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View Full Version : difference btwn a physio &chiro?



skywalka
04-18-2007, 03:16 AM
im just wondering whats a difference between a physio and a chiro?

heres my problem
http://forum.bodybuilding.com/showthread.php?p=33759501#post33759501
somebody told me to go to a chiro
but then my mum wanted to take me to a good physio she knows

when i went to the GP, he didnt know what was wrong, he thought it probably a muscular strain or somehting. i forgot to ask him which specialist i should go to.

euphoria1
04-18-2007, 04:44 AM
One sets the bone to be in the proper position, so your muscles in turn go to the proper position and can strengthen in that area the proper way. The exercises can bring your bone back to the proper position if you do exactly what needs to be done over time. It would be best to be used in conjunction with each other which most physio or chiros don't say as a lot think their form of treatment is best.

Flex500
04-18-2007, 06:02 AM
im just wondering whats a difference between a physio and a chiro?

heres my problem
http://forum.bodybuilding.com/showthread.php?p=33759501#post33759501
somebody told me to go to a chiro
but then my mum wanted to take me to a good physio she knows

when i went to the GP, he didnt know what was wrong, he thought it probably a muscular strain or somehting. i forgot to ask him which specialist i should go to.
go to an orthopedic doctor before you do anything so you know for sure what is wrong with you.

BradleyS
04-18-2007, 07:27 AM
From personal experience and from experience from those that I know...

A ortho doc will say okay, you hurt your neck...it could be a strain, we don't know as we can't see the muscle...so let's see the muscle and do a MRI.

A chiro will say "oh sure, everything is out of alignment, which is why you are hurting" and crack your neck a few times for you.

Could they do exactly that? No, probably not, but something similar I believe. Personally, after chiros making my brother's pain worse, I stick with orthos. I asked a chrio what they would do for my hurt shoulder, and he said something along the lines of a deep tissue massage. Won't do much for a torn labrum buddy...

I'm not trying to diss on anybody, I just know which I prefer and which seems more sensible to me.

Most all GP (from my own personal experience) will say a strain or muscle separation because they are untrained in that area.

edit: it would be wise once you get this problem sorted out to have someone who knows how to squat watch you when you squat. You might not notice your mistakes, but others will

Flex500
04-18-2007, 07:31 AM
From personal experience and from experience from those that I know...

A ortho doc will say okay, you hurt your neck...it could be a strain, we don't know as we can't see the muscle...so let's see the muscle and do a MRI.

A chiro will say "oh sure, everything is out of alignment, which is why you are hurting" and crack your neck a few times for you.

Could they do exactly that? No, probably not, but something similar I believe. Personally, after chiros making my brother's pain worse, I stick with orthos. I asked a chrio what they would do for my hurt shoulder, and he said something along the lines of a deep tissue massage. Won't do much for a torn labrum buddy...

I'm not trying to diss on anybody, I just know which I prefer and which seems more sensible to me.

Most all GP (from my own personal experience) will say a strain or muscle separation because they are untrained in that area.

edit: it would be wise once you get this problem sorted out to have someone who knows how to squat watch you when you squat. You might not notice your mistakes, but others will
that is why orthopedic doctors should be used to diagnose injuries. They use mri's, xrays, etc. to do so.

Most people agree you shouldn't be going to a chiro for treatment for an acute injury until AFTER you have been properly diagnosed and referred by an orthopedic doctor

oziem
04-18-2007, 09:29 AM
Otrtho- joint disease
PT-muscle disease
chiro-nerve impingement from damaged cartilage.
Not all docs are created equal. I got a bad haircut once but not all barbers are bad.
It's always good to listen to mama's advices.
But if you want a chiro that does specific adjustment Gonstead is a good directory to search.

oziem
04-18-2007, 09:30 AM
that is why orthopedic doctors should be used to diagnose injuries. They use mri's, xrays, etc. to do so.

Most people agree you shouldn't be going to a chiro for treatment for an acute injury until AFTER you have been properly diagnosed and referred by an orthopedic doctor

Chiros used xrays before orthos thought to btw. Diagnose yes MD's may be better generally but a REAL chiro will fix it. Most orthos don't fix joint sprains at all.

Flex500
04-18-2007, 11:52 AM
Chiros used xrays before orthos thought to btw. Diagnose yes MD's may be better generally but a REAL chiro will fix it. Most orthos don't fix joint sprains at all.
yeah overrall I would agree. I just think that if you are hurt and have some kind of sports/athletic injury you should go to an orthopedic doctor before a chiropractor. that is no knock on chiro's either. I just think an MD or DO if you prefer should be seen first before going to a chiro.

JRT6
04-19-2007, 12:27 AM
I'm not trying to offend oziem here and am not in anyway directing this at him or his personal practice but here is my wife's personal expierence:

She has significant scoliosis with a twist and went to numerous chiro's over the years and was in constant pain. She has arthritis and other degenerative spine issues. About four years ago our new, at the time, ortho sent her to physical therapy. My wife has been relatively pain free after that and has never and will never go near a chiro again. Even when she was rear eneded in a car accident this past fall the PT solved the problem.

There is a place for Chiro's for some people but I'm not buying it.

Flex500
04-19-2007, 06:03 AM
There is a place for Chiro's for some people but I'm not buying it.

well, that is how many md's think also. I work with orthopedic docs everyday. I don't know any that are for using chiro's. In fact they pretty much make fun of them all the time and call it pseuido-science bullsh*t.

Honestly though I think they have their place. Hey I'm an athletic trainer and physical therapists make fun of our profession all the time. And I am cetainly nowhere near as educated as chiro's, so again I am personally not bashing chiro's at all.

G-2
06-24-2007, 05:22 PM
I'm not trying to offend oziem here and am not in anyway directing this at him or his personal practice but here is my wife's personal expierence:

She has significant scoliosis with a twist and went to numerous chiro's over the years and was in constant pain. She has arthritis and other degenerative spine issues. About four years ago our new, at the time, ortho sent her to physical therapy. My wife has been relatively pain free after that and has never and will never go near a chiro again. Even when she was rear eneded in a car accident this past fall the PT solved the problem.

There is a place for Chiro's for some people but I'm not buying it.

Yeah, I feel it is a shame and am sorry for the poor chiro experiences your wife had. You see the majority of practicing Chiropractors aren't really practicing Chiropractic, they are just calling it that. Many of them rely on physical therapies, pills, focus on muscle issues and not the spine. There is also a number of Chiros who only focus on one bone, use goofy clicking instruments, or employ non-specific manipulations.

Im curious as to the treatment protocol your wife recieved, let me know please.

Fresch
06-24-2007, 06:25 PM
It is quite a big question that you have asked, and the answer is long and complicated. The answer also varies depending in which country you live too.

In Australia, both physiotherapists and chiropractors are first contact practitioners, that is, you can see them directly without referral. I understand that this is not the case in all countries. It works well here, as it can take quite some time to see an orthopaedic doctor, who ends up giving the same diagnosis the physio / chiro could have given 6 weeks ago, and means you have just missed out on 6 weeks of treatment / rehab.

I don't like to answer much on behalf of chiropractors, and as there is one on this forum, perhaps he can answer for them.

However, as a generalisation, there are good and bad practitioners in all disciplines. My golden rule is that the best practitioner is the one that gets results for you.

In Australia, physios are a part of the normal medical / rehab sphere, and physios and medicos generally, but not always, integrate well. A medico will usually refer you to a physio for rehab, and most sports physicians and orthopaedic surgeons will liaise with phsyios or have physios working in an allied practice. Whilst physios have a high standing in Australia, and are able to perfom a wide variety of treatments, this is not the case in all countries.

In Australia, physios do:
spinal work
sports inury rehab
work injury rehab
biomechanic assessments
neurological rehab

They treat neck and back injuries, sports injuries, post-surgical conditions, sprains and strains, work related injuries /overuse injuries. They also do rehab for head injuries and stroke patients, spinal cord injury patients and patients with severe trauma e.g. motor vehicle accidents, amputees, burns victims.

Physiotherapists have a wide variety of treatment modalities available, including:
spinal and joing mobilisation / manipulation (not quite the same as chiropractic manipulation)
soft tissue therapies
exercise
electrical modalities i.e. ultrasound, laser, electrotherapies
postural assessment
exercise prescription

Which person is going to help you out best? Perhaps it is worth speaking to people you know or people at your gym and see who they can recommend as having helped them with a similar problem.

jabryl
03-12-2010, 06:50 PM
well, that is how many md's think also. I work with orthopedic docs everyday. I don't know any that are for using chiro's. In fact they pretty much make fun of them all the time and call it pseuido-science bullsh*t.

Honestly though I think they have their place. Hey I'm an athletic trainer and physical therapists make fun of our profession all the time. And I am cetainly nowhere near as educated as chiro's, so again I am personally not bashing chiro's at all.

It is pseudo science bullah*t, in fact the tv show Bullsh*t even did an episode debunking it. You should watch it, it's pretty disturbing what some of those charlatans are doing.

mc-
03-13-2010, 03:42 AM
Chiro focuses on the spine in particular as the center of the universe - as the chiros on this board might attest. Physios do not. While a lot of chiros do do spinal manipulations, not all do.

that said
physio and chiro are both mainly
manual therapy approaches

that is - the person under care is manipulated by someone else's hands. Sure both will give clients movements to work on at home AFTER being treated.

Another thing they have in common is that they are mainly focused on biomechanical approaches.

i know you didn't ask, but there are also other approaches that are not about manual manipulation but are about YOU doing the movement - and are focused on looking at how you do a movement.

You're starting with neck pain from your squat.

Me, i'd say c'mon over and we'll do a movement screen to look at what's happening in your own movement that may be contributing to this - not just at your squat form, though that's really important and would be a good place to check. For instance:

It may be simply that you're going too deep and to put a box under you for awhile at where you just start to lose flat back and curve your butt under.

See, the spinal cord kinda pulls two ways at the base of the skull and down the neck, connecting way down the spine, and we can reef on it such that we give ourselves a headache or neck pain. if you had video of a profile of your squat, this would be easier to see if its (a) this simple to fix and rehab to help you go deeper over time or (b) something else may be going on, that just happens to be manifesting in your neck when you squat - could be a vision issue - seriously.

anyway
i work with athletes pretty regularly that have this kind of squat issue and usually it's not a biggie to address.

best
mc

T_Oz
03-15-2010, 02:38 AM
put simply

Chiro:Joint
Physio:Joint, muscle, exercise

Id go physio

Bnice76
03-16-2010, 12:55 AM
put simply

Chiro:Joint
Physio:Joint, muscle, exercise

Id go physio

exactly what he said. interesting that the chiropractor said that PT's just do muscle disease when PT's work with joints and nerve impingements as well.

svrocket
03-16-2010, 01:01 AM
it's pretty disturbing what some of those charlatans are doing.

strong three-year-old-thread bump.

calorier710
03-17-2010, 12:37 AM
Great postings. I hope to read more from you.

Dfontano
03-17-2010, 01:53 AM
A chiropractor administers treatment of the spine, joints and tissues. I saw a chiro for a few months after I had some pinched nerves in my arm and back. It took some time but now I feel better than ever. Go for it! Never been to a physio though. Let me know how it goes.