is the translation job. You think in services and professions because that is your world. The patient thinks in symptoms and frustrations because that is theirs. Good Google Ads sit on the patient's side of that gap, every time.

Here are the swaps I make most often when a clinic hands me their first keyword wish list.

From clinic language to search language

Physio

"Sports physio" becomes "knee pain when running"

The runner does not search the sport or your service line. They search the symptom and the moment it happens. Build a knee campaign, write the ad to the runner.

Physio

"Initial assessment" becomes "how do I fix my shoulder"

Nobody searches for your appointment type. They search for the outcome they want and the problem in the way of it. 'How do I fix' is one of the strongest intent signals on Google.

Occupational therapy

"Occupational therapist" becomes "my child has meltdowns after school"

The parent does not know OT is the answer. They describe the behaviour they are living with. Meet them there and you reach people no job title keyword ever will.

Podiatry

"Podiatry clinic" becomes "heel pain first thing in the morning"

The tell that they have plantar issues is the morning step, not the word podiatry. The symptom plus the daily moment is the search.

Psychology

"Psychology services" becomes "how do I stop feeling anxious all the time"

People in distress search the feeling, not the profession or the modality. The condition and the lived experience of it is the query, not your service menu.

The keyword you instinctively want versus the one that wins

Most clinics arrive with a keyword list that reads like their website menu. Service names, the profession, maybe the sport or population they love. It feels right because it is accurate. It loses because it is not how anyone searches when they are in pain.

Put the two lists side by side and the difference is obvious. The injury and problem keywords cost a little more per click sometimes, because the intent is sharper. The cost per booking almost always comes out lower, because the person clicking already has the exact problem you fix.

What the clinic instinctively wants to run

  • "sports physio" / "running physio"
  • "initial assessment" / "new patient appointment"
  • "occupational therapist" / "OT clinic"
  • Describes your service, your profession, your niche by sport
  • Accurate to how you think, invisible to how patients search
  • Broad and competitive, attracts browsers comparing options

What actually wins the booking

  • "knee pain when running" / "sharp shoulder pain lifting arm"
  • "how do I fix my shoulder" / "how do I stop lower back pain"
  • "my child has meltdowns after school" / "my kid can't sit still"
  • Describes the symptom, the problem, the daily tell
  • Matches what a person in pain actually types at 9pm
  • Sharper intent, the clicker already has the exact problem you treat

Why your detailed avatar barely matters on Google

Here is the mechanic underneath all of this, and it is the part most clinic owners get wrong because they bring their Facebook brain to Google. The two platforms target completely different things. What we're targeting is the search intent, whereas on Facebook we target the person themselves. We can't target that on Google.

On Meta you build an avatar. Women, 28 to 45, parents, interested in netball, within 10km. You are choosing the person and pushing a message at them while they scroll. On Google there is no person to choose. You cannot target a 38 year old netball mum. You can only target the words she types when her knee gives out. The injury is the targeting.

So all that elaborate avatar work clinic owners do for Facebook does not transfer to Google the way they assume. It is not wasted, it sharpens your copy, but it does not pick who sees the ad. The keyword picks who sees the ad. That is why the whole game on Google is choosing the right injury and the right problem language, then writing to it. Get the keyword right and the right person finds you. Get the keyword wrong and the best avatar in the world never sees a thing.

What we're targeting is the search intent, whereas on Facebook we target the person themselves. We can't target that on Google.

Build it into the campaign structure

In practice this becomes a clean default. I start most clinics with two campaigns. A location based one, the safe bet, because no matter where you are in Australia 'physio near me' and the suburb searches are strong high intent traffic. And a condition based one built on the injuries and problems we just mapped. Then split test the two and let the data decide where the budget should sit.

One thing to nail before you write a single keyword. The same condition means different things to different clinics. I always ask, what is knee pain to you that you want to work with? For some clinics, they love working with advanced osteoarthritis, and other clinics couldn't think of anything worse, they want people looking to get back to running. Same words on the screen, completely different patient. The injury sets the campaign, your ideal version of that injury sets the copy.

Done this way a defined injury focus also runs at a lower cost per booking than a clinic bidding on broad service terms, because the budget concentrates on people who already have the exact problem. For generalised physio, a reasonable cost is $70 to $90 per new client. Niche it down to the right injuries and you give yourself every chance of landing at the bottom of that range rather than the top.

Want the campaign built around how patients actually search?

We build clinic Google Ads campaigns around injuries and problems, not job titles.

Location campaign plus condition campaign, structured around the body regions and problems your patients actually type, with the ad copy written to the daily tells of each one. You own the account, the ads and the data.

See how we run Google Ads for clinics

Common questions

The questions that come up most often.

Should I just never mention the sport or my niche in the ads at all?

No, mention it in the copy, just not in the keyword. Build the campaign around the injury people actually search, like 'knee pain when running', then write the ad and headline so a runner reads it and thinks these people get me. The sport lives in the words on the ad to lift the click through rate. The injury lives in the keyword so the right person sees it in the first place. Targeting and messaging are two different jobs.

If patients don't search for my profession, how does anyone find an OT or a podiatrist on Google?

They find you through the problem, not the title. A parent searches 'my child has meltdowns after school' long before they ever search 'occupational therapist'. If your campaign is built on the symptoms and daily problems your patients live with, you catch them at the exact moment they are looking for help, even though they do not yet know your profession is the answer. Build for the problem language and the profession sorts itself out.

Does my detailed client avatar matter for Google Ads?

Less than you think for targeting, and it is the opposite of Facebook. On Meta you target the person, so the avatar picks who sees the ad. On Google you cannot target the person at all, you target the search intent, so the keyword picks who sees the ad. Your avatar work still sharpens the copy, knowing what knee pain actually feels like day to day, but it does not choose the audience. Choosing the right injury and problem keywords does that.

How do I structure the campaigns once I'm targeting injuries?

Start with two campaigns and let the data decide. One location based, built on 'physio near me' and your suburb terms, which is a strong bet anywhere in Australia. One condition based, built on the body regions and problems your patients search, like low back, shoulder, knee. Split test them and shift budget toward whichever earns the cheaper bookings. Before you write the keywords, get clear on which version of each injury you actually want, because 'knee pain' can mean osteoarthritis to one clinic and return to running to another.

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