Mechanisms
Mechanical, neurosegmental, myofascial and contextual contributors that may be relevant.
FRMusculoskeletal rehabilitation · Geneva
Integrative musculoskeletal rehabilitation in Geneva
A personalised strategy connecting clinical examination, manual treatment, neurosegmental work, exercise and physical technologies to measurable functional goals.
Rue de Fribourg 7 · 1201 Geneva
✓More than 20 years of clinical practice✓ASCA-recognised therapist✓NVS Class A · ISPRM
01
Coordinate interventions instead of stacking them
Persistent pain can involve mechanical restriction, muscular protection, neurological sensitivity, reduced capacity and concern about movement. The aim is to identify components relevant to your presentation without claiming one explanation fits everyone.
A plan may include medical massage, mobilisation, post-isometric relaxation, active rehabilitation, INT, ultrasound or physical technologies. Each element should answer a defined clinical question and respect contraindications.
Progress is judged through function: walking, working, sleeping, lifting, training or returning to sport. Pain is monitored alongside mobility, strength, endurance and confidence.
02 · IMG CLINICAL REASONING
Four levels of assessment
The examination looks for coherence between symptoms, tissues, motor control and daily activity.
Capacity
Mobility, strength, endurance, control and load tolerance.
Medical context
Diagnosis, surgery, medication, implants, imaging and need for coordination.
Priorities
The most important activity to regain and acceptable trade-offs between speed, cost, risk and durability.
03 · CLINICAL PATHWAY
From first assessment to return of function
A clinical progression remains adaptable; it is not a predetermined package.
Map
Connect the history, examination and meaningful limitations.
Prioritise
Select the most relevant mechanisms and goals.
Intervene
Combine necessary modalities with progressive dosing.
Transfer
Turn the immediate gain into durable real-world capacity.
04 · INDICATIONS
When this approach may be relevant
- Persistent musculoskeletal pain
- Incomplete recovery after injury or surgery
- Several factors or regions involved
- Need for a combined treatment and active rehabilitation plan
05 · FAQ
Integrative rehabilitation questions
01Are all technologies used?＋
No. A modality is selected only when it fits the examination, objective and safety profile.
02Is exercise part of the plan?＋
Yes when relevant. Passive treatment should ideally facilitate a progressive return to activity.
03Do you coordinate with doctors?＋
Coordination is recommended when diagnosis, surgery, imaging or risk level requires it.
04Can the plan change?＋
Yes. Clinical and functional response guides changes in sequence, dose and priority.
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.