Connect
Relate the painful region to the functional and neurological segment.
FRClinical framework developed in Geneva
Integrative Neurosegmental Therapy — INT
A mechanism-oriented multimodal clinical framework connecting musculoskeletal tissues with their segmental neurological organisation.
Rue de Fribourg 7 · 1201 Geneva
✓More than 20 years of clinical practice✓ASCA-recognised therapist✓NVS Class A · ISPRM
01
A reasoning architecture, not a device
INT organises assessment and treatment around the neurosegment: relevant dermatomes, myotomes, sclerotomes and autonomic relationships. It examines how muscle, fascia, joints, ligaments and periosteum may contribute to protection and limitation.
The framework selects and sequences existing modalities: medical massage, manual therapy, segmental neuromodulation, Segmentopuncture, myofascial rehabilitation, exercise and physical technologies.
INT is currently being developed and documented in Geneva. It should not be presented as a universally validated method or a substitute for medical diagnosis. Its components have varying levels of evidence.
02 · IMG CLINICAL REASONING
Operational principles
The aim is to make the strategy explicit, reassessable and proportionate.
Prioritise
Identify the most plausible and modifiable mechanisms.
Dose
Adapt intensity, sequence and frequency to tolerance and response.
Reassess
Check changes in pain, movement, strength and function.
03 · CLINICAL PATHWAY
How INT structures a consultation
The framework does not require every technique; it justifies selection.
Clinical formulation
Synthesize history, examination, neurosegments and goals.
Hierarchy
Choose priority targets and modalities.
Sequence
Organise manual treatment, neuromodulation and activity.
Validation
Retain, modify or reject a hypothesis according to response.
04 · INDICATIONS
Contexts where the framework may be used
- Persistent pain with several contributors
- Protective hypercontracture and myofascial pain
- Limitations connecting spinal and peripheral regions
- Multimodal rehabilitation needing an explicit sequence
05 · FAQ
INT questions
01Is INT one technique?＋
No. It is a framework that organises several tools from a clinical formulation.
02Does INT replace medical diagnosis?＋
No. Medical referral or investigation remains necessary when the examination indicates it.
03Does every patient receive Segmentopuncture?＋
No. It is one specialised option requiring indication, consent and screening.
04What is the evidence level?＋
It varies by component and indication. The overall framework is in development and should be evaluated transparently.
Your next step
Begin with a structured assessment
Contact IMG Clinic directly or complete the Clinical Pathway Engine™ beta to prepare an initial clinician-reviewed pathway.