Healthy traffic, resting on two searches. 780% more keywords ranking.
I took on SEO for a US bone health screening provider in September 2025, a few weeks after its new site went live. Traffic looked fine but rested on a pair of searches. Over the next year I worked to a content plan built on the long-tail questions patients ask. The number of keywords the site ranked for grew 780%, and August 2026 became its best month for clicks.
Results
Google clicks
Google impressions
Good numbers, thin foundations
The provider offers radiation-free scans of bone density and bone quality through partner locations in several US states. Its new site went live at the start of September 2025 and I picked up the SEO later that month. There was no blog, though the client wanted one, and demand swings with the calendar: busy in spring and autumn, softer around the holidays and through the summer.
October 2025, the first complete month, looked healthy: clicks in the low thousands at an average position near 7. Underneath, a local 'near me' search for the scan and the brand name together supplied more than half of all clicks tied to a keyword during the opening three months. Only a few hundred keywords reached the top three.
Counting properly, then writing for the long tail
The account notes record what was planned and agreed, not a diary of tasks, so the steps below stay within what those notes show.
- 01
Report each engine on its own
From launch I tracked the site in Google's and Bing's webmaster consoles plus GA4, keeping Google and Bing figures apart so neither could flatter the other.
- 02
Check location pages against analytics
GA4 listed some 70-odd URLs for the booking locations. Checking them showed around 50 canonical location pages, with the rest being variants of the same pages. Knowing the real count meant reporting on pages that actually existed, rather than counting the same location two or three times over.
- 03
Research the questions behind a scan
Keyword research grouped long-tail questions into about nine clusters: what a density scan involves and how this method differs from conventional X-ray testing, plus menopause, inherited risk, diet and physical activity. The client added its own priorities, including fracture prevention, so the plan reflected both search demand and what the client wanted to explain.
- 04
Set rules against cannibalisation
Every new topic was checked against the articles already published. Where coverage was deep enough, the rule was blunt: the site already had three posts on raising bone density, and it did not need another. The blog started after onboarding, and the records list about 20 articles by August 2026, each meant to answer a question no other post on the site already did.
A footprint spread across thousands of searches
Setting the first three months of data against the latest three, the site went from ranking for about 1,700 keywords to nearly 15,000. Page-one keywords rose roughly 1,000% and top-three keywords about 2,300%. Many of the additions are long, specific questions with small volumes each, which is exactly the ground the content plan was aimed at.
Clicks per three-month window rose by about 28%, and the two searches that had carried the start supplied under a tenth of them by the end, so the gain rested on breadth rather than on those two. Monthly impressions climbed 590%, while average position eased from about 7 to 9 as the site appeared for far more queries. On Bing, Copilot citations went from a few hundred in November 2025 to around 17,000 in July 2026.
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