What’s the difference between an osteopath and a chiropractor?
This is a question that I get asked a lot. Whilst there are some unrepeatable industry in-jokes about the difference between the two professions, here is (hopefully) a more balanced explanation.
Origins
Both professions originated in America, with osteopathy founded in 1874 by Andrew Taylor Still, and chiropractic in 1895 by Daniel David Palmer. Osteopathy came to the UK in 1913, and chiropractic soon after in the early 1920s. To a large degree, both professions were themselves born out of the British tradition of bone-setting, which can be traced back to the 16th century.
Treatment Focus
Osteopathy: Osteopaths focus on improving blood flow to promote healing, using techniques like massage, joint mobilization, and manipulation. Often they include more holistic approaches like lifestyle, diet, and emotional wellbeing.
Chiropractic: Chiropractors focus more on the spine and nervous system, correcting misalignments (subluxations) with spinal manipulation and mobilisation. Some chiropractors use X-rays and devices like "activators".
It’s also fair to say that these are generalisations, and some osteopaths treat very much in a chiropractic fashion, focusing on spinal adjustments, and conversely some chiropractors can take a very holistic approach to their treatments, not focusing exclusively on subluxations.
Training
Both professions require 4-5 years of education, including hands-on clinical training. Courses include anatomy, physiology, pathology, pharmacology, nutrition and biomechanics, plus at least 1,000 hours of clinical training.
Which is right for you?
Whilst there is undoubtedly some long standing rivalry between the two professions, I personally regard chiropractors as being kindred (alternative healthcare) spirits and I genuinely have a high regard for their technical skills.
Ultimately, for patients the choice between osteopathy or chiropractic may depend on how your body responds to the different types of treatment. It’s also very important to have a good rapport with your practitioner, as you will be working closely together to improve your health.
As for my treatment style, I use a range of therapeutic techniques including spinal manipulations, and vary my approach depending on the individual. Some patients hate spinal manipulations, so I work without them, whilst others really like them and they are a big part of their treatments.
