Mariana Tzoneva – Physiotherapy Technologist | Montréal, QC

Mariana Tzoneva is a dedicated Physiotherapy Technologist (Phys. T.). Practicing at CIUSSS du Centre-Sud-de-l'Île-de-Montréal - CLSC Saint-Louis-du-Parc in Montréal, QC, Mariana is committed to high-quality, patient-centered care aligning with the standards set by the Ordre professionnel de la physiothérapie du Québec (OPPQ). Her role involves assisting in the implementation of treatment plans prescribed by physiotherapists or physicians, guiding patients through therapeutic exercises, and applying various treatment modalities to support recovery and functional improvement.

Mariana's practice is especially attentive to the needs of senior patients, providing compassionate and tailored physiotherapy interventions that promote mobility, independence, and overall well-being. She believes in empowering her patients through education about their conditions and practical self-management strategies, fostering a supportive environment where patients feel valued and understood. Her approach emphasizes not just treatment but the promotion of long-term health and wellness.

With a solid educational foundation and clinical experience, Mariana has developed skills in therapeutic exercise instruction, modality application, and patient monitoring. She is dedicated to continuous professional development, staying current with evidence-based practices to ensure her patients receive the most effective care possible. Mariana is fluent in Bulgarian, French, and English, allowing her to connect with a diverse range of patients in Montréal.

Mariana Tzoneva provides skilled physiotherapy care for a variety of conditions, including but not limited to:

Common Msk

• Hip Pain (e.g., Bursitis, Muscle Strains, Labral Issues - conservative): Hip problems that interfere with your mobility, sleep, and daily comfort, which can be effectively managed with physiotherapy interventions.
• Musculoskeletal Injuries (General - Tendinitis, Bursitis, Capsulitis, Sprains, Strains): Acute or chronic pain originating from various musculoskeletal sources, such as a pulled muscle (strain), inflamed tendon, or irritated bursa.
• Wrist and Hand Pain (e.g., Carpal Tunnel Syndrome, De Quervain's Tenosynovitis, Strains): Aching, burning, sharp pain, or a 'pins and needles' sensation in the wrist, thumb, or hand region, sometimes waking you at night.

This list offers examples of conditions commonly addressed. If your specific concern isn't listed, please contact the clinic. Mariana can assess your needs.

• Strength & Conditioning for Rehabilitation and Performance: Progressive resistance training programs designed by your Physiotherapist to improve muscle performance, support joint health, and enhance functional capacity for daily life or sport.
• Core Stability & Strengthening Training: Targeted exercises focused on strengthening the deep abdominal, back, pelvic floor, and diaphragm muscles to provide better support for your spine, improve posture, enhance balance, and increase movement efficiency.
• General Reconditioning & Fitness Programs: A progressive approach to rebuilding your physical condition, allowing for a safe return to daily activities, work demands, and hobbies you enjoy.
• Therapeutic Ultrasound Application: Using therapeutic ultrasound as an adjunct treatment to help reduce pain, decrease inflammation, break down scar tissue, and accelerate the repair of injured soft tissues.
• Personalized Therapeutic Exercise Prescription: Customized exercise plans designed to help you recover from injury, manage chronic conditions, improve physical performance, and achieve your functional goals safely and effectively.
• Stretching & Flexibility Programs: Guided stretching routines and flexibility exercises prescribed by your Physiotherapist, aimed at improving your range of motion, reducing muscle tightness or stiffness, and enhancing overall movement quality.

Note: This list highlights some key services offered by Mariana. For a full list or to discuss your specific needs, please contact the clinic.

All services are provided in accordance with standards set by the Ordre professionnel de la physiothérapie du Québec (OPPQ).

At CIUSSS du Centre-Sud-de-l'Île-de-Montréal - CLSC Saint-Louis-du-Parc, physiotherapy is focused on helping individuals like you achieve significant improvements in health and daily activities. Mariana frequently helps patients work towards goals such as:

• Rediscover your ability to easily carry groceries in from the car in one or two trips without the constant burden of persistent dizziness that isn't a spinning vertigo but makes me feel unsteady. Mariana focuses on evidence-based treatment plans that lead to enjoying family vacations and outings with more energy and less pain, integrating various therapeutic techniques for optimal and lasting results.
• When general muscle strains and pulls from overdoing it at the gym or in the garden are limiting your lifestyle and preventing you from challenging yourself with indoor or outdoor rock climbing, physiotherapy with Mariana can help you work towards a significantly reduced risk of falling, enhancing safety and independence. The aim is to restore optimal function so you can comfortably and safely return to the things you love.
• Through personalized physiotherapy at Mariana's clinic, common concerns like trouble with everyday tasks because of pain or weakness in your hands or grip are thoroughly assessed and addressed with the objective of being active again without the constant worry of pain or re-injury. This often involves a combination of in-clinic treatment, education, and self-management strategies, helping people to once again enjoy activities like peacefully paddling your kayak or canoe on the lake for hours.

Your personalized physiotherapy plan, developed with Mariana, will be designed to help you reach your specific functional and wellness objectives.

Mariana practices at CIUSSS du Centre-Sud-de-l'Île-de-Montréal - CLSC Saint-Louis-du-Parc, situated in the central Montréal neighborhood of Montréal. This public healthcare facility is conveniently located near local community services and pharmacies, making it easy for patients to access comprehensive care. The clinic is well-connected via local public transit routes, ensuring ease of travel for those using buses or metro. Our clinic is wheelchair accessible. Free patient parking is typically available on-site or nearby.

Is physiotherapy treatment supposed to be painful?

The primary goal of physiotherapy is generally to reduce pain and improve function, not to cause significant or lasting pain. Some assessment techniques or specific treatments (like deep soft tissue work, joint mobilization, or certain exercises) might cause mild, temporary discomfort or soreness, especially if the tissues being treated are sensitive, inflamed, or very stiff. However, your Physiotherapy Technologist will always work within your tolerance levels, communicate clearly about what to expect, and encourage open feedback. If you experience notable or unacceptable pain during treatment, please inform your therapist immediately so adjustments can be made to ensure your comfort.

What is manual therapy in physiotherapy?

Manual therapy refers to specialized hands-on techniques used by a Physiotherapy Technologist to diagnose and treat musculoskeletal pain and dysfunction. This can include joint mobilization (gentle, rhythmic gliding movements), joint manipulation (skilled, high-velocity, low-amplitude thrusts, where appropriate and within the therapist's scope and with your consent), various soft tissue mobilization techniques (like massage, myofascial release, trigger point release), and neural mobilization (gentle techniques to improve nerve movement). The primary goals are to reduce pain, improve range of motion, restore optimal joint mechanics, reduce muscle tension, and enhance tissue repair and function.

Do I need a doctor's referral to see a Physiotherapy Technologist in QC?

In Quebec, patients can typically see a Physiotherapy Technologist directly without a physician's referral, a process known as direct access. However, some private or extended health insurance plans may require a referral for reimbursement purposes. It is advisable to check the specific requirements of your insurance provider before your appointment.

Is physiotherapy covered by the Régie de l'assurance maladie du Québec (RAMQ) in QC?

In Quebec, RAMQ generally does not cover physiotherapy services performed in private clinics. Patients usually pay out-of-pocket or through private insurance. Care received directly in a public hospital or CLSC may be covered if it meets specific criteria. It is recommended to verify your coverage with RAMQ and consult your private insurance plan for reimbursement options.

What is the difference between a Physiotherapist (Physiothérapeute) and a Physiotherapy Technologist (Technologue en physiothérapie) in Quebec?

A Physiothérapeute (Physiotherapist) holds a university master's degree in physiotherapy and is authorized to perform assessments, establish diagnoses, create treatment plans, and carry out a wide range of therapeutic interventions independently. A Technologue en physiothérapie (Physiotherapy Technologist) holds a college-level diploma (CEGEP) and works under the supervision or treatment plan established by a physiotherapist or physician. They apply prescribed treatments, guide exercises, and monitor progress but do not diagnose or independently plan treatments. Both professions are regulated by the Ordre professionnel de la physiothérapie du Québec (OPPQ).

CIUSSS du Centre-Sud-de-l'Ile-de-Montréal - CLSC Saint-Louis-du-Parc
15, Avenue du Mont-royal O
Montréal, QC H2T 2R9

Phone: (514) 286-9657

Mariana Tzoneva is regulated by the Code des professions and Professional Integration Arrangement for physiotherapists in QC and is a member of the Ordre professionnel de la physiothérapie du Québec (OPPQ).

Registration can be verified with the Ordre professionnel de la physiothérapie du Québec (OPPQ).

Always consult with your primary healthcare provider before starting any new treatment program.