People often ask me, “Do you tire of hearing about health concerns?” And, I kid you not, my immediate response is, “No!  Never! I look forward to it!  I’m here to listen so I can understand how to help you.”

And after well over a decade of practice, and gratitude in my heart, that response hasn’t changed a bit. As a Doctor of Physiotherapy, I strive to know about your wrongs so I can make them right again.

I believe in doing good things in my day and listening well so I can understand how I can be of service.  I assist every person that walks through our doors to be as active, mobile, functional and happy as possible.  It doesn’t matter if you are elderly, a newborn baby, a CEO, a super competitive athlete, or a stay at home mom or dad. I want to see you live your fullest potential and enjoy all the things that make you happy. If I can be a small part in making that happen, then I’ve done my job for the day.


Physiotherapy can be intense, difficult, and some days frustrating.  However, when we work together, you are in it to win it and you…

 …walk without any assistive devices … return to full work without any pain … play your sport at your maximum power, strength and agility … once again care for your family … have pride in what you are able to accomplish…

 … you will celebrate a big victory.   And like a proud coach after a winning goal, I go home with a smile


As soon as we meet, I’m in your corner.  [Cue your favourite Bruce Springsteen anthem now]  I’ll take notes, research, create a plan, tackle the tough stuff, help you jump over obstacles and lead you to optimal results.  This is my passion.  This is my goal for you.  My hope, is for you to find your truest expression of health, one step at a time. [Now cue the stadium cheers!!!]


For the physiotherapy team, making you smile is kind of our thing.  Creating a relaxed, fun and friendly place for your care is just how we roll.   We know how much smiling is important to your wellbeing and can help lower your pain level.  We love sharing a good riddle, joke and hardy laughter. 

The Physiotherapists, Kinesiologist and Exercise/Aqua specialist work together to ensure you meet your health goals.  Not only are we dedicated to educating our patients about bettering themselves in clinic, we are constantly developing new initiatives to support your recovery and wellness.  

Thanks for taking time to read this and I promise, when I see you, that I’ll take time for you!!

With optimism and enthusiasm,

Tania Mannella PT, DPT

Doctor of Physiotherapy Niagara Falls


Physiotherapy Niagara Falls Offerings Include…


This practice is super ancient and we draw upon the thousands of years of wisdom and healing to transform it into a modern day treatment.  Keeping the balance of your nervous system in mind, we redirect the flow of energy (known as Qi) to relieve tension, stress and pain.  The uninterrupted and balanced flow of energy along the pathways of this system improves health.

Dry needling is a specific approach we use in our physiotherapy practice.  This involves specific needling techniques to treat muscular pain, to relax tense muscles and to address trigger points.

We combine an evidence based approach, traditional Chinese medicine and Western anatomical medicine to provide the most effective outcome for your acupuncture treatment.


As physical therapists we are masters of muscles. 🙂  We have been extensively trained to know how to manipulate the muscular system with our hands.  Through our cohesive understanding of how each muscle works and, more importantly, how these muscles work together as a system, including ligaments, bones, nerves and joints, we can use our hands through manual therapy to treat areas of concerns.

Through manual therapy we can put pressure on muscle tissue and manipulate joints to decrease the spasm, tension and joint dysfunction that causes pain.  Some examples of this include:

  • Mobilization

  • Soft Tissue Stretch

  • Myofascial Release

  • Trigger Point Release

  • Fascial Distortion

Manual therapy will get your muscles moving in synch so you can get back to doing what you love.


Cupping is an ancient therapy, best known in Traditional Chinese Medicine, whereby a vacuum is created in a cup, drawing the skin up into the cup and separating the layers of tissue. The suction creates a vacuum below the skin to draw the static blood to the surface and replaces it with new blood. 

Cupping has many therapeutic effects:

  • Increase circulation

  • Detoxification of the area being treated

  • Reduction of muscle tightness and tension

  • Release of tissue trauma

  • Decrease of muscle and tendon tension, tightness and stiffness

As a result, cupping can help a number of musculoskeletal health concerns. Specifically, our Physiotherapy Team uses cupping as a part of their dynamic treatment plan for frozen shoulder, rotator cuff concerns, trigger points, neck pain, tennis elbow, carpal tunnel syndrome, IT band tension, low back pain, sciatica, knee pain, patella-femoral syndrome, restless leg syndrome and plantar fasciitis.


What is Pelvic Floor Physiotherapy Niagara at WIN?

Pelvic Floor Physiotherapy Niagara is being offered at WIN Health Solutions to assist women who are experiencing Bladder or Vaginal concerns due to pelvic floor muscle dysfunction.

At the very base of your body is a hammock of muscles called the Pelvic Floor.  They are tied into our abdominal Core Muscles, too. The life events that women experience over time can affect the activity of these muscles.  

For example…

  • Childbirth

  • Hysterectomy

  • Menopause

  • Weight gain

  • Chronic constipation

  • Constant muscle strain

…can influence this area.  These are very common occurrences for most women.

Pelvic Floor can be related to…

  • Peripartum concerns

  • Postnatal concerns

  • Incontinence

  • Organ prolapse

  • Pain in the pelvis, bladder and/or vagina


Pee when you cough?  Leak a little when you laugh?  We get it.   

Skilled and specially trained in Pelvic Floor Physiotherapy, Tania Mannella, our WIN Physiotherapy Niagara Falls team member can help correct pelvic floor weakness and pelvic pain.  Bladder incontinence in women is often the result of a weak pelvic floor!  

So go on…. jump on that trampoline with your grandchild!  Go for that jog with your friend!  See that hysterically funny movie that you’re dying to see.  Tania’s got solutions to resolve your concerns and empower you to go out and do your thing!



We have a class IV Laser System on site at the clinic that our docs integrate with their treatment.  Our patients love this warm, soothing and incredibly effective therapy.  Laser therapy helps to bring down the big baddie in so many people’s musculoskeletal concerns: Inflammation.  And while this treatment option takes out inflammation, it is soothing and gentle.  Everybody Loves Laser.  It’s great for seasoned physiotherapy patients and also those who are looking for a more subtle approach to their care.  


Shockwave therapy is to our WIN modalities what Juggernaut is to X-men.  Not into comics?  Ok… let us explain…

Shockwave uses a strong impulse at a site of concern to breakdown walls of scar tissue and improve blood flow.  A short, frequent and high intensity burst of energy (in the form of a shockwave) is delivered to the soft tissue area that is injured, scarred, contains adhesions, is painful and/or is inflamed.  

The sensation that patients experience at the site of treatment is a rapid, high frequency, vibration.  This therapy…

  • Increases blood flow to the injured site (which is essential to speed healing)

  • Changes the biochemicals in the injured site to prevent pain and inflammation

  • Break apart scar tissue

  • Reduce muscle spasm

  • Eliminate trigger points

  • Reset nerve fibers, which changes pain signals to the brain = Prevent the communication of Pain

What to Expect during a Shockwave Treatment

One Shockwave treatment lasts approximately five minutes.  Many people find combining a chiropractic visit, where they receive manual therapy, acupuncture, adjustment, etc., with a Shockwave treatment to help speed the recovery process.

The best outcomes in healing have been observed when people receive three to five Shockwave treatments, each one week apart.  

Shockwave causes most people to feel a mild to moderate discomfort, but it is well tolerated.  Our WIN Doctor is always conscientious to check inmake sure you are ok and adjust the intensity based on your comfort level.  It is normal to experience a mild discomfort after treatment, as Shockwave kicks up a lot of biochemical/neurological/anatomical activity.  The net result over time is improvement at the site.

What Shockwave Can Treat

It is one of our more assertive treatment options and is ideal for persistent or stubborn conditions.  Our docs have seen Shockwave work well for:

  • Tennis Elbow

  • Golfer’s Elbow

  • Plantar Fasciitis

  • Heel Spurs / Heel Pain

  • Achilles Tendinitis

  • Calcific Tendonitis

  • Patellar Tendonitis (Jumper Knee)

  • Rotator Cuff Concerns

  • Frozen Shoulder

  • IT (Iliotibial) Band Syndrome

  • Bursitis

  • Myofascial Trigger Points

  • Sprains/Strains associated to the spinal column

*Shockwave is covered by most extended health benefits.  Ask your WIN Team Member for more information.


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