Physical Therapy or Chiropractic, how do you choose?

If you are in pain from a recent injury or chronic condition, how do you decide which healthcare professional will get you the best results and help you manage your symptoms independently. Below are vision and mission statements of both the American Chiropractic Association (ACA) and the American Physical Therapy Association (APTA). Both professions tout: collaborating with other health care practitioners; promoting change in public policy and legislature, giving the most value per health dollars spent on care; and access equity for the consumer.

The APTA Vision Statement however distinguishes itself by establishing what will be the primary guiding system used to achieve results (The Movement System) and focusing on Consumer-centricity (Patient/client/consumer values and goals will be central to all efforts in which the physical therapy profession will engage). The ACA’s mission statement as read below would seem to be more concerned with protecting the chiropractic profession, changing legislature and promoting the growth of chiropractic care. There is little mention of what type of system will be used to achieve optimal outcomes or mention of how a patient’s specific goals will be incorporated into an individualized plan of care.  

ACA’s Mission: The ACA is a professional organization representing Doctors of Chiropractic. Its mission is to preserve, protect, improve and promote the chiropractic profession and the services of Doctors of Chiropractic for the benefit of patients they serve. The purpose of the ACA is to provide leadership in health care and a positive vision for the chiropractic profession and its natural approach to health and wellness. On behalf of the chiropractic profession, we accomplish our mission and purpose by affecting public policy and legislation, by promoting high standards in professional ethics and quality of treatment and by carrying out a dynamic strategic plan to help ensure the professional growth and success of Doctors of Chiropractic. (please go to www.acatoday.org for a complete statement).

Vision Statement for the Physical Therapy Profession: Transforming society by optimizing movement to improve the human experience. Guiding Principles to Achieve the Vision: the following principles are condensed (please go to www.apta.org/Vision/ for a complete statement).

Identity. The physical therapy profession will define and promote the movement system as the foundation for optimizing movement to improve the health of society. Quality.  Collaboration.  Value. Innovation.  Consumer-centricity (as stated above). Access/Equity. Advocacy. 

Lastly, in my over fourteen year experience as a physical therapist I believe the defining difference in ‘Chiro’ and ‘PT’ is that physical therapist from day one of treatment give our patients self-management tools to assist in treating their own symptoms/pain to include extensive home exercise programs. Our primary goal as physical therapist is to assist a patient in restoring, maintaining and enhancing their own health.

For more information or education on physical therapy and rehabilitation please contact:

Greg Sterner, Board Certified Orthopedic Clinical Specialist in Physical Therapy, Owner

San Diego Sports Physical Therapy

2750 Dewey Rd. Ste 101

San Diego, CA 92106

Chiropractor vs. Physical Therapy: Effective for the Back

Learn the difference between chiropractic and physical therapy treatments, and their effects for back problems. This article is from LIVESTRONG.com and written by Jessica McCahon. For more questions call our studio at 69-756-7500!

Chiropractor vs. Physical Therapy: Effective for the Back
Photo Credit BananaStock/BananaStock/Getty Images
Physical therapy and chiropractic sessions both treat back pain without drugs or surgery. 

Chiropractic sessions and physical therapy are two different ways you can treat back pain, but they essentially have the same end goal: to alleviate tension and nerve compression and restore mobility without drugs or surgery. Chiropractic treatment involves a trained practitioner manipulating your spine and surrounding muscles, while physical therapy involves a trained practitioner designing a program of exercises and assisting you in certain movements and massage techniques to relieve pain and restore strength and mobility. How effective each of these treatments is depends on the type of injury you have and your unique response to the therapy.

Chiropractic Adjustments

A common cause of back pain is a slipped, or subluxed, disc which can pinch the nerves in your spinal column. Chiropractic treatment involves the practitioner manipulating the slipped disc or pinched nerve back into its correct position with force and speed, says Steven G. Yeomans, DC, on the spine-health website. At the point where the tension is released, you may hear a cracking sound as gas is released from the pressure-filled joint. For this treatment to be fully effective, you need to be very relaxed, so your practitioner may massage or apply ice to the affected area before performing the adjustment.

Chiropractic Benefits and Side Effects

After just one chiropractic session you may feel reduced pain in your back and be able to move more freely, says Yeomans. This tension release can also ease compression of blood vessels and, therefore, improve the circulation of nutrient-rich blood to the injured area. It is common for the manipulated part of your back to feel sore for about 24 hours after a chiropractic adjustment, but applying ice to the treated area usually reduces these symptoms.

Physical Therapy Treatment

This type of treatment for a back injury can involve a range of techniques including heat therapy, ultrasound, massage, mobilization and exercise, says the Nicholas Institute of Sports Medicine and Athletic Trauma website. In particular, your therapist is likely to focus on strengthening and stretching the muscles and connective tissues around the affected area to improve posture and support and enhance flexibility and movement. As a result of this program, you should experience reduced pain and tension.

Physical Therapy Benefits and Side Effects

According to Dana L. Davis, MPT, on the spineuniverse website, physical therapy focuses on gradual recovery and maintaining the results. So, while the effects may not be felt as quickly as those of a chiropractic session, you may learn techniques that mean you can continue with treatment in the long term on your own. The time it takes to start feeling the benefits of physical therapy is different for every person and the type of injury you have, but Davis says two weeks is the average time it takes to notice a difference. No matter what your situation is, patience and a commitment to performing the prescribed exercises is essential for physical therapy success.