Both chiropractors and physical therapists can help you feel better and move without pain. The best choice depends on your specific problem and what kind of help you need.

If you have sudden back pain, neck problems, or headaches, a chiropractor might give you faster relief. If you’re recovering from surgery, have trouble moving after an injury, or need to rebuild strength, a physical therapist is likely your best choice.

This guide will help you understand the differences between these two healthcare professionals, what conditions they treat best, and how to decide which one is right for you.

What Does a Chiropractor Do?

A chiropractor is a healthcare professional who focuses on problems with your spine, joints, and nervous system. They use their hands to adjust your spine and other joints to reduce pain and help your body heal naturally.

Main Focus Areas

Chiropractors primarily work on:

• Spine alignment and joint movement
• Nervous system function
• Whole-body wellness and prevention
• Pain relief through spinal adjustments

Common Treatments

Spinal Adjustments: The most well-known chiropractic treatment. The chiropractor uses controlled pressure to move joints back into proper position.

Soft Tissue Work: Includes massage and techniques to relax tight muscles and improve blood flow.

Lifestyle Advice: Many chiropractors provide guidance on nutrition, exercise, and stress management to support overall health.

Additional Therapies: Some use ultrasound, electrical stimulation, or laser therapy to help with healing.

What Conditions Do Chiropractors Treat Best?

Chiropractors are especially good at treating:

• Sudden back pain
• Neck pain and stiffness
• Headaches and migraines
• Joint pain in arms and legs
• Sciatica (leg pain from nerve problems)
• Sports injuries
• Whiplash from car accidents

What Does a Physical Therapist Do?

A physical therapist (PT) is a healthcare professional who helps people regain movement and strength after injuries, surgeries, or health conditions. They focus on helping you get back to your normal activities.

Main Focus Areas

Physical therapists work on:

• Restoring movement and function
• Building strength and flexibility
• Rehabilitation after surgery or injury
• Preventing future injuries
• Teaching you exercises to do at home

Common Treatments

Exercise Programs: Customized routines to strengthen weak muscles and improve flexibility.

Manual Therapy: Hands-on techniques to move joints and stretch muscles.

Pain Management: Using heat, cold, electrical stimulation, or ultrasound to reduce pain.

Functional Training: Teaching you how to safely do daily activities like walking, lifting, or playing sports.

Education: Showing you proper body mechanics and exercises to prevent future problems.

What Conditions Do Physical Therapists Treat Best?

Physical therapists excel at treating:

• Recovery after surgery
• Stroke rehabilitation
• Sports injuries
• Chronic conditions like arthritis
• Balance problems
• Muscle weakness
• Joint stiffness
• Post-accident recovery

Key Differences Between Chiropractors and Physical Therapists

Treatment Approach

Chiropractors focus mainly on spinal adjustments and joint manipulation. They believe that proper spine alignment helps your nervous system work better, which improves your overall health.

Physical Therapists use a wider range of treatments including exercises, stretches, and hands-on therapy. They focus more on helping you regain function and teaching you how to manage your condition.

Treatment Duration

Chiropractic Care: Sessions are typically shorter (15-30 minutes) and you might need ongoing visits for maintenance.

Physical Therapy: Sessions are longer (45-60 minutes) and you usually have a specific treatment plan that ends when you’ve recovered.

What They Specialize In

Chiropractors primarily treat spine and joint problems. They take a whole-body approach and often provide nutrition and lifestyle advice.

Physical Therapists treat a wider range of conditions affecting movement and function throughout the entire body.

Education and Training

Both professions require doctoral degrees:

• Chiropractors earn a Doctor of Chiropractic (DC) degree
• Physical therapists earn a Doctor of Physical Therapy (DPT) degree

According to the Bureau of Labor Statistics, chiropractors must complete a 4-year chiropractic program and pass national board exams to practice. Similarly, the BLS reports that physical therapists must complete a 3-year DPT program and pass a national licensing examination.

When to Choose a Chiropractor

Consider seeing a chiropractor if you have:

Acute Pain Problems

• Sudden back or neck pain
• Headaches that seem related to neck tension
• Joint stiffness after sleeping wrong
• Sharp pain when you move certain ways

Ongoing Maintenance

• Regular tension in your back or neck
• Stress-related muscle tightness
• Desire for preventive care to avoid future problems

Preference for Quick Relief

If you want faster pain relief and don’t mind ongoing visits, chiropractic care might be right for you.

When to Choose a Physical Therapist

Consider seeing a physical therapist if you have:

Recovery Needs

• Rehabilitation after surgery
• Weakness following an injury
• Difficulty doing daily activities
• Balance or coordination problems

Chronic Conditions

• Arthritis or other long-term joint problems
• Ongoing pain that affects your daily life
• Muscle weakness or stiffness
• Need to learn exercises for long-term management

The Centers for Disease Control and Prevention recommends physical therapy as a key treatment for arthritis, noting that appropriate exercise and physical activity can help reduce pain and improve function.

Functional Goals

If you want to rebuild strength, improve how you move, or prevent future injuries, physical therapy is usually the better choice.

Cost and Insurance Coverage

Chiropractic Care Costs

• Without insurance: $60-$200 per visit
• With insurance: $30-$60 copay (varies by plan)
• Many chiropractors offer cash-pay discounts

Physical Therapy Costs

• Without insurance: $75-$155 per session
• With insurance: $20-$60 copay
• Usually covered better by insurance plans

Insurance Coverage Differences

Physical Therapy is required to be covered by most insurance plans because it’s considered an essential health benefit under the Affordable Care Act.

Chiropractic Care coverage varies more by insurance plan. Some plans cover it well, while others have limited coverage or don’t cover it at all.

Research shows that chiropractic care can save 20-40% on healthcare costs compared to medical care alone for certain conditions. However, physical therapy is more likely to be fully covered by your insurance.

Research and Effectiveness

Studies show that both chiropractors and physical therapists can effectively treat many conditions:

What the Research Says

A major study in the New England Journal of Medicine found that chiropractic care and physical therapy had similar effects and costs for treating low back pain.

For neck pain, research in the Annals of Internal Medicine showed that 57% of patients who saw chiropractors reported at least 75% pain reduction, compared to 48% who did exercises and 33% who took medication.

Evidence-Based Care

Both professions use evidence-based treatments, but physical therapy generally has more research supporting its effectiveness for a wider range of conditions.

Can You See Both?

Yes, many people benefit from seeing both a chiropractor and physical therapist, but usually not at the same time for the same problem.

Sequential Care

You might see a chiropractor first for quick pain relief, then work with a physical therapist for long-term rehabilitation.

Different Problems

You could see a chiropractor for ongoing back maintenance and a physical therapist for a specific injury recovery.

Integrated Approach

Some clinics offer both services, allowing for coordinated care between providers.

How to Choose the Right Provider

Ask These Questions

For Chiropractors:

• Are you licensed in this state?
• What techniques do you use?
• Do you take X-rays, and are they necessary?
• What’s your treatment plan?

For Physical Therapists:

• Are you licensed and board-certified?
• What’s your experience with my condition?
• How long will treatment take?
• Will you teach me exercises to do at home?

Red Flags to Watch For

• Providers who promise unrealistic results
• Those who insist on long-term contracts
• Anyone who discourages you from seeing other healthcare providers
• Providers who don’t explain their treatments clearly

Making Your Decision

Consider Your Specific Situation

Choose a Chiropractor if:

• You have sudden back or neck pain
• You want quick pain relief
• You prefer a more hands-on approach
• You’re interested in preventive care
• You’re comfortable with ongoing visits

Choose a Physical Therapist if:

• You’re recovering from surgery or injury
• You have chronic movement problems
• You want to learn exercises for long-term management
• Your insurance covers PT better
• You prefer a more comprehensive rehabilitation approach

Getting Started

1. Check with Your Doctor: Some insurance plans require a referral for PT but not for chiropractic care.
2. Verify Insurance Coverage: Call your insurance to understand what’s covered.
3. Research Providers: Look for licensed professionals with good reviews and experience treating your condition.
4. Ask About Treatment Plans: Understand what to expect in terms of length and frequency of treatment.

At HealthQuest Longevity, we understand that choosing the right healthcare provider is important for your recovery and well-being. Our experienced team can help you understand your options and find the best path forward for your specific needs.

Final Thoughts

The choice between a chiropractor and physical therapist isn’t about which is “better” overall – it’s about which is better for your specific situation. Both professions offer valuable, evidence-based treatments that can help you feel better and move more freely.

If you have acute pain, especially in your back or neck, a chiropractor might provide faster relief. If you’re dealing with recovery from surgery, chronic conditions, or need to rebuild strength and function, a physical therapist is likely your best choice.

The most important thing is to choose a licensed, experienced provider who listens to your concerns and creates a treatment plan that fits your needs and goals. Don’t hesitate to ask questions and seek a second opinion if you’re unsure about your treatment options.

Remember, both chiropractors and physical therapists want to help you feel better and get back to doing the things you love. The right choice is the one that helps you achieve your health goals safely and effectively.

If you’re experiencing back pain, chronic headaches, or other musculoskeletal issues, consider reaching out to a qualified healthcare professional who can guide you toward the treatment that’s right for you.