Chiropractor or Massage | Which Is Better For Pain Relief?

Side-by-side comparison of a chiropractor adjusting a patient and a therapist performing a back massage.

Nowadays, people are searching for natural and holistic health care for pain relief. Chiropractic care and massage therapy are the most common of them. But which is better? Chiropractor or massage? Chiropractic care is more scientifically proven and ensures better treatment, so it is often preferred first. 

Here, we explain the treatment process, key differences, and public feedback between chiropractors and massage therapists.

What is Chiropractic Care?

Chiropractor performing a spinal adjustment on a male patient lying face down on a treatment table.

Chiropractic care is an alternative healthcare system that provides a drug-free solution for pain relief. Without the use of medications chiropractors can relieve you of back pain, neck pain, sciatica and other spinal problems.

Example: Sarah, a 32-year-old professional, experienced chronic neck pain due to poor posture at her desk job. After a few chiropractic sessions focusing on spinal adjustments, she reported significant pain reduction and improved posture. (Pineapple Chiropractic and PodiatryClifton and New York)

How Chiropractors Treat Pain and Discomfort

Chiropractor always follows some method to treat in an effective way. Here are some essential steps.

Taking a physical exam

First of all, a chiropractor takes a physical exam of posture, arm and leg mobility, muscle strength and other unordinary things they find.

Realigning the spine

They ensure the perfect spinal adjustments. If there is a misalignment of spine or shoulder, they will realign it. Sometimes, the misalignments are found at the shoulder and hip.

Massaging

They apply massage therapy by hand or technical support to make your body function more smoothly, normal blood circulation and easy breathing.

Exercising

Exercise like swimming and cycling are essential to ease the joints. A chiropractor usually suggests this kind of exercise.

Taking tissue therapy

This therapy not only softens the tissue but also tightens the muscle. It also makes the muscle stronger. 

Taking hot and cold therapy

They use a hot water bag and ice to reduce pain and discomfort. Each therapy is used for a different purpose. 

Imaging scan

X-ray or MRI is also used if needed. Usually accidental injury needs an imaging scan.

Conditions Chiropractors Help with

  • Back pain 
  • Neck pain 
  • Hip pain 
  • Sciatica 
  • Ankle and foot pain 
  • Soleus and gastrocnemius 
  • Ear pain
  • Shoulder pain

What is Massage Therapy?

 Close-up of a therapist performing a back massage on a woman lying on a table.

Massage therapy is a natural treatment system for pain relief. A massage therapist uses hands or tools to apply therapeutic techniques. 

Example: Dianne, living with Rheumatoid Arthritis, found significant relief from her symptoms through regular massage therapy sessions. She noted that consistent massages alleviated her pain and improved her quality of life. (KATY POLICH MASSAGE)

How Massage Therapy Relieves Muscle Tension and Pain

Free Hand Massage

The therapist firstly tries to realign the spines by hand. In this process, your blood circulation will be faster than before.

Soft Tissue Therapy

By massaging the therapist tries to soften your tissue. It is very helpful to reduce pain from the muscles. Soft tissue releases toxins, a metabolic byproduct of the body.

Shoulder Massage

A therapist firstly realigns the shoulder. Then he/she uses massage therapy which is helpful for relieving pain from the lower back. 

Conditions Treated by Massage

  • Back pain 
  • Accidental pain
  • Knots 
  • Neck pain 
  • Hip pain 
  • Sciatica 
  • Ankle and foot pain 
  • Soleus and gastrocnemius 
  • Ear pain
  • Shoulder pain

Key Differences: Chiropractor vs. Massage Therapist

Feature Chiropractor Massage Therapist
Focus Spinal alignment and nerve health Muscle relaxation and soft tissue care
Techniques Adjustments, imaging, exercise Manual massage, tissue therapy
Best For Spinal misalignments, nerve pain Muscle tension, stress relief

Chiropractor or Massage for back pain

  • To visit a chiropractor or get a massage for back pain depends on the cause and nature of your pain and discomfort. If your back pain comes from spinal disorders or nerval realignment, a chiropractor may help you. 
  • Again, if your back pain comes from muscles and is caused by stress, massage therapy will be the better option.

Massage or Chiropractor for Neck and Shoulder Pain 

Massage therapy should be chosen when you are struggling with 

  • Tight muscles
  • Mild stress
  • Muscle knots
  • Poor posture 

which are the root cause of neck and shoulder pain.

If your pain includes nerve symptoms like

  • Tingling 
  • Numbness 
  • Misalignment in the cervical spine

then, choosing a chiropractor is a better option. 

Chiropractor or massage for sciatica

  • When sciatica is caused by spinal misalignment, chiropractors focus on spinal adjustments and realignment to reduce pain from sciatic nerve.
  • Besides, if sciatica is caused by tight muscles and tissue problems, massage therapists use their special techniques to relax the muscles and reduce pain from sciatic nerve.

Chiropractor or Massage for Neck Pain

  • Your neck might be affected by nerve compression, spinal misalignment and joint dysfunction. Chiropractors can help realign the spine, adjust the neck and joints to relieve pain.
  • Massage therapists can help ease muscle tightness and reduce pain from the neck.

Chiropractor or Massage for Knots 

  • Massage therapy softens muscle tension and eases discomfort.
  • Chiropractors use soft tissue therapy to address knots.

Which Treatment is Best for Your Specific Condition?

Conditions like lower back pain, pinched nerve, stiff neck, sciatica and shoulder pain can be treated by both chiropractor and massage. Each one is the best for certain reasons. When your pain problem is caused by spinal misalignment, chiropractor is the best solution. Again, when your pain problem is caused by muscle tension, massage is the best solution.

Chiropractor or Massage First?

Chiropractors identify the root cause of pain through diagnostics and treat accordingly. Massage therapy can complement chiropractic care by relaxing muscles and supporting recovery. Relying solely on massage may not address underlying issues.

When to Choose Chiropractic Care vs. Massage Therapy

For Pain Relief

  • Chiropractors treat spinal misalignments.
  • Massage therapists address muscle tension.

Optimal Approach

  • Start with chiropractic care and complement it with massage therapy for the best results.

Frequently Asked Questions

Is chiropractor or massage better for sciatica? 

Surely. Sciatica is a problem that relates to the spine, legs, nerves and muscles. Chiropractor and massage therapist can treat sciatica by spinal manipulation without using the medication . 

Do I need a chiropractor or massage for pain relief? 

Yes, you need a chiropractor or massage for pain relief as they not only find out the root cause of your pain but also provide a long lasting guaranteed treatment in a natural way. 

Chiropractor or massage for lower back pain? 

For lower back pain, chiropractor or massage can be an alternative treatment system. Where chiropractors realign the spine, massage therapists reduce muscle tensions from lower back and relieve pain.

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Picture of Hyunjae Lee D.P.M. D.C

Hyunjae Lee D.P.M. D.C

Dr. Hyunjae (Albert) Lee D.P.M., D.C., is an esteemed podiatrist and chiropractor at Pineapple Chiropractic and Podiatry, which has locations in Clifton, New Jersey and the Midtown East neighborhood of Manhattan in New York City.

Board Certified Through American Board Of Podiatric Medicine

Dr. Lee is board certified by the American Board of Podiatric Medicine (ABPM) and is an active member of the American Podiatric Medical Association as well as the American College of Foot and Ankle Surgeons. He has extensive training in foot & ankle care through his 4-year Podiatric Medicine and Surgery Residency. In addition, he regularly participates in seminars, labs, and lectures regarding various foot & ankle pathologies.

Check Out Our Latest Case Studies

40 Years Of Pain Resolved

A female in her 50s presented with DAILY back pain, neck pain & midback pain. She also had daily headache and migraine for the PAST 40 YEARS !! Additionally, she also suffered from daily ear ringing and ear drainage issue

We found structural instabilities in her midback area with severe arthritis. Proper and appropriate chiropractic care was provided in her mid-thoracic region which had been destabilizing her entire body for the past 4 decades

After 2 visits of ultra specific spinal adjustments, her back pain, neck pain, lower back pain, ear problems, headache and migraine had resolved.

13 Years of Thigh, Leg, Foot & Back Pain Resolved

25 year old patient visited us after 13 years of ongoing foot, thigh, leg and back pain. He was not able to sit, work, run or walk comfortably. His life had been less than ideal due to his ongoing pain.

After a thorough evaluation, we have identified right hip problem, which was causing excurciating pain in his right leg and right thigh, not to mention, ongoing pain to his both feet.

I ask permission from patients when creating and sharing videos. After giving permission, I share the video.

Back & Foot Pain With Sweeping

Middle aged female with kidney transplant was suffering from constant back pain and shooting leg/foot pain. It has been very painful to a point that she was no longer able to do daily tasks. Simple things like mopping or sweeping were impossible and she was not able to bend her lower back at all.

Through Our TOTAL BODY approach, we identified structural problems in her tail bone, lower back, midback, and neck (Surprisingly, no abnormalities noted in her foot or ankle area). And we watched her transform right in front of our eyes.