A physiotherapy clinic is a healthcare provider, and its advertising is subject to rules that don't apply to a Pilates studio. It's worth saying this clearly before talking about margin, because it's the first question physiotherapists ask us.
The difference that matters
Advertising for products, activities or services with a claimed health purpose is regulated in Spain by Real Decreto 1907/1996 (official text, in Spanish), and the codes of conduct of physiotherapy professional associations restrict attracting patients with gifts, discounts or promotions. What these rules target is unsupported health claims about a product, and buying patients' loyalty with freebies.
As we read it, and generally speaking, selling an anti-slip grip sock, a tumbler or a tote bag with the clinic's logo wouldn't fall under that: it would be the same kind of everyday sale that any Pilates studio, gym or shop makes. The patient needs it for the session, pays for it and takes it home. It isn't advertising for a treatment, or a gift for attending an appointment. That said, your professional association may see your specific case differently.
Important if your clinic is outside Spain: Real Decreto 1907/1996 is Spanish law and doesn't apply directly in other countries. Advertising rules for health-related products are set nationally, so check the rules of your own country's regulator and professional body (in the UK, for example, the ASA/CAP Code and the Chartered Society of Physiotherapy; in Ireland, CORU and the ASAI).
This page is general guidance, not legal advice. It reflects our own reading, reviewed in October 2026; regulations can change. Before promoting these sales, confirm with your professional association that this approach fits your specific code of conduct. See also our note on informational content.
A real-world example
Onera Fisioterapia, a Spanish clinic, sells sportswear branded with the clinic's name to its patients through a merchandise section on its own website, with an order form. It doesn't give it away; it sells it, and presents it as clothing, not treatment. It's the same approach we're suggesting here, starting with the sock your patients already need for the exercise room.
Onera Fisioterapia is not a Mediterrano Pilates client; we cite them as a public example of this model already working in a physiotherapy clinic in Spain.