When to See a Physiotherapist for Back Pain vs. a Chiropractor

What’s the difference?

To answer this question, we must first understand the differences between the practice of a physiotherapist and a chiropractor. In this article we’ll compare and the two professions, and explain how to choose between a physiotherapist and chiropractor depending on your symptoms. The following is quick summary of the biggest similarities and differences between the two:

Similarities

• Regulated health care professionals
• Treat similar musculoskeletal conditions including back, neck pain, joint problems and more
• Both may use manual therapy, other hands on techniques, and give you lifestyle and postural advice

Differences

• Physiotherapists incorporate more active forms of treatments vs chiropractors use more manual therapy
• Physiotherapists usually perform joint mobilizations vs chiropractors primarily use joint manipulations (high speed thrusts that create the “popping” or “cracking” noises that chiropractors are famous for)
• Physiotherapists are found in a wider variety of workplaces including the private and public sector (may help recovery after surgeries and other types of rehabilitation) vs chiropractors tend to practice in private clinics
• Physiotherapist ideology focuses more on the whole body and movement vs chiropractors focus more on alignment and the musculoskeletal system

Which one can help back pain?

The good news is both professions can help you recover from your back pain. In fact, many of our patients are also being treated by chiropractors at the same time. What’s important is to ensure that your practitioners are aware of each other and in communication to ensure that both are working on the same page. Both professions will conduct a thorough assessment to determine the cause of your back pain, and then create a personalized treatment accordingly. They will both give you advice and strategies to prevent and help you recover from your back pain. Depending on the cause and symptoms of your back pain however, you may choose to see one over the other.

How can I choose?

Ultimately, the choice is yours as we have discussed how both professions may be able to help you achieve your goals. Your choice may also be influenced by the individual professional as even within each profession, each practices differently and with different methodologies. If you are unsure, you may go for a consult first to determine whether your expectations align with that of your practitioner.

A couple reasons to see a physiotherapist may be:

1. You are uncomfortable or inappropriate for spinal manipulations (ex. you have osteoporosis)
2. You had a recent back injury, trauma, or surgery and need rehabilitation
3. You are looking for a structured exercise and activity based plan in combination with manual therapy
4. You have mobility or strength issues arising from issues with your back

A couple reasons to see a chiropractor may be:

1. You have had spinal manipulation done in the past and found it effective for relief
2. Need instant relief from an acute (short term), local back pain
3. Pain, stiffness, or soreness related to spinal alignment
4. You are receiving regular maintenance treatment to prevent or manage pain in your back

Ready to get started?

Here at PhysioNow, we offer physiotherapy services for back pain. We have 10 clinics located across the GTA from Burlington, Oakville, Mississauga, to Etobicoke. We offer private treatment rooms, free parking, and extended hours including late evenings and Saturdays! Don’t let your back pain get in the way of your life, book with PhysioNow today for your first assessment and treatment with a Registered Physiotherapist!