Target
An anatomically identifiable hypercontracture, paravertebral region or periosteal pain.
FROriginal method developed in Geneva
Segmentopuncture: a specialised invasive neurosegmental method
A developing method using sterile single-use needles for selected anatomical and neurosegmental targets—distinct from traditional acupuncture.
Rue de Fribourg 7 · 1201 Geneva
✓More than 20 years of clinical practice✓ASCA-recognised therapist✓NVS Class A · ISPRM
01
A specialised technique within a broader strategy
Segmentopuncture targets selected deep hypercontractures, paravertebral regions or periosteal pain identified during examination. Controlled electrical stimulation may be used when indicated.
The procedure is preceded by neurosegmental formulation, anatomical localisation, contraindication screening and informed consent. It is followed by reassessment and, when relevant, manual or active rehabilitation.
The method is being developed and documented by Gerry Ivanov in Geneva. It is not a universal treatment and its overall framework requires continuing clinical and scientific evaluation.
02 · IMG CLINICAL REASONING
Requirements before the procedure
Pain alone is not enough to justify an invasive technique.
Coherence
A plausible relationship to the neurosegment, symptoms and functional tests.
Safety
Coagulation, anticoagulants, infection, pregnancy, fragility, implants and other precautions.
Consent
Explanation of alternatives, possible sensations, reactions and limitations.
03 · CLINICAL PATHWAY
Before, during and after
Asepsis, progressive dosing and monitoring structure the procedure.
Before
Examination, indication, contraindications and consent.
During
Anatomical targeting, sterile needle and controlled stimulation if indicated.
Immediately after
Reassess pain, mobility and tolerance.
Integration
Connect the method to relevant rehabilitation rather than isolate it.
04 · INDICATIONS
When it may be discussed
- Selected deep hypercontracture
- Paravertebral pain with a clinical target
- Selected myofascial or periosteal pain
- Persistent presentation after insufficient response to non-invasive options
05 · FAQ
Segmentopuncture questions
01Is it acupuncture?＋
No. Its reasoning, targets and clinical integration are distinct from traditional acupuncture.
02Is it used at every session?＋
No. It is considered only when a specific indication is identified and accepted.
03Are the needles sterile?＋
Yes. Sterile single-use needles and an aseptic procedure are used.
04Is the method scientifically validated?＋
Its components draw on anatomy and neurophysiology, while the overall method is in development and requires continued specific evaluation.
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.