Osteopathy, Physiotherapy, and Chiropractic are 3 similar disciplines offering treatment for musculoskeletal conditions, yet you may find lots of distinct approaches. Therefore, it can be difficult to know which of these approaches is best suited to your needs.

Each discipline has its own rationale for the different techniques and approaches used, with each approaching the human body from a slightly different perspective. All practitioners aim to improve general mobility, and joint function, reduce tension & pain, and ultimately improve the patient’s overall well-being.

Manual Osteopaths, Chiropractors, and Physiotherapists use different treatment methods to work with bones, muscles, and connective tissue. All these three professions use their hands to palpate, assess, diagnose, and treat abnormalities of structure and function. They often treat similar conditions using similar, but also different techniques. Every practitioner, in all of professions, will treat slightly differently, how they assess the patient and on the treatment plan they advise.

While all three share the overarching goal of improving the physical well-being of individuals, each has its unique philosophy, techniques, and scope of practice. In this blog, I will try to provide a comparative analysis of osteopathy, chiropractic, and physiotherapy, explaining their key differences and similarities.

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Osteopathy is a holistic healthcare approach that emphasizes the interconnectedness of the body’s structure and function. Developed by Dr. Andrew Taylor Still in the late 19th century, osteopathic practitioners, often known as Osteopaths, Doctors of osteopathic medicine (DOs), or Manual Osteopaths/Osteopathic Practitioners focus on treating the body as a whole, aiming to facilitate the natural healing processes within.

Structural diagnosis and manipulative osteopathic treatment are the essential components of osteopathy. Osteopathic manipulative treatment was developed as a means of facilitating the body’s normal self-healing / self-healing mechanisms, addressing areas of stress, stress, or tissue disorder that may affect muscular,l neural, vascular, and biochemical mechanisms.

For more information regarding the difference between Osteopath, Manual Osteopath, and Osteopathic Practitioner, click on this link.

Key characteristics of osteopathy:


  1. Holistic Approach: Osteopaths are very patient-centered and look to understand a patient’s unique combination of symptoms, medical history, job, and lifestyle. Osteopathy places a strong emphasis on the body’s self-healing ability and treats patients as a whole, considering not only their symptoms but also their overall health, lifestyle, and emotional well-being.
  2. Manual Techniques: Osteopaths employ a variety of hands-on techniques, such as soft tissue manipulation, joint mobilization, craniosacral therapy, articulation joint movement, muscle energy techniques similar to ART- active release technique, and muscle stretching to address musculoskeletal issues and improve overall mobility.
  3. Broad Scope: Osteopaths often diagnose and treat a wide range of conditions, including musculoskeletal disorders, but they may also address other health concerns like anxiety/depression, concussion, or digestive problems to name a few.

    To find more information about Osteopathy treatments, please follow this link.


     Chiropractic care, founded by Canadian, D.D. Palmer in the late 19th century, focuses primarily on the relationship between the spine and the nervous system. Chiropractors use spinal adjustments and manipulation to restore the body’s natural balance and alleviate pain. Few resources claim that Palmer was a student of A.T. Still, the founder of Osteopathy. Therefore, Osteopaths and Chiropractors share very similar principles and techniques.

    Key characteristics of chiropractic sessions:


    1. Spinal Focus: Chiropractic treatment centers on the spine, believing that spinal misalignments (subluxations) can disrupt the nervous system and cause a variety of health issues.
    2. Manual Adjustments: Chiropractors utilize specific manual techniques to manipulate the spine and other joints, aiming to correct subluxations and alleviate pain or dysfunction.
    3. Narrow Scope: Chiropractors typically concentrate on neuromusculoskeletal issues and do not prescribe medication. Their approach is primarily concerned with spinal health.


    Physiotherapy, also known as physical therapy, is a healthcare profession dedicated to restoring and maintaining physical function, mobility, and overall well-being. Physiotherapists employ evidence-based practices and a wide array of techniques to achieve their goals. To find more information about Physiotherapy treatments, please follow this link.

    Key characteristics of physiotherapy include:

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    1. Evidence-Based Practice: Physiotherapists rely on scientific evidence and clinical reasoning to assess, diagnose, and treat various conditions. Their interventions are rooted in research and guided by proven methodologies.
    2. Diverse Techniques: Physiotherapy encompasses an extensive range of methods, including exercises, manual therapy, electrotherapy, and education. These techniques are tailored to address specific patient needs.
    3. Wide Scope: Physiotherapists work with patients across the lifespan, from pediatric to geriatric, and address various health conditions, including orthopedic, neurological, cardiovascular, and respiratory issues.

    What are the main differences?

    The main differences among osteopathy, chiropractic, and physiotherapy can be summarized as follows:




    Osteopathy takes a holistic approach, emphasizing the interconnectedness of the body’s structure and function. Osteopaths believe in the body’s ability to heal itself and aim to facilitate this natural healing process. They consider the entire body, including its physical, emotional, and environmental factors.


    Physiotherapy follows an evidence-based and scientific approach. It focuses on diagnosing and treating a wide range of health conditions, primarily through physical means like exercise, manual therapy, and other techniques. Physiotherapists often use research-based methods and clinical reasoning to address patients’ needs.


    Chiropractic care centers on the relationship between the spine and the nervous system. Chiropractors believe that spinal misalignments (subluxations) can disrupt the nervous system and cause various health issues. Their approach is primarily concerned with spinal health.

    Treatment Techniques


    Osteopaths use a variety of manual techniques, such as soft tissue manipulation, joint mobilization, and muscle stretching, to address musculoskeletal issues and improve overall mobility.This type of treatment is called structural osteopathy. Another techniques are craniosacral therapy and visceral manipulation. They also consider lifestyle and emotional factors when developing treatment plans.


    Best massage therapy clinic in North VancouverPhysiotherapists employ a diverse range of techniques, including exercises, hands on manual therapy,joint mobilization, certain types of needling like IMS-intra muscular stimulation or DN – dry needling. They also use devices to promote healing like ultrasound therapy or cold laser. These interventions are evidence-based and tailored to address specific patient needs, often with an emphasis on functional improvement.


    Chiropractors primarily use spinal adjustments and manipulation to correct subluxations in the spine and restore the body’s natural balance. Their treatment is often centered around adjustments to the spine and other joints. In recent years they also started to apply soft tissue therapy called ART – active release technique, which is same as myofascial release that has been used by Osteopaths, Rolfers or Physiotherapists for many years.

    Scope of Practice



    Osteopaths may address a wide range of health issues, not limited to musculoskeletal conditions. They can collaborate with conventional medical practitioners and consider various factors, such as nutrition, lifestyle, and emotional well-being.


    Physiotherapists have a broad scope of practice and can work with patients across the lifespan, addressing a variety of health conditions, including orthopedic, neurological, cardiovascular, and respiratory issues.


    Chiropractors predominantly focus on neuromusculoskeletal conditions related to the spine. They do not prescribe medication or perform surgery and often concentrate on spinal health.

    Osteopathy, chiropractic, and physiotherapy are distinct healthcare professions that share the common goal of enhancing physical well-being but differ in philosophy, techniques, and scope of practice. Understanding these differences can help individuals make informed choices when seeking care for musculoskeletal or other health concerns. Ultimately, the selection of a practitioner should align with individual preferences, health needs, and therapeutic goals. Additionally, consulting with healthcare professionals can provide valuable guidance in determining the most suitable approach for specific conditions.


    Which Manual Therapy Treatment Is Best?

    While all aim to treat musculoskeletal conditions and and the various areas of the body, the approach is different for each practitioner. Treatment may also vary by the specific injury or symptoms.

    Patient preference and previous experience will also play a part. For example, some people may not like the idea of getting adjusted and feeling and hearing pop, which may rule out practitioners who manipulate joints. Some may prefer a more gentle approach where muscles are softened, and joint tensions gently released and others may just want to be supervised with exercise regimes by physiotherapists. Some Osteopathic Practitioners prefer gentle touch when massaging muscles or using more craniosacral therapy, some Osteopathic Practitioners use more structural osteopathy, which involves stretching muscles, adjusting the spine, and mobilizing joints to restore balance in the body.

    If you have acute pain that stems from an injury, bad movement habits, or even sleeping position, and pain is affecting the spine or joints and you do not mind receiving a more forceful adjustment, I suggest going to see Chiropractor. If the pain is musculoskeletal, a combination of muscle injury and joint/spine dysfunction, you would benefit more from seeing either a Physiotherapist or Manual Osteopath/Osteopathic Practitioner. Physiotherapists aim to focus more on sport-related injury, but both Physiotherapists and Osteopaths are trained in treating sports injuries and sessions should involve both prevention and rehabilitation guiding.

    If you prefer a more holistic approach to well-being, aiming to make changes for your whole body rather than just focussing on one isolated pain area, seeing an osteopath would be the best option.