Physical therapy that actually works

Move past the pain. Come back stronger.

Word of mouth brought you here for a reason. Physical therapists, chiropractors, osteopaths, and doctors send us the cases they couldn't crack. In-studio, hybrid, or fully remote by Zoom, with Medicare and cash pay both accepted.

New here?What physical therapy involvesWhat Pilates does

A one-on-one physical therapy session at the Synergy+ San Rafael studio

Pilates by movement specialists

Pilates, done the right way.

Our instructors are movement specialists first, trained to see what's really going on in how you move. Some clients come with a fitness goal, some with an old injury. A private assessment is always available; it's just never the only way to start.

New here?What Pilates does

First class free for new clients

A reformer Pilates class at the Synergy+ Ascona studio

What we do

How it works

The process behind every session.

The plan changes person to person. The process behind it never does: a physical therapist finds out what's actually going on before deciding what to do about it.

The process behind every session.

The plan changes person to person. What doesn't change: instructors who understand movement deeply enough to know what's actually going on, in a private assessment or right in your first class.

01

Assessed, not assumed

Every client starts with a physical therapist's evaluation of mobility, history, and what actually hurts. The exercises come after that.

02

One team, both studios

The same clinical standard in Ticino and in Marin County, in English and Italian. Different clientele, same training behind every session.

03

Progress, tracked

Session notes and mobility markers carry forward, visit to visit, so your program adjusts to what changed rather than what was planned months ago.

01

Assessment available, not required

Most clients start right in a group Pilates class. A movement assessment with Zeina is available whenever you want one. It's just never a mandatory first step.

02

One team, both studios

The same clinical standard in Ticino and in Marin County, in English and Italian. Different clientele, same training behind every session.

03

Progress tracked in rehab

In one-on-one rehabilitation with Zeina, session notes and mobility markers carry forward visit to visit, so the program follows what actually changed. Group and private Pilates classes are led, not charted. Your instructor adapts in the room.

What we offer

We look first, then choose.

The equipment isn't the point. What you're working with decides which of it you use, and that changes as you progress.

A movement specialist watches how you move. A physical therapist assesses mobility, history, and what actually hurts before any exercise is chosen. Every client starts here.

A movement specialist watches how you move. Mobility, history, and what actually hurts all get looked at before any exercise is chosen. It's there whenever you want it, and most people start straight in a class.

  • A client working on the reformer
    ReformerSpring-resisted work, in a small group or one-on-one, matched to ability.
  • An instructor guiding a client through springboard work
    SpringboardWall-mounted spring work, often paired with reformer for a fuller session.
  • A client on the mat with a Pilates arc
    MatBodyweight work building core control and body awareness.
  • A physical therapist guiding a client through a rehab exercise
    RehabTargeted clinical exercise for a specific injury or post-surgical recovery.

Conditions we work with

Find your condition.

Written up by our clinical team: what helps, what to avoid, and when to see a professional first.

See all conditions

Two studios

One standard of care, two studios.

One-on-one care, built to get you moving again.

One standard of care, two studios.

Pilates that looks past the reps to how you actually move.

The Ascona studio, a reformer Pilates classClosest to you

Ascona, Switzerland

  • Via Buonamano 12, 6612 Ascona
  • 091 235 1488
  • Mon–Fri, 9:00–20:00

Traditional Pilates from movement specialists, on the lake in Ticino. Group classes first, with private and semi-private sessions also available.

Did you want Ascona, Switzerland instead?

Group and private classes, with a free first group class

View →
An assisted stretch session at Synergy+Closest to you

San Rafael, California

  • 704 Mission Ave, San Rafael, CA
  • 415 924 2228
  • Mon–Fri, 9:00 AM–5:00 PM

Results that spread by word of mouth. Private, one-on-one physical therapy at our original studio in Marin County.

Did you want San Rafael, California instead?

One-on-one sessions, by appointment

View →
A client following a livestream Pilates class at home, on a mat in front of a laptop

Happy Body · Online membership

Train with us from anywhere.

Every session in our San Rafael studio is one-to-one. If you’d rather train in a group, this is it. Same teaching, online.

Our online membership. Same teaching as in the studio, for travelling weeks and the days you can’t get in.

  • Livestream classes every week, plus an on-demand library you can take any time
  • A private 15-minute session with an instructor every month, to set a goal and fix what isn’t working
  • Mat-based and equipment-free, so it travels with you
Explore Happy Body →Taught in English · free for the first 14 days

For Pilates instructors

Train to teach, with a physical therapist.

Certification and continuing education, out of the Ascona studio and online.

  • Teacher CertificationEvery apparatus, practicums and exams included.
  • Continuing educationAnatomy, rehab tracks, workshops, weekly lectures.
  • Happy Body partnershipTeach online, grow beyond your studio.
Explore all instructor programs →Taught by Zeina Asfour-Grifoni, MPT, NCPT
Start todayFunctional Anatomy CourseOn demand · self-paced · lifetime access · $150 USDEnrol now →
An instructor guiding a client through a Cadillac exercise during certification training

Meet the team

Led by a physical therapist, not a class instructor.

Led by movement specialists, not just class instructors.

Our mission is to transform our clients' lives through movement: strengthening muscles, preventing injuries, and improving performance with exceptional care. In Zeina Asfour-Grifoni's words: “Movement is Life.”

We're a family of close friends spanning two continents, with deep roots in movement and wellness and a mission we share. Everyone here brings dedication and heart to the work, and it makes for a supportive place to be.

The Synergy+ team
Zeina Asfour-Grifoni

Zeina Asfour-Grifoni, MPT, NCPT

Founder & Director of Programs · Movement Specialist, Educator

Physical therapist and movement specialist with two decades of clinical and teaching experience; directs Synergy+'s Teacher Training and Continuing Education Programs.

Tiziano Grifoni

Tiziano Grifoni

Co-Founder · Business & Operations

Co-owner and the business half of Synergy+: the studios, systems, and partnerships that let the clinical team stay clinical.

Ascona, Switzerland

Giada Gorla

Giada Gorla

Pilates Instructor

Certified yoga teacher turned Pilates specialist, drawn to Joseph Pilates' method as a practice for body, mind, and spirit.

Sabina Cattori

Sabina Cattori

Pilates Instructor

Sports scientist and 25-year movement educator, now devoted full-time to Pilates.

Raz Bar

Raz Bar

Pilates Instructor

Former circus aerialist and dancer who came to Pilates after a back injury, and teaches it as a lifelong way of getting to know your own body.

Maria Luisa Desiano

Maria Luisa Desiano

Pilates Instructor

A long-time Pilates enthusiast who trained as an instructor at Synergy+, and teaches with a focus on control, breath, and moving with awareness.

Lily-Lucy Zoell

Lily-Lucy Zoell

Pilates Instructor

Classically trained dancer and Accademia Dimitri student, who has taught Pilates, floor barre, and dance to all ages for three years.

San Rafael, California

Laura Winner

Laura Winner

Physical Therapist, DPT

Orthopedic physical therapist (DPT, USC) specializing in pelvic floor rehab and post-surgical care.

Gina Hagen

Gina Hagen

Front Desk Manager & Pilates Instructor

Started as a client a decade ago; now the team's front desk manager and a certified Pilates instructor.

“The Synergy+ studio in Ascona has excellent instructors. The studio has an attractive and clean decor. Synergy Ascona has been a huge factor in my recovery.”Barbara Mueller
“After 7 surgeries in 5 years replacing both hips, my physical therapist recommended Pilates at Synergy+ in San Rafael. I've been going for over a year and I'm doing so much better. I get individualized attention.”Nancy Meier

Already with us

Member log-in.

Two different doors, depending on what you signed up for.

Studio clients

Book, reschedule or cancel a class at Ascona or San Rafael.

Go to booking →

Online members & students

Happy Body, Lectures on Pilates and every instructor course live here.

Go to your portal →

Ready to find out what your body's doing?