The scoreboard
appt
booked — sports and joints on separate scoreboards
We hit 92% of client goals last quarter. Schedule a call.
Industry desk
Joints, sports, spine — booked visits, not a pain-keyword dump.
Orthopedic marketing for US groups. Google Ads, local SEO, and landers by service line — sports medicine and joint consults scored to booked appointments, HIPAA-aware tracking.
The scoreboard
appt
booked — sports and joints on separate scoreboards
USA metros we work
How this desk thinks
Orthopedic marketing is not one 'pain' campaign. A weekend athlete, a joint-replacement researcher, and a workers-comp query are different tickets. We split service lines, kill junk symptom searches you cannot profitably see, and get the call to intake fast.
SpikeROAS is not an orthopedic practice. We do not guarantee surgical outcomes. Measurement is booked/showed visits, not diagnoses in Google.
Related: lead generation, paid search, landing pages, local SEO, and analytics. Adjacent desks: healthcare hub, hospitals and cardiology.
SpikeROAS is an orthopedic marketing agency for sports medicine and joint clinics. We run Google Ads and local SEO by service line — joints, sports, spine as you offer them — scored to booked consults. No treatment guarantees. We are not a medical provider.
Fit
Faster cycle, more 'near me.' Speed-to-lead and click-to-call. Do not land them on a joint-replacement novel.
Longer research. Education plus high-intent Search. YouTube assists; Search captures.
Facility rules and brand vs unit. We write the geo and naming map first.
The leak
The desk
What you get
The fork
Channels
Service-line Search. Brand defense. PMax only if incremental.
GBP, reviews, office pages.
Procedure education for high-consideration joints. Search is live.
Condition-to-service match without stuffing diagnoses into ads.
Engagement
01
What a qualified enquiry is, which jobs or tickets sales will actually run, and the number that has to move. If marketing and sales disagree, we do not buy traffic.
02
Tracking, landing pages, CRM routing, and the first kill list. Ads do not launch into a homepage that was never built to convert.
03
Paid search and the channels that can ring the phone this month. Organic, reviews, and GEO compound while the calendar fills.
04
Weekly reallocation. Scale when cost per booked job, SQL, or contribution holds. Throttle when you are at capacity.
Stack
Lead Generation
Sales-accepted conversations. Not a CPL screenshot.
Paid Search
Google and Microsoft Ads treated as capital — every query has a job.
Paid Social
Meta, LinkedIn, TikTok, and YouTube — creative as the media plan.
Landing Pages
The page is the second half of the ad.
Local SEO
Maps, GBP, and city pages that actually ring the phone.
SEO
Search that compounds. Rankings that close.
AI + GEO
Get cited in ChatGPT, Gemini, Perplexity, and AI Overviews.
Performance Creative
Ads designed to be tested, killed, and scaled — not presented.
Analytics & Attribution
Know which dollar worked — without worshipping last click.
FAQ
An orthopedic marketing agency runs patient acquisition for sports medicine and joint clinics: Google Ads, local SEO, and landing pages scored to booked appointments. SpikeROAS does not bid every symptom and does not put injury details in ad platforms.
No. We bid where you can sit a profitable visit. The rest is SEO content or we skip it.
Different motion than DTC Search. Tell us on the brief. We will not mash them into one form.
No injury details in ad platforms. Booked-visit events only.
SpikeROAS runs orthopedic marketing as service-line Google Ads, local SEO, and YouTube education scored to booked appointments. Sports and joints stay on separate scoreboards. Injury details do not go into ad platforms.
Also on the floor
Next step
Tell us service lines, offices, and insurance mix. We will map Search and local SEO — and what we would cut.