Chiropractor or Physiotherapist? Why Not Both?

Chiropractor or Physiotherapist? Why Not Both?

In the world of musculoskeletal health, patients often find themselves at a crossroads: should I see a chiropractor or a physiotherapist? While both professions offer effective solutions for pain and dysfunction, there’s a growing recognition that combining the best of both disciplines can provide superior results. The truth is, health isn’t a one-size-fits-all solution, and sometimes the most efficient way to treat pain or injury is through a multidisciplinary approach. But before we dive into why integrating these therapies works, let's unpack the differences within chiropractic care itself.

Chiropractic Approaches: Vitalistic vs. Mixed

Chiropractic care can generally be divided into two main approaches: vitalistic and mixed. The vitalistic approach stems from the belief that the body has an innate ability to heal itself, and that spinal adjustments alone are enough to restore this healing power. It focuses heavily on spinal alignment and the flow of energy through the nervous system. While this approach has its merits, it is often seen as limited by today’s standards of modern health care.

On the other hand, the mixed approach combines traditional chiropractic techniques with evidence-based therapies, such as exercise prescription, myofascial release, and patient education. This is the approach we use at MoveMed because it looks at the whole person, not just the spine, and considers how muscles, joints, nerves, and other structures work together.

Recent research backs this up. A study found that patients who received a combination of joint manipulation and muscle work reported better outcomes than those who received spinal adjustments alone. This shows that for many conditions, a mixed approach might be the best route to recovery.

Why Combined Therapies Are Important

A multidisciplinary approach means that diagnostics and treatment are not siloed into one technique or perspective. As a patient, you benefit from a broad spectrum of expertise and methods. Chiropractic care might excel in joint mobilisation, while physiotherapy might shine in soft tissue rehabilitation. Why limit yourself to one when you can have the benefits of both?

Think about it this way: sometimes joint mobilisation alone isn’t enough to resolve a condition. You might find that your muscles are too tight, or there’s underlying inflammation that joint manipulation alone can’t address. In those cases, combining chiropractic adjustments with physiotherapy techniques, such as soft tissue release or dry needling, can work wonders. In fact, research supports the idea that muscle work paired with joint mobilisation speeds up recovery and reduces pain more effectively than either modality on its own.

Why Combining Joint and Muscle Work Can Be More Effective

If you've ever struggled to find the right treatment for your pain, you’re not alone. Too often, patients get stuck in a cycle of care that treats only one aspect of their problem. Chiropractic joint mobilisation is fantastic for restoring alignment and joint function, but without addressing muscle tension or strength, the results may not last. Likewise, focusing solely on soft tissue therapy may relieve tension but won't necessarily correct underlying joint dysfunction.

A study found that a combined approach to treatment—joint mobilisations and muscle work—led to quicker recovery and longer-lasting results compared to single-modality treatments. This makes sense because your muscles and joints work in tandem; treating one without the other leaves a gap in your recovery.

Finding the Right Practitioner for You

If you’ve struggled to find relief from chronic pain or injury, it might be time to seek out a practitioner who offers a range of treatment modalities. Whether it’s chiropractic care, physiotherapy, or a combination of both, it’s crucial to have a tailored approach that addresses your unique needs. If you're not getting the results you want within a few sessions, don't hesitate to seek a second opinion.

At MoveMed, we believe that integrated care is the key to unlocking your body’s full potential. Our multidisciplinary approach allows us to create personalised treatment plans that combine the best of chiropractic, physiotherapy, and other therapeutic modalities. This ensures that your treatment is comprehensive, efficient, and tailored specifically to you.

Conclusion: Why Settle for One When You Can Have Both?

Choosing between chiropractic and physiotherapy doesn’t have to be a binary decision. A combined approach often offers the best of both worlds, addressing both joint and muscle issues to create a more holistic treatment plan. So, if you’ve been battling to find the right treatment or haven’t seen the results you were hoping for, consider seeking out a clinic that offers a multidisciplinary approach.

Your body deserves a treatment plan that looks at the whole picture, not just the parts. And when chiropractic and physiotherapy work together, the results can be transformational.

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References:

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  2. Wilhelm M, Cleland J, Carroll A, Marinch M, Imhoff M, Severini N, Donaldson M. The combined effects of manual therapy and exercise on pain and related disability for individuals with nonspecific neck pain: A systematic review with meta-analysis. J Man Manip Ther. 2023 Dec;31(6):393-407. doi: 10.1080/10669817.2023.2202895. Epub 2023 Apr 24. PMID: 37092822; PMCID: PMC10642331. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10642331/

  3. Tazreean R, Nelson G, Twomey R. Early mobilization in enhanced recovery after surgery pathways: current evidence and recent advancements. J Comp Eff Res. 2022 Feb;11(2):121-129. doi: 10.2217/cer-2021-0258. Epub 2022 Jan 20. PMID: 35045757. https://pubmed.ncbi.nlm.nih.gov/35045757/

  4. Emary PC, Stuber KJ. A commentary on the use of mixed methods in chiropractic research: Part 3: integration of qualitative research with randomized controlled trials. J Can Chiropr Assoc. 2024 Apr;68(1):26-34. PMID: 38840964; PMCID: PMC11149692. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11149692/

  5. Avila, Diego Fernando de, Ana Cecília de Queiroz Santos, Giovana Ribeiro de Oliveira, Laura Stephany Ferreira Carnevali, Bruno Borges Garcia, Gabriel Francisco Ferrari Peres, Wesley Sidney dos Santos Júnior, Daniel Severino Soares Venâncio, Alissa Khrais Hage Ali, and Gustavo de Oliveira Ferreira. 2024. “Therapeutic Approaches to Chronic Pain: Literature Review”. Seven Editora, January. https://sevenpublicacoes.com.br/editora/article/view/3296. https://sevenpublicacoes.com.br/index.php/editora/article/view/3296

  6. Bults RM, van Dongen JM, Ostelo RWJG, Nijs J, Keizer D, van Wilgen CP. Effectiveness of a Primary Care Multidisciplinary Treatment for Patients with Chronic Pain Compared with Treatment as Usual. J Clin Med. 2023 Jan 22;12(3):885. doi: 10.3390/jcm12030885. PMID: 36769533; PMCID: PMC9918146. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9918146/

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