What’s the difference between Osteopathy, Physiotherapy and Chiropractor?

A common question we get asked in clinic - what is the difference between Osteopaths, Physios and Chiropractors? I personally feel the main reason why this question is still asked, is because there is such a range of how each individual treats, which ultimately means that you will find that each profession itself will fall along a spectrum.

If we assess it more broadly though and look at the difference in philosophies and treatment focus between each profession, we do start to develop unique traits, and this will help guide you (the patient) to the profession that you need to be seeing.

It is also important to note that each profession will always aim for pain relief and injury management and strive towards you moving and functioning to the best of your ability. I also believe that it is possible to combine treatment modalities. I have had patients in the past who have been seeing Chiropractors/ Physios at the same time as my treatment, and most often this produces great results.

This blog dives into the main differences between osteopaths, physiotherapists, and chiropractors, guiding those suffering from injury or pain to the best treatment options for their needs.

1)      Philosophy – our school of thought:

Osteopath: Osteopaths look at the body's ability to heal itself and focuses on the interrelationship between structure and function of the body. They use hands-on techniques to improve circulation and correct altered biomechanics.

Physiotherapist: Physios focus on restoring movement and function after injury, illness, or disability through exercises, manual therapy, and education.

Chiropractor: A chiropractor will centre on diagnosing and treating mechanical disorders of the musculoskeletal system, particularly the spine. They mainly use spinal adjustments and manipulations to restore mobility and function.

2)      Techniques Used – what to expect in a session:

Osteopath: An Osteopath will use techniques like joint articulation, manipulation of muscles and joints stretching and massaging. They also will prescribe exercises to both help strengthen and stretch the body.

Physiotherapist: A physio employs a variety of techniques including exercise prescription, manual therapy, electrotherapy, and patient education to improve physical function.

Chiropractor: A chiropractor will primarily use spinal manipulations or adjustments, along with other joint and soft tissue manipulations.

3)      Conditions Treated – what each profession specialises in:

Osteopath: An Osteopath treats musculoskeletal issues like back pain, joint pain, and headaches, but also addresses issues related to other body systems, believing in the holistic approach. They will also focus on sport injuries.

Physiotherapist: Physios treat a wide range of conditions including sports injuries, musculoskeletal disorders, neurological conditions, respiratory issues, and post-surgical rehabilitation.

Chiropractor: A chiropractor will specialise in conditions related to the spine such as back pain, neck pain, headaches, and sciatica, but can also treat other joint and muscle issues.

4)      Training and Regulation:

Osteopaths: 4-5 years of training (BSc/MOst), regulated by the General Osteopathic Council (GOsC).

Physiotherapists: 3-4 years of training (BSc or MSc), regulated by the Health and Care Professions Council (HCPC) and supported by the Chartered Society of Physiotherapy (CSP).

Chiropractors: 4-5 years of training (BSc/MChiro or MSc), regulated by the General Chiropractic Council (GCC).

These regulatory bodies ensure that practitioners meet rigorous standards for education, training, and professional conduct, ensuring high-quality care for patients in the UK.

5)      Treatment Focus and Time

Osteopaths: Holistic treatment focusing on the body's structure and function, with initial sessions lasting 45 minutes to 1 hour and follow-ups around 30 minutes.

Physiotherapists: Evidence-based rehabilitation focusing on restoring function and mobility, with initial assessments lasting 45 minutes to 1 hour and follow-up sessions 30 to 45 minutes.

Chiropractors: Spinal adjustments and manipulation focusing on the musculoskeletal system, with initial consultations lasting 45 minutes to 1 hour and follow-up sessions 15 to 30 minutes.

These varying focuses and session lengths reflect the unique approaches each profession takes towards patient care in the UK.

While there is some overlap in the conditions we treat and the techniques we use, the key difference lies in our philosophies and primary focuses. Osteopaths take a holistic approach, physiotherapists concentrate on rehabilitation and functional movement, and chiropractors focus on spinal health and alignment.

If you're experiencing pain or discomfort and are unsure which professional to see, feel free to reach out to Osteo Joe. I’m here to help guide you on the best path to health and wellness.