Physiotherapy vs chiropractor – what’s the difference?

While both physiotherapists and chiropractors aim to alleviate pain and improve function, their approaches differ. Understand the key distinctions to choose the right care for you.

If you’re dealing with pain, stiffness, or recovering from an injury, you might be wondering:

Should I see a physiotherapist or a chiropractor? What’s the difference?

While both professionals treat musculoskeletal issues, their approach, training, and treatment styles are different. Let’s break it down so you can choose the right care for your needs.

1. What Does a Physiotherapist Do?

Physiotherapists focus on restoring movement, strength, and function. They assess the root cause of your pain or limitation, and then create a customized treatment plan to improve mobility and prevent future problems.

Common treatments include:

  • Guided exercises and stretches
  • Manual therapy (hands-on treatment)
  • Education on posture and movement
  • Ultrasound or electrical stimulation (TENS)
  • Rehabilitation after surgery or injury

When to see a physiotherapist:

  • Recovery after a sports injury or surgery
  • Chronic conditions like arthritis or sciatica
  • Balance issues or limited range of motion
  • Pre- or postnatal pain
  • Motor vehicle accident injuries

Physiotherapy is covered by many private insurance plans in Ontario and may be partially covered by OHIP in certain cases (e.g., for seniors, youth, or ODSP recipients).

2. What Does a Chiropractor Do?

Chiropractors focus primarily on the spine, joints, and nervous system. They use spinal adjustments (manipulations) to help improve alignment and relieve pressure on nerves.

Common treatments include:

  • Spinal manipulation or adjustments
  • Joint mobilization
  • Soft tissue therapy
  • Lifestyle or ergonomic advice

When to see a chiropractor:

  • Back or neck pain
  • Headaches or migraines related to spine tension
  • Poor posture or spinal misalignment
  • Sciatic pain or nerve impingement

Chiropractic care is not covered by OHIP, but it’s widely covered by private health insurance plans across Canada.

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