Chiropractor vs Physical Therapist: Which One Is Right for You?

August 12, 2025by Andrea Herrst

When you’re dealing with pain or discomfort, one of the most important decisions you need to make is how to treat it. For many, the choice often comes down to two popular healthcare professionals: a chiropractor vs physical therapist. Each offers unique approaches to healing, but understanding their differences can help you make the best decision for your recovery. In this blog post, we’ll explore the key differences between chiropractors and physical therapists, how their treatments work, and which one might be right for your needs.

What is Chiropractic Care?

Chiropractic care is a healthcare approach that focuses on diagnosing and treating musculoskeletal disorders, especially those related to the spine. Chiropractors use hands-on spinal manipulation and other manual techniques to relieve pain, improve mobility, and promote overall health. The core belief behind chiropractic care is that misalignments in the spine (known as subluxations) can interfere with the nervous system and contribute to various health issues, including back pain, neck pain, headaches, and even digestive problems.

Chiropractors often focus on the following conditions:

  • Back pain

  • Neck pain

  • Headaches and migraines

  • Sciatica

  • Joint pain and stiffness

Treatment from a chiropractor typically involves spinal adjustments and manipulations to restore proper alignment in the spine. This can help reduce pain, improve mobility, and prevent future problems. Chiropractic care can also include complementary therapies like massage, heat/cold therapy, and nutritional counseling.

What is Physical Therapy?

Physical therapy (PT), on the other hand, is a broader rehabilitation approach that focuses on improving physical function, mobility, and quality of life for individuals with injuries, illnesses, or chronic conditions. Physical therapists are trained to assess and treat a variety of musculoskeletal, neurological, and orthopedic issues using non-invasive methods. Their goal is to help patients restore movement, strength, and flexibility through therapeutic exercises, manual therapy, and other modalities.

Physical therapists focus on a wide range of conditions, including:

  • Sports injuries

  • Post-surgical rehabilitation

  • Chronic pain

  • Muscle strains and sprains

  • Balance and mobility issues (e.g., after a stroke or surgery)

A physical therapist’s treatment plan often includes exercises, stretches, manual techniques, heat/cold therapy, ultrasound, and electrical stimulation to reduce pain, increase strength, and improve mobility. PT is often used after an injury or surgery, but it can also be helpful for managing chronic conditions like arthritis, fibromyalgia, or sciatica.

Chiropractor vs Physical Therapist: Key Differences

While both chiropractors and physical therapists aim to improve your physical health and well-being, they use different approaches and techniques. Let’s take a closer look at how these two fields differ.

1. Approach to Treatment

One of the most significant differences between chiropractic care and physical therapy is their approach to treatment.

  • Chiropractor: Chiropractors primarily focus on the spine and nervous system. Their goal is to correct misalignments or subluxations that they believe contribute to pain and other health problems. Chiropractic adjustments or spinal manipulations are often the centerpiece of treatment. Chiropractors may also offer complementary treatments, but their main focus is on spinal health.

  • Physical Therapist: Physical therapists take a more holistic approach to treatment, working on improving overall movement, strength, and function. They use a variety of exercises and stretches to strengthen muscles, restore joint mobility, and reduce pain. Physical therapists may also incorporate techniques like manual therapy, dry needling, or ultrasound to support healing.

2. Conditions Treated

Both chiropractors and physical therapists treat musculoskeletal conditions, but the types of conditions they specialize in may vary.

  • Chiropractor: Chiropractors are most often sought after for conditions related to spinal health, such as back pain, neck pain, sciatica, and tension headaches. They are also experienced in treating conditions that involve the nervous system, such as pinched nerves or chronic pain syndromes.

  • Physical Therapist: Physical therapists can treat a broader range of conditions, including sports injuries, joint replacements, neurological issues, and balance problems. PT is often used as a recovery tool after surgery or trauma, while chiropractic care is generally more focused on spinal issues and pain management.

3. Treatment Techniques

The techniques used by chiropractors and physical therapists also differ significantly.

  • Chiropractor: Chiropractors use spinal adjustments and manipulations to realign the spine and restore balance to the nervous system. This may involve high-velocity thrusts to the spine or joints. Chiropractors may also use other methods like massage therapy, dry needling, or nutritional counseling.

  • Physical Therapist: Physical therapists emphasize strengthening exercises, stretches, and rehabilitation techniques to restore mobility and function. Manual therapy, ultrasound, electrical stimulation, and hot/cold treatments are also commonly used in physical therapy. PT focuses heavily on exercise and movement, aiming to retrain muscles and joints to function optimally.

4. Duration of Treatment

The length of treatment can vary for both chiropractic and physical therapy, depending on the individual’s condition.

  • Chiropractor: Chiropractic care can sometimes offer more immediate relief for certain conditions, particularly when addressing spinal misalignments or joint pain. Many patients see results after just a few sessions, but chronic conditions may require ongoing maintenance.

  • Physical Therapist: Physical therapy often requires a longer treatment timeline, especially for complex injuries or conditions that need rehabilitation. It may involve multiple sessions per week and require significant effort from the patient to complete exercises at home to improve long-term mobility.

5. Philosophy of Care

  • Chiropractor: Chiropractors often operate on the belief that spinal health is the key to overall wellness. They focus on the idea that correcting spinal misalignments can have wide-ranging benefits for the entire body, including pain relief, improved mobility, and better organ function.

  • Physical Therapist: Physical therapists focus more on functional rehabilitation and restoring the patient’s ability to perform everyday activities. They may focus on the specific muscles or joints involved in an injury and design a comprehensive plan to rebuild strength, flexibility, and movement.

When Should You See a Chiropractor?

You might consider seeing a chiropractor if you experience:

  • Chronic back pain

  • Neck pain or stiffness

  • Tension headaches or migraines

  • Sciatica

  • Joint pain (particularly in the spine or extremities)

Chiropractic care can be particularly helpful for individuals seeking non-invasive pain relief or those who are struggling with persistent musculoskeletal issues. If you’re looking for a drug-free approach to managing pain, chiropractic care may be the right choice.

When Should You See a Physical Therapist?

Physical therapy may be right for you if:

  • You’re recovering from surgery or injury

  • You need rehabilitation for sports injuries

  • You want to improve mobility or balance

  • You suffer from chronic pain in muscles or joints

  • You have postural or movement dysfunction

Physical therapy can be an excellent option if you need to restore full movement and function, particularly after an injury or surgery. It’s also a great choice for those who want a comprehensive, exercise-based approach to pain management.

Which One Is Right for You: Chiropractor vs Physical Therapist?

The decision between a chiropractor vs physical therapist ultimately depends on your specific condition and what kind of treatment you prefer. If your issue is primarily related to the spine, such as back pain, neck pain, or sciatica, chiropractic care may be a more targeted solution. Chiropractors specialize in spinal alignment and use hands-on manipulation to relieve pain.

If you’re recovering from surgery, dealing with muscle weakness or joint instability, or need rehabilitation after an injury, physical therapy may be a better fit. Physical therapists offer a broad range of techniques to help you restore movement, strength, and function.

In some cases, a combination of both treatments may be the best approach. Many patients benefit from chiropractic care to address spinal misalignments, followed by physical therapy to improve strength, flexibility, and overall mobility.

Why Choose Dr. Herrst as Your Chiropractor?

If you’re dealing with chronic pain, spinal issues, or simply want to improve your overall health, Dr. Herrst is here to help. As a chiropractor, Dr. Herrst offers personalized care tailored to your needs. Whether you’re looking to alleviate back pain, recover from an injury, or prevent future issues, Dr. Herrst provides effective chiropractic treatments to help you achieve optimal health.

Contact Dr. Herrst today to schedule your consultation and take the first step toward a pain-free, healthier life!

Andrea Herrst