Chiropractor or physical therapist: Which is right for you?

Comparison of a chiropractor and a physical therapist treating patients, highlighting their different approaches to care.

Chiropractor and physical therapist are two common terms for those who are struggling with pain issues like back pain, neck pain, sciatica, knots and ankle pain. Some people think chiropractors and physical therapists are the same but there are some key differences between them.

Choosing one of them depends on the causes and nature of your problem. Chiropractors treat in an invasive way where treatment from a physical therapist including prescribed exercises may work slowly but can help your daily activities more smoothly.

Now we are exploring the right option for you: chiropractor or physical therapist.

What Does a Chiropractor Do? Physical Examination

Chiropractor consulting with a patient about their health concerns in a clinic setting.

I am Dr. Lee, a chiropractic specialist who helps with nerve and muscle problems.Without the use of medications they can relieve you of back pain, neck pain, sciatica and other spinal problems. Here are the following steps of a chiropractor.

Physical Examination

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 adjustmentsIf the spine or shoulder is out of place, they will adjust it. Sometimes, the misalignments are in 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. Read our massage therapy blog to know more about how to fix your body aches with massage therapy.

Exercise Recommendations 

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.

What Does a Physical Therapist Do?

Physical therapists work on restoring mobility and strength, typically through exercise and movement therapy. Here’s a look at their process

Diagnosing

Physical therapists take an exam of  patients to determine the function and flexibility. For this, they observe patient’s standing, walking and performing tasks. They can ask the patient’s medical history. 

Creating a care plan

After the examination, physical therapists create a care plan for the patient aiming for the goal, expected result and avoiding the risks.

Exercises

The first step of the treatment process is exercise. Physical therapists may make you practice the planned exercise based on your pain. 

Stretching

Stretching is the key treatment of physical therapists. They suggest low pressure stretching that can impact on your pain. 

Free hand massage 

Your PT may use free hand massage to restore flexibility and increase blood circulation. 

Instrument based techniques 

Sometimes, PTs prepare some special instruments to apply their therapy that may help increase your body function faster. 

Monitoring progress

Physical therapists always monitor the changing of a patient’s condition. Based on the report, they again make a plan for treatment. 

Chiropractor vs Physical Therapist: Key Differences

Comparison of a chiropractor and a physical therapist treating patients, highlighting their different approaches to care.

Though chiropractor and physical therapist work with the same goal, there are some differences between them in the process of treatment.  To understand more easily, see this table.

Aspect Chiropractors Physical Therapists
Education Doctorate in Chiropractic (DC) Doctorate in Physical Therapy (DPT)
Treatment Focus Spinal adjustments, alignment, nerve function Rehabilitation, strength training, movement therapy
Common Tools Manual adjustments, activators, spinal decompression Exercise equipment, ultrasound, electrical stimulation
Primary Goals Improve nervous system function, relieve pain Restore mobility, enhance function, prevent injury
Common Use Cases Back pain, pinched nerves, headaches Post-surgery recovery, muscle injuries, arthritis
Licensing Licensed Chiropractor Licensed Physical Therapist

Chiropractor or physical therapist 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 lower strength, a physical therapist will be the better option.

Chiropractor or physical therapist for Shoulder Pain

Physical therapist should be chosen when you are struggling with

  • Lower strength
  • Mild stress
  • Muscle weakness
  • Post-surgical recovery

which are the root cause of 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 physical therapist 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, physical therapists use their special techniques to relax the muscles and reduce pain from sciatic nerve.

Chiropractor or physical therapist for pinched nerve 

  • Pinched nerve is a nerve compression, spinal misalignment and joint dysfunction. Chiropractors can help realign the spine, adjust the nerve to relieve pain.
  • Physical therapists can help ease muscle tightness and reduce pain from the pinching nerve.

When should you see a chiropractor?

If you have faced disorders like 

  • Back pain
  • Neck pain 
  • Hip pain 
  • Accidental injury 
  • Joint problem 
  • Thick muscle 

then you should meet a chiropractor.

Why you should make an appointment with a chiropractor

chiropractor export

Methods

A national phone survey of households was done to measure attitudes, utilization, and health practices of chiropractic users and nonusers. A 73% response rate was achieved. Satisfaction with chiropractic services is analyzed using both descriptive and multivariate methods.

Results

Satisfaction levels with chiropractic care are quite high (83% of persons are satisfied or very satisfied). High satisfaction is related to several factors, including whether the chiropractor orders and interprets laboratory tests, whether the chiropractor displays concern about the patient’s overall health, and the extent to which the chiropractor explains the condition and the treatment.

After knowing and understanding everything, I hope you are now 100% ready to take the final decision. Without further delay, you should book an appointment with us now. You can click to see our previous case studies.

When to see a physical therapist? 

If you are struggling with

  • Lower strength 
  • Lack of flexibility 
  • Muscle weakness 
  • Injury
  • Strain

then you should meet a physical therapist.

Reasons to appointment with a physical therapist

When you want to take professional support for your daily activities like walking, jogging, running, workout or gym, you should appoint a physical therapist. 

Frequently Asked Questions

 

What is the difference between a chiropractor and a physical therapist?

The key difference is in their treatment approach. Chiropractors use spinal adjustments to relieve pain and improve nerve function. Physical therapists focus on exercises, stretches, and movement therapy to restore strength and mobility.

When should you see a chiropractor for back pain?

Visit a chiropractor for back pain caused by spinal issues or nerve problems. They use adjustments to realign the spine and reduce discomfort effectively.

What treatments do physical therapists typically use for sciatica?

Physical therapists help sciatica with targeted exercises to ease tight muscles. They also use manual therapy and tools to improve flexibility and relieve nerve compression.

What are the benefits of seeing a chiropractor for neck pain?

Chiropractors address neck pain by realigning the spine and reducing nerve tension. They also use massages to improve circulation and provide lasting relief.

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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.