Clinical investigation
History, movement, manual tests, palpation and, when relevant, musculoskeletal ultrasound are interpreted together.
Musculoskeletal rehabilitation · Geneva
GENÈVE · SUISSETwo clinical innovations born in Switzerland
Understand the pain.Treat the person.
A structured clinical assessment, a functional reading of the neuromusculoskeletal system and personalised treatment — brought together in one rehabilitation strategy.
CONCEIVED AND DEVELOPED IN GENEVASwiss clinical identity
01 · SWISS-BORNINTIntegrative Neurosegmental Therapy02 · SWISS-BORNSegmentopunctureOriginal invasive neurosegmental methodBy appointment · Rue de Fribourg 7 · Geneva
Find My Evidence-Based Treatment PathwayBeta→More than 20 years of clinical practice
ASCA-recognised therapist
NVS Class A · ISPRM member
Gerry IvanovMedical massage specialist
20+years of clinical practice
瑞士 · 融合 · 精准Switzerland · Integration · Precision
A contemporary therapeutic architecture developed in Geneva, connecting clinical assessment, neurobiology, rehabilitation and biological support.
IMG · GENEVAYour clinical pathway
01
Assess
History, clinical examination and goals
02
Map
Structures, movement and neurosegments
03
Treat
Targeted, coordinated interventions
04
Reassess
Response, function and progress
Integrative medicine
Integrative rehabilitation medicine
A strategy built around your findings
Persistent pain rarely arises from one tissue or one mechanism alone. The examination guides the choice, sequence and dose of each intervention.
Manual treatment, neuromodulation, exercise and physical technologies are selected and coordinated according to the assessment and your response.
Authentic photographs taken during treatments at IMG Clinic GenevaMultimodal plan
Manual therapy, medical massage, neurosegmental work and physical technologies are coordinated — never added automatically.
Measurable reassessment
Pain matters, but so do mobility, strength, load tolerance, sleep and the return to meaningful activity.
Clinical indications
Problems commonly assessed and managed
This list is indicative. The first consultation determines whether the approach suits your situation and whether medical review or additional imaging is needed.
Spine and radiating pain
Neck pain, back pain, stiffness, mechanical thoracic pain and selected sciatica presentations.
Joints
Shoulder, elbow, hip, knee and ankle problems compatible with conservative management.
Tendons and sport
Tendinopathy, overload, ankle-sprain consequences, progressive loading and return to sport.
Myofascial pain
Hypertonicity, tender points, fascial restriction and periosteal pain within a neurosegmental rationale.
After trauma or surgery
Tissue and functional rehabilitation, with medical agreement or coordination when required.
Complex persistent pain
Analysis of mechanical, neurological, functional and behavioural factors that may sustain limitation.
Emergencies, suspected fractures, progressive neurological deficits, signs of infection or other red flags require medical referral — not treatment in the clinic.
IMG · CLINICAL GUIDANCENot sure which approach is right for you?
The first consultation clarifies the situation, checks indications and builds a proportionate strategy—before any technique is selected.
Precision assessment
Clinical methods
Understand what may be proposed
Each method answers a defined clinical question. Treatment is never selected from a diagnostic label alone: it depends on the examination, your goals, contraindications and your response.
CLINICIAN-REVIEWED BETAFind My Evidence-Based Treatment Pathway
Beta→
Assessment, manual treatment and technologies are coordinated around the individual case — never applied as an automatic sequence.
Photographed at IMG Clinic Geneva
01Clinical history
02Movement & tests
03Dynamic ultrasound
04Personalised plan
01
Clinical assessment & ultrasound
A structured functional examination, complemented when needed by dynamic soft-tissue imaging.
May be considered for
Tendon, muscle or joint pain, movement limitation, post-traumatic problems and situations where the structure needs to be understood more clearly.
What to expect
Focused questions, movement observation, palpation and active or resisted tests. Ultrasound is painless; gel and a probe are applied to the skin.
02
Medical massage & myofascial treatment
Dose-controlled manual work on muscles, fascia and related tissues to reduce modifiable tension and improve movement.
May be considered for
Muscle hypertonicity, myofascial pain, stiffness, overload, post-exercise recovery and selected compensations after injury.
What to expect
Pressure, tissue mobilisation and stretching adapted to you. Some areas may feel tender; pressure is adjusted continuously.
03
Manual mobilisation
Precise joint and tissue movements intended to restore useful mobility without forcing a range that is not clinically indicated.
May be considered for
Neck or back stiffness, limited shoulder, hip, knee or ankle movement and restriction following immobilisation.
What to expect
Guided movements that may be gradual or brief, depending on the technique. Safety screening precedes any faster technique.
04
Post-isometric relaxation & active rehabilitation
Gentle contractions followed by relaxation and active work to turn an immediate change into more durable function.
May be considered for
Muscle stiffness, impaired control, reduced strength or load tolerance and progressive return to daily activity or sport.
What to expect
You participate in the movement. Exercises are adapted to your level and may continue at home between sessions.
A method may be useful for one indication and unsuitable for another. No modality is applied automatically.
Swiss-born clinical innovation
What is INT?
Integrative Neurosegmental Therapy · INT
INT · BORN IN SWITZERLANDConceived and developed in Geneva
INT is IMG Clinic’s leading-edge clinical synthesis—an original Swiss conception of integrative rehabilitation.
INT is neither a device nor a single technique. It is a mechanism-oriented multimodal clinical framework connecting muscles, fascia, joints, ligaments, periosteum and their segmental neurological organisation.
It helps select and sequence interventions according to the examination: manual therapy, medical massage, myofascial rehabilitation, segmental neuromodulation, exercise and physical technologies.
Connectthe painful area with its wider functional segment
Prioritisethe mechanisms most likely to be modifiable
Dosethe intervention according to tolerance and response
Adaptthe plan as reassessment provides new information
Deep regulation
IMG · SEGMENTOPUNCTUREThe method as it is actually practised
The photographs show the technique, the instruments and their integration into an IMG clinical session.
01 · IMG CLINICSegmentopuncture in clinical practiceLumbar targeting and controlled stimulation
02 · IMG CLINICTechnique and dedicated instrumentsLong needle, MR-6 injector and Pointer Excel II
03 · IMG CLINICIntegrated with manual treatmentA clinical sequence, not an isolated technique
04 · IMG CLINICAnatomical orientation before treatmentParavertebral targeting demonstrated on a spinal model
01Anatomical target identified
02Asepsis & sterile needle
03Controlled stimulation
04Functional reassessment
Original method born in Geneva, Switzerland
Segmentopuncture
A specialised invasive technique integrated into neurosegmental reasoning — distinct from traditional acupuncture.
Segmentopuncture uses sterile, single-use needles to target selected deep hypercontractures, paravertebral areas or periosteal pain identified during examination. Controlled electrical stimulation may be applied when indicated.
SEGMENTOPUNCTURE · BORN IN SWITZERLANDCreated and developed in Geneva
An original neurosegmental method born within IMG Clinic and integrated into its Swiss therapeutic architecture.
When it may be considered
For selected deep hypercontractures, paravertebral pain, myofascial or periosteal pain when examination identifies a relevant anatomical and neurosegmental target.
What you may feel
A brief prick, deep pressure or temporary muscle contraction may occur. Intensity is adjusted with you. Local tenderness or temporary fatigue may follow the session.
What patients should know
This method is not appropriate for every patient or every pain presentation. Risks, alternatives and possible reactions are discussed before any procedure. Results cannot be guaranteed.
Before
Assessment, indication, contraindication screening and informed consent.
During
Anatomical targeting, asepsis, progressive dosing and tolerance monitoring.
After
Immediate reassessment, advice and integration with active rehabilitation.
Sterile single-use needles · asepsis · consent
Assessment and technology
Tools selected for a defined purpose
Technology does not replace clinical reasoning. It supports it when it may clarify the assessment, modify a relevant mechanism or help functional progression.
IMG · DYNAMIC ULTRASOUNDReal images, interpreted in their clinical context
Seeing a structure is not enough. Imaging is always related to your history, movement, clinical tests and function.
Anonymised in-clinic captures · visual examples, not stand-alone diagnoses
IMG · EQUIPMENT STANDARDThe devices used in the clinic, presented individually
EagleView™ · dual-head wireless ultrasoundMusculoskeletal ultrasoundEagleView™ probe used at IMG Clinic Geneva · IMG Clinic Geneva
BTL · Radial Shock Wave TherapyRadial shockwave therapyReal clinical application in the clinic · IMG Clinic Geneva
BTL · Super Inductive SystemSuper Inductive SystemReal clinical application · IMG Clinic Geneva
RJ-Laser · LaserPen 40 W PULSE · robotic HILT scanningTherapeutic laser · PBM & HILTReal LaserPen application · HILT scanning presentation · IMG Clinic Geneva · HILT
The EagleView probe shown is the one used at IMG Clinic Geneva. The shockwave, SIS and LaserPen views come from real in-clinic applications. The HILT view presents the robotic laser-scanning system.
US
Musculoskeletal ultrasound
EagleView™ · dual-head wireless ultrasound
Non-invasive dynamic imaging used alongside examination of muscles, tendons, joints and soft tissues.
Possible use
Examining a structure during movement, informing clinical reasoning and documenting selected findings.
During treatment
Gel is applied to the skin and the probe moved gently. The examination is normally painless and uses no ionising radiation.
Safety point
It does not replace specialist radiological assessment when indicated and cannot, by itself, explain every pain experience.
RSWT
Radial shockwave therapy
BTL · Radial Shock Wave Therapy
Mechanical acoustic pulses are transmitted into tissue through a handpiece placed against the skin.
Possible use
Selected tendinopathies and load-related musculoskeletal pain, depending on the tendon, symptom duration and clinical context.
During treatment
You feel rapid tapping impulses. The area may be sensitive; intensity is increased progressively according to tolerance.
Safety point
Screening includes pregnancy over the area, coagulation disorders, anticoagulants, infection, local tumour or an unevaluated acute injury.
SIS
Super Inductive System
BTL · Super Inductive System
A high-intensity electromagnetic field stimulates neuromuscular tissue without direct contact.
Possible use
Neuromodulation of selected pain presentations, muscle activation or relaxation, and support for motor control in appropriate cases.
During treatment
You usually remain clothed over the area. You may feel contractions or deep tapping, with intensity introduced progressively.
Safety point
An electronic device or a metallic implant contraindicates treatment with this device. Prior safety screening is mandatory.
LASER
Therapeutic laser · PBM & HILT
RJ-Laser · LaserPen 40 W PULSE · robotic HILT scanning
Therapeutic light may be delivered precisely with the LaserPen or by robotic HILT scanning, according to the area, tissue and clinical objective.
Possible use
Supporting pain modulation and tissue recovery in selected musculoskeletal conditions, alongside appropriate rehabilitation.
During treatment
Treatment is usually painless. The LaserPen targets selected points; the HILT system scans the treatment area without continuous manual contact.
Safety point
Eye protection is used. Laser is not applied to the eyes or over certain contraindicated areas or conditions.
Technology follows the assessment—never the other way around.
Each device is selected for a precise function, with contraindication screening and response reassessment.
IMG · MICRO-IMMUNOTHERAPYCellular communication · immune mediators · biological regulationConceptual visuals created for the Micro-immunotherapy presentation
Immune regulation
Complementary biological support
Micro-immunotherapy
An approach centred on communication between immune cells—without replacing conventional medical diagnosis or treatment.
Micro-immunotherapy uses sequential preparations containing immune signalling substances at low or very low doses. When considered, it forms part of an individual assessment alongside appropriate medical care.
Why it may be discussed
In selected situations where the clinical history suggests that an immune, inflammatory or infectious context deserves consideration within the wider strategy.
What a patient can expect
A review of medical history, current treatment, contraindications and goals. The formulation and sequence depend on the individual situation.
Limits and responsibility
Evidence strength varies by indication. This approach never replaces medical investigation, prescribed treatment, vaccination or urgent care.
Evidence & responsibility
Evidence-informed. Clinically guided. Patient-centred.
What guides a decision
The best available evidence, clinical findings, your history and goals, your preferences and the balance of potential benefit and risk.
What we do not promise
No “cure” language, no universal technique and no guaranteed dramatic result. Evidence strength varies between modalities and indications.
When we refer
If findings fall beyond conservative rehabilitation, medical review, imaging, laboratory tests or another specialty will be recommended.
IMG · EVIDENCE CENTRE
From clinical origin to documented authority
INT and Segmentopuncture are presented with their origin, principles, current limitations and a clear programme for documenting outcomes—without confusing clinical experience with comparative evidence.
Clinical development
More than twenty years connecting functional assessment, medical massage, segmental neurophysiology and physical technologies within one coherent strategy.
Published professional case
An external clinical case illustrates the integrative reasoning. It documents an individual experience and is not generalisable proof.
Read the case and its limitations ↗Structured clinical measurement
Pain, mobility, strength, load tolerance, sleep and return to activity form the measurement framework for future anonymised, consented cases.
Research programme
A prospective registry, transparent protocols, case series, white paper and future publications: a stated pathway, not evidence already achieved.
IMG · DOCUMENTATION REGISTER
Document the method before making the claim
These internal documents show how indication, parameters, response and follow-up are structured. They demonstrate clinical governance; they are not presented as comparative effectiveness evidence.
13-step standard dossier
Demographics, history, examination, imaging, synthesis, treatment, immediate response, full protocol and recommendations.
Consent and limits
Risks, possible effects, fees, insurance, absence of cure promises and continuity of conventional medical care are explicitly documented.
Parameters and outcomes
VAS, functional scores, mobility, neurological examination, intervention parameters, immediate response, adverse effects and longer-term outcomes.
Micro-immunotherapy training
A 165-page MEGEMIT course resource by Gunter Schlegel, 2019. It documents professional education; it does not prove clinical efficacy for an indication.
Patient files remain private
Named reports, invoices and clinical cases supplied to IMG are neither published nor downloadable. Only anonymised, measured cases with specific publication consent may enter this evidence centre.
Documented training, a clearly presented scope of practice, and medical referral whenever the situation requires it.
Before your first consultation
Bring relevant imaging reports and medical letters.
Report medication, anticoagulants, implants, pregnancy and important medical history.
A session may consist of assessment without any need for an invasive treatment.
Website information is educational and does not constitute a diagnosis.
Practical questions
Before requesting an appointment
Clear answers about the first consultation, medical referral, invasive techniques and reimbursement.
01What happens at the first consultation?＋
The consultation begins with your history, goals and a focused clinical examination. The plan is then explained and adapted to the findings. A session may remain assessment-only when immediate treatment is not indicated.
02Do I need a medical referral?＋
A referral is not usually required to request an initial assessment. Depending on your symptoms, diagnosis, recent procedure or insurer’s requirements, medical review or coordination may nevertheless be recommended.
03Is Segmentopuncture used routinely?＋
No. It is considered only when a clinical indication is identified, after contraindication screening and informed consent. Non-invasive alternatives are discussed where appropriate.
04Will complementary insurance reimburse treatment?＋
Some services may be covered by complementary insurance. The decision depends on your policy, insurer and the recognised method. Ask your insurer for written confirmation before the consultation.
The practitioner
Gerry Ivanov
Founder of Integrative Medicine Group and creator of Segmentopuncture
Gerry Ivanov (Gergan Dzhondzhorov) is a specialist in medical massage and integrative rehabilitation in Geneva. For more than twenty years, his clinical work has connected functional examination, manual therapy, segmental neurophysiology and rehabilitation technologies.
His aim is not to apply more techniques, but to understand which components are relevant, in what order and at what dose for each patient.
✓ ASCA-recognised therapist✓ NVS Class A member✓ ISPRM member✓ Bachelor’s degree in Physical Education✓ 20+ years of clinical practice
Complementary insurance
Some services may be reimbursed through complementary insurance depending on your policy, insurer and the recognised method. Always confirm eligibility and the reimbursement amount directly before your appointment. IMG Clinic cannot guarantee coverage.
Direct contact
Book an assessment
No intermediary booking platform. Contact IMG Clinic directly by telephone or email.
Telephone+41 78 942 49 81
Emailimg.geneva@gmail.com
Consultations by appointment only.
Confirmed according to the planned assessment and your goals.
Provided before the appointment is confirmed.
Confirm eligibility directly with your insurer.
CLINICIAN-REVIEWED BETA🧭 Find My Evidence-Based Treatment Pathway→Call the clinic+41 78 942 49 81↗Write by emailimg.geneva@gmail.com↗
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