Osteopathy vs Chiropractic: Key Differences Explained

More and more people are seeking natural, holistic ways to manage pain, which has led many to consider osteopathy and chiropractic care.

While both osteopathic doctors and chiropractors are holistic practitioners who focus on the body’s innate ability to heal, their approaches are quite different.

Let’s explore the differences and similarities between osteopathic and chiropractic medicine so you can make the most informed decision about your care.

What is osteopathic medicine?

Osteopathic medicine is a branch of medicine that emphasizes the interconnectedness of the body’s systems and the importance of whole-body health. Doctors of osteopathic medicine (DOs) are fully licensed medical doctors who are trained to diagnose, treat, and prevent illness and injury.

Like MDs, DOs attend medical school, complete residency programs, and are able to prescribe medications and perform surgeries. However, DOs receive additional training in the musculoskeletal system and in osteopathic manipulative treatment (OMT), a hands-on approach to diagnosis and treatment.

What is chiropractic medicine?

Chiropractic is a healthcare discipline that focuses on the spine and nervous system. Chiropractors use hands-on spinal adjustments and other techniques to relieve pain and address other health issues.

Chiropractors believe that misalignments in the spine, which they call “subluxations,” can interfere with the nervous system and negatively impact overall health.

Education and training

Chiropractors obtain a Doctor of Chiropractic degree (D.C.) after completing a four-year program. While they are experts in spinal adjustments and musculoskeletal conditions, they are not medical doctors, so they can’t prescribe medication or perform surgery.

Key Differences Between Osteopathic and Chiropractic Approaches

While both osteopathic doctors and chiropractors focus on manual therapies, there are key differences in their approach.

Scope of Practice

Osteopaths, as fully licensed physicians, have a broader scope of practice. They can prescribe medication and perform surgery, while chiropractors primarily focus on musculoskeletal adjustments and related therapies. Osteopaths address musculoskeletal issues through a variety of methods, not just adjustments.

Treatment Modalities

Osteopathic Manipulative Treatment (OMT) is a hands-on approach used by DOs to treat and prevent illness, and it focuses on the musculoskeletal system. Chiropractic adjustments use specific amounts of force, leverage, direction, amplitude, and velocity to address specific joints.

Philosophical Differences

Osteopathic medicine emphasizes the body’s self-healing mechanisms and the interconnectedness of all its systems. Chiropractic focuses on the relationship between the spine and the nervous system, believing that spinal alignment is crucial for overall health.

How are osteopathy and chiropractic care similar?

Osteopathic doctors and chiropractors share a few key similarities:

  • Both take a holistic approach, focusing on the entire person rather than just isolated symptoms.
  • Both receive extensive training in anatomy, biology, and diagnostic imaging.
  • Both use hands-on techniques to diagnose and treat musculoskeletal issues.

So, while their philosophies and specific techniques differ, both professions aim to improve overall health through manual therapies.

Osteopath vs. Chiropractor: Which should you choose?

Deciding between a DO and a chiropractor really depends on what you need and what you hope to get out of treatment. For example, your needs after a car accident might be different from your needs if you’re dealing with chronic pain.

When you’re trying to decide, think about what each practitioner does, what kinds of treatments they offer, and how they approach healthcare in general. This should help you figure out who’s the best fit for you.

Frequently Asked Questions

What does an osteopath actually do?

An osteopath uses a holistic, hands-on approach to diagnose and treat musculoskeletal problems. They focus on how your bones, muscles, nerves, and connective tissues work together. They use techniques like massage, stretching, articulation, and manipulation to improve joint mobility, relieve muscle tension, and enhance your body’s natural healing abilities. They also offer advice on posture, exercise, and lifestyle to prevent future problems.

Is it better to see a chiropractor or osteopath?

Whether a chiropractor or osteopath is “better” depends on your specific needs and preferences. Chiropractors often focus on spinal alignment, while osteopaths take a more whole-body approach. Consider the nature of your condition, your comfort level with different treatment styles, and any recommendations you’ve received from your doctor. It really boils down to what feels right for you.

Who should not see an osteopath?

While osteopathy is generally safe, it might not be suitable for everyone. People with acute fractures, severe osteoporosis, infections, or certain inflammatory conditions may need to avoid osteopathic treatment or modify the approach. Always discuss your medical history with the osteopath before starting treatment to ensure it’s appropriate for you.

What are the disadvantages of osteopathy?

Some potential disadvantages include the possibility of temporary soreness or discomfort after treatment. The effectiveness of osteopathy for certain conditions may vary, and it may not be a quick fix. Also, treatment costs can add up over time, and insurance coverage might not be comprehensive. It’s important to have realistic expectations and discuss any concerns with your osteopath.

Putting It All Together

Knowing the differences and similarities between osteopathic and chiropractic medicine can help you make the best choices for your health.

Both professions focus on musculoskeletal health and offer ways to manage pain, often without surgery or prescription drugs. Both osteopathic doctors and chiropractors can be valuable members of your healthcare team.

To decide which type of practitioner is right for you, consider talking with both an osteopathic doctor and a chiropractor. They can help you find the treatment plan that best fits your specific needs and preferences.