Hello! I will be finishing my chiropractic degree (Doctor of Chiropractic, DC) this year. ***This is lengthy TLDR: We are more similar than the video portrays. Just like your physician and ensure they're treating you well. :) 1. Philosophy: Yes, we do examine the spine as the first step to the holistic approach; however, we will also examine the extremities, especially if they're the chief complaint. The back may likely feature subluxations but if let's say the feet are not addressed then the subluxations will be persistent and not go away or continue to reoccur. 2. Assessment: Not all chiropractors do radiographic imaging on the first visit, have a second visit solely for review of findings, and only begin treatment on the third visit. It all depends on the unique case of each patient. If we have a suspicion of a certain health condition(s), we may then request images or lab tests to be taken. In the event we do not find anything of particular concern or a contraindication, we can perform the assessment, review the findings, and administer the treatment in the initial visit. Additionally, we perform palpation, test range of motion, orthopedic tests, etc. like DOs and PTs. Simply depends on the practice at that point. 3. Treatment: Yes, there is a strong association between chiropractors adjusting the spine but they also adjust other areas. Before and/or after adjustments, the chiropractor may do soft tissue work using whatever modality they see fit. This may be to loosen the muscle fibers prior to adjusting or to accelerate tissue repair after adjusting and/or soft tissue work. Regarding aggressiveness, this will vary upon the physician and the technique being used. I learned today that DOs practicing OMT also use high-velocity, low-amplitude (HVLA) techniques when administering treatment like DCs. So anything that appears aggressive, it is due to our training that we determine the appropriate amount of force that we seem sufficient to apply to induce motion to free the nerves and restore proper motion without harming our patients. But bear in mind, that some of us learn techniques somewhat differently or choose to apply in a different manner, hence it's all practice just like MDs and DOs. For sure I can say that I agree it's very important that a patient needs to be comfortable with their physician and satisfied with the care provided. *I am not yet familiar with Osteopathic Manipulative Medicine (OMM) in how they perform Osteopathic Manipulative Treatment (OMT) so I can neither draw exact comparisons nor can I say if the predecessors of osteopathic medicine used OMT.
Thank you. Valuable describe and comments, influence me as an osteopathic practitioner in Toronto, I believe you will be more success in the near further.
I respectively disagree with most of what you've said here Ashley. I have a great respect for Osteopaths as I have actually taken the time to observe many throughout my career. I've done the same with chiropractors and a multitude of other therapists. These are outdated generalisations about chiropractors you make (I note your video was posted in 2014). When people ask me what the difference is, I say that essentially there's very little. Chiros, Osteos, Physios, etc - we're all manual therapists who would feel competent in treating many of the same conditions (back pain, neck pain, hips and shoulders, etc). The differences in our approach are more so due to the post-graduation studies we undertake rather than philosophy. Philosophy counts for very little as far as I'm concerned. Experience and evidence-based modalities is really all it comes down to.
Hello James , I like your comparisons very good video. I have been suffering with neck and shoulder pain for years and after seeing a chiropractor for a year now I have gotten better but the pain and stiffness never fully went away. I kept Paying for x-rays every few months and seemed like there was little to no improvement. After seeing an osteopath today for the first time I can say that with just one treatment I can fully turn my head (loose neck muscles) I can lift my arm at a higher function then I could previously, and also my lower back muscles were extremely tight and I didn't even know that until the osteopath discovers how tight it was and I feel a relief of pain and tightness throughout my body. Also with the chiropractor I was in and out in 10 minutes where as with the osteopath I was the for a full 60 minutes. Overall this is not to belittle any practice at all but my personal choice for my treatment will definitely have to be an osteopath.
Hi James, I totally agree with what you said at the end. However, after 18 years of experience, I say the biggest difference between chiropractic and osteopathy is the spelling!
Also, osteopathy is more open-minded about treating patients, and is more willing to use medicine and surgery as well as manipulations among other treatments.
open minded/empty headed. the reason they are so quick to refer is because they have the same medical/allopathic mentality, focused on treating symptoms, not correcting cause, which have no clue about anyway.
i would say that as a chiropractic student your description of both Chiros and Osteopaths seems to be what we're taught at Palmer West. We do a lot of soft tissue work and some muscle energy techniques and would always prefer to adjust tissues that are not hypertonic. Historically speaking I believe that Chiros were known more for just popping and cracking stuff but the last 20 years has really opened up the scope of the practice as the neuromuscular system is more understood and we do a lot of massage, PNF....anything in out tool box to facilitate proper function. Sometimes we even avoid adjustments! We're even taught some osteopathic moves and are admirers of Andrew Still and more modern osteopaths such as Chaitow. There are chiros that are "straight" and chiros that are "mixers". Straight chiros tend to do only manipulations of the spine, some even only the cervical spine (an even some more only the upper cervical!!) This lineage of chiropractic tends to treat only the spine considers appendicular skeletal adjustments as foolhardy. "Mixers", on the other hand, (ahem) tend to treat any part of the body that they can and even take specialty certifications such as Active Release Technique, Certified Chiropractic extremity practiononer (CCEP), Graston, SFMA, anything that helps a patient regain or restore function. Some chiros in the US blur the line between PT and Chiro as we can have physical therapy privileges in certain states and often end up doing stuff that might more resemble PT. Rehab2Performance by Craig Leibensen, D.C. is a perfect example of a chiro that actually doesn't do a lot of adjustments but resets dysfunction with movement patterns
thanks for the explanation! my current chiro does spinal decompression, which, selectively and with my input and choice on when, has done miracles for me walking again. if only the condition wasn't chronic in its hyper-mobility pattern...
112 years ago an ex-osteopath wrote a book called quacks and grafters detailing how even 112 years ago quackery in medicine was rampant and osteopathy was one of those quack medicines, so is chiropractors
@@davidt8087 well then use your highly intelligent brain to decide whether you should be taking advice from someone that failed out of the profession 112 years ago and wrote a book about how bad his own profession was.
that's because chiro are (tbh) to stupid to understand²²² that even thought fixing the squeleton is important ... *if you don't relax the muscle tissue that got tense from that issue* : it is bound to come back the same way ti came in the 1st place. Sometime you may also have nothing and it's just a muscular tention like everyone can feel in their finger.. so they will just crack it for you and charge you for it. "I chiro myself" all day by during my neck , torso, fingers, elbow, and of course: my wrist.. ²²²well like i said in the 2nd sentence: it's probably not stupidity, they just know you will come back. Chiro is good for short term solution
@@ereder1476 other than the fact that chiros like me mostly do muscle and fascial manipulation. I have patients I wont even adjust because they don't need it. most do but not all. If you do think they are stupid you aught to look up the curriculum you must complete to be eligible to take the national board exam series and other state licensing requirements. Also just an FYI . Squeleton is not a word. I believe you must have sought help for a skeleton issue which really was most like a musculoskeletal issue many times also involving s lot of neurological symptomology. That symptomology is how a practitioner like me reads what your body is telling me and what joint is creating the message we want to change ( typically pain, numbness, tingling, or sensory-motor loss ( weakness or at times a loss in both which needs quantified and tracked for improvement through a treatment plan. I hope you go find a good one that will do that for you. Its unfortunate that it sounds like you went to either an old school doc that knows nothing about soft tissue manipulation or a Doc that is more about making money which in my opinon makes them no longer a good Doctor. Those guys should sell cars . They make educating patients much harder because first you have to get past that persons previous chiropractic experience which is unfortunately sometimes infuriating to hear about and did them nothing for REAL healthcare. A good Chiropractor can teach you a great deal about keeping that musculoskeletal system functioning properly. I assess and treat day one and now I really like this osteopath. By his description in every detail I practice more like an osteopath and spend 45- 1 hour with my patients loosening soft tissues first. As a chiro I don't get paid nearly what an osteopath does for an hour of their time and expertise but that simple politics and the nature of being considered " alternative medicine. Funny though when you cant bend your neck or stand up straight go take yourself to the ER or primary care and see what they do for you. if they palpate and do simple range of motion exam you are getting more than most with your muscle relaxer. Then when you still cant move or get a full breath go see a chiro who has stupid more than joint manipulation and uses no specific technique system but takes what works from each technique style . That will get you upright and breathing again and finally get you some actual sleep. Once a week after a lot of soft tissue prep I remobilize a cervical spine or lumbar spine and get a patient in tears of gratitude after someone finally took the time to listen and knew how to fix it. I love my job! Just not the business and politics end it makes it tough to get the word out to the people who need it sometimes. These kind of forums are helpful to many . Educate Educate Educate. Thank you Doc for the neutral unbiased unbullshit video . I admire you approach and have the same approach to the musculoskeletal and especially the CNS and PNS. Refreshing to see this video with real no nonsense info. Mahalo. - Dr. Hanna ( Up in Washington State)
If these treatments were science-based, then you would pick the one that works better (whatever your condition might be) rather than choosing the treatment based on the personality of the therapist.
The US department of health and human services has guidelines and recommendations on "understanding acute low back problems" there is a patient guide and the publication # is 95-0644 and can be seen on there website. it is still a bit hard to read but the basic info recommends spinal manipulation. Chiropractors call this procedure an adjustment because we usually attempt to only move one facet joint at a time. unless we go online and demonstrate a procedure outside of our scope of practice such as a rapid distraction move applied to the neck. hope this helps.
I am sure you know your osteopathic profession very well but your understanding of what is done in a chiropractic office may be off slightly. I have been practicing chiropractic for 18 years and its seems we have a very similar philosophy and technique. I never just diagnose off x-ray and base treatment on that alone. We too do a postural analysis, orthopedic testing, neurological testing and base treatment on the movement or lack of movement in the body (both spine and other joints) combined with diagnostic testing. I also adjust extremities, perform rehab through therapies as well as functional movement and exercise. To make a broad statement about what all chiropractors do might not give people the best understanding of what chiropractic truly is. I know four osteopaths who do no manipulation what so-ever, really do not treat the whole body and just push pharmaceuticals but I would never categorize all osteopaths in that same light. I know two who do pretty much exactly what I do, have a very similar philosophy and a profound understanding of chiropractic that differs a bit from yours. I did enjoy the information and you probably do a great job with your patients - rock on! I always thought us chiro's and you osteopaths would join forces because functional care is really where healthcare is going and we are really the only ones providing it! Be well!
Yeah. I was seriously just thinking that his definition of osteopathy sounds identical to every chiropractic experience I've had. And his definition of chiropractic work is something I've never experienced (thank goodness). Maybe this video is geared toward people who have never been to a chiropractor in hopes of gaining skeptical clients?
Excellent response. I too am a DC, retired after thirty years of practice, and my father was a DO. So I'm familiar with both professions and thought for the most part his explanation was excellent. There is a wide range of how both practice in reality, with some DO's being more restrictive and some DC's being more "global" as he puts it. Bottom line, research in the last couple of decades has demonstrated that manipulation is an effective therapy, which is why we now see the physiotherapists getting into it.
@@kevindaley2858 , chiropractors have made a considered and conscious decision NOT to prescribe medicines. Our ethos is about fixing what we can WITHOUT drugs or surgery. We are, however, prepared to refer back to a medical professional when that is appropriate. I have done so on many occasions in my 24 years as a practicing chiropractor.
Jason, thank you for your comment! One thing I've learnt over time is that you'll never please everyone and with a general video like this it will always trigger those who it doesn't apply to. I also wish you all the best too. Ashley
I went to osteopath yesterday. I wasn’t sore yesterday and I wasn’t sore today, but after sitting down for a few hours I’m in a lot of pain. I hope it’s just tightness because of a reaction to my treatment.
Did your soreness resolve within a few days? Considering my options with who to go to for my issues and don't want to end up leaving in more agony than I did to start with 😅
I regularly used the services of two experienced UK chiropractors, including Christopher Pickard who comments below and who I rate highly. My experiences with both chiropractors differ greatly from the descriptions above about x-rays, technology dependency and treatment only on the third appointment. I was never asked to have x-rays and have never had a Spinal Mouse or Posture Pro used in any of my treatments. I received treatment on the first appointment with both chiropractors, after some extensive questioning about my medical history and the problems I was experiencing. Perhaps other chiropractors are different. Christopher Pickard did not ask me to comment here by the way. I am just looking at information about osteopathy/chiropractic for a friend.
RichardADastardly Hi Richard, yes I agree that there is such a vast difference between practitioners within the same profession so I will obviously not have necessarily represented all practitioners equally, which is why I mentioned these differences were generally speaking and not the same though out.I hope you managed to find a suitable practitioner for your friend too!
The main difference is credibility. Osteopaths have a through and solid education. Chiros? well, find out for yourselves, but keep an eye on your wallets.
I had previously seen a Chiropractor helped only a little bit. THEN i seen an Osteopath fixed my leg and hip pain and is now helping with my lower back pain amazing. I have spinal stenosis.
A chiro would agree also that it is the perception of pain or the way one repeatedly moves that can cause the misalignment in spine. The X-Rays are used only recently and they do see you as a whole too. I am not arguing against one or another, it's just trying to say osteopathy is softer tha chiro, should not be the reason it is better. If your spine needs to go back where it belongs you better do it, and it shouldn't matter an osteopath does it or a chiro.
In the United States, an osteopath, D.O. is a licensed physician, equivalent to a medical doctor, MD. There are some basic philosophical differences. A D.O. is trained in manipulation of the skeletal system, particularly the back and spine, and D.O.s pride themselves on being holistic. Osteopathic residencies are now the same as those for allopathic medical doctors. Chiropractors have less training at less prestigious schools of medicine compared to D.O.s or M.D's.
Kevin Tomlinson Abitamim Bharmal is correct. In the US they are equivalent. People in osteopathic medical school take ALL the same courses and clinical rotations as MD students plus an additional 300-500 hours of OMT.
I agree with Abitamin and Random Gal, I saw a psychiatrist who was a D.O. I'm looking at her bio now and it says "she received her medical degree from Texas College of Osteopathic Medicine..."
Chiropractic works just as well. Basically same except for Philosophy. If you referring to prescribing medication,t hat rarely works and create other dysfunction.
Jorge De La Torre Tell that to the people with diabetes, have blood clots, strokes, cancer, and other problems! Medications save lives while popping someones neck is a complete joke.
Chris Poulos Oh wow so all medications prescribed are opioids . . . XD the next time you are sick with the flu, need surgery, or have a disease go to a chiropractor to have your back popped.
Chris Poulos Just google the chiropractic curriculum, compared to an MD. Chiropractors do not have medical knowledge, no understanding of basic science, they use testimony as evidence, they believe "the life force" is what heals people. These people literally pop your neck and back, believing THAT will cure your disease. MDs have to know the disease on a cellular level, use biochemistry, pharmacology, etc. to heal the patient. The difference is one uses the placebo effect and the other uses empirical evidence.
That was pretty good doc. Actually, if you go back and look at Andrew Taylor Still’s writings, Osteopathic manipulation was blood or circulation based VS Palmer who wrote about the subluxation as you described being nerve related. You made me laugh about the Chiropractors waiting til the third visit to treat. Only the ones who took practice building seminars!😆. Most adjust on the first visit and adjust extremities too. It’s all moot in America because the current Osteopaths don’t manipulate anymore. They’re part of the “real doctor” club and prescribe drugs and do surgery (both, as you know, were never in ATS’s teachings). The only DOs that crack backs in my town are either retired or dead. Too bad.
No, there are still Osteopaths that do manipulation only or incorporate it in their practice. Yes, it is too bad that more don't, but to say current Osteopaths don't manipulate is not accurate.
Melissa Mullock - in my town it’s true. Granted, there may still be a few odd ones out who do spinal manipulations but they are in the extreme minority.
@@drmatt357 Very true, I'm a new D.O. OMM specialist & was the only OMM resident out of my class of 530 graduates! I'm trying to bring it back though by being more vocal on social media and giving public lectures.
My dad is a DO. He said they’re basically the same as an MD today, which is SO unfortunate!! I grew up with OMM. My take is that with the sick care we have in the US (vs health care), insurance companies would rather pay for back surgeries and the consequent failed surgeries than compensate a physician (a DO) for manipulation that could prevent those surgeries. I’m glad some are trying to revive it. DOs have come a long way (and it wasn’t easy) in order to be treated as a the physicians and surgeons they are. Factoid-many DOs saved lives during the 1918 Spanish flu by beating able to the lymphatic pump.
In the US, a Doctor of Osteopathic Medicine actually goes to medical school and learns the same things physicians do+OMT. They have the same rights and privileges as those with an MD degree. So, in the US, a DO is a physician with training in OMT.
Yeah, to be fair it can be confusing to US citizens as well because most physicians in the US are MD's. But I heard that close to a quarter of students in US medical schools are now in DO programs. So, the number of DO's is expected to grow.
Do you think that's a good or bad thing (more DO's)? Do people generally prefer to see DO's or MD's do you think? What about you, are you in health care too?
@@PrecisionWellbeing I'm not in healthcare, but my sister is a pharmacist. As for what people prefer, I think a lot of people are not even aware what the difference is. I did not know until fairly recently. I also don't think having more DO's is a good or bad thing. However, it is useful to know that a DO could offer you an additional treatment option that MD's aren't typically trained in. One person asked me once why the US has two medical degrees. It is because of US medical history, basically. thedo.osteopathic.org/2017/11/osteopathic-medicine-125-years-history/
Interesting you didn't suggest the 2 largest differences between D.O.s and Chiropractors. 1) Similar training and the SAME medical boards / tests as an M.D. and 2) because of that, as a D.O. you can prescribe meds to treat the WHOLE condition. Many years ago I had a serious injury working under a truck when the transmission came down on me. I held it up with my arms for several seconds until a friend could get the jack underneath but it REALLY caused serious back problems. After many months, with one visit to the D.O, moderate massage, manipulation, and muscle relaxers for 1 week and I have never had those problems again (over 30 years ago!). The Dr. explained that the manipulation helps but the muscle relaxers allow things to relax, swelling to go down, and everything to settle back in. Just one visit and I was blown away. The M.D. ability to prescribe the right meds, along with the training around alternative approaches similar to chiropractors made a HUGE difference.
I much rather osteopaths than chiros. Osteos tend to be more gentle on the body and a good deep massage. Chiros tend to go straight for the adjustments and it feels very agressive.
There are many differences between Osteopathy and Chiropractic. They both give prime importance to the spina as a major factor in the causation of many diseases. But as a profession in USA an Osteopath, DO, full license doctor can prescribe medicine and perform surgery as well while most of Chiropractors DC only can not. Nowadays Osteopaths imply all the modern diagnostic aids to diagnose the diseases. While Chiropractors talk about Subluxations as the major cause of spinal problems hence they always try to reduce them, Osteopaths believe in the Limitation of movements of the various levels of the spine. They consider an Osteopathic Lesion responsible for the troubles. An osteopath lesion has many characteristics but the major is locking in the movement of spinal segments in one or many directions and they want to free those movements. They also give a lot of importance to the manipulation of the soft tissues as well. The major difference between their treatment is while Chiropractors use Short Lever thrust techniques, Osteopaths prefer the Long lever techiques. But now days both may use each other's techniques. Modern day Chiropractors have started using a lot of mechanical tools in the treatment. Osteopaths also believe more in the Holistic approach to deal with the patients.
The notion that all chiropractors try to reduce “subluxations” is non sense. Those chiropractors are the ones that interpret the “green books” written by DD Palmer in the late 1890s/ early 1900s as the word of god. Nonsense! These practices typically will only treat PT with manipulations and are know for unnecessary x rays and pre selling treatment plans of 40-50 visits. Modern rehab based chiropractors (and legitimate doctors in general) both use x rays to confirm a diagnosis that they already expect through clinical Examination OR to rule out something else. I personally do not x ray often, generally only if there is unremitting pain that has not improved and Inwant to rule out fracture or malignancy. Both chiropractors and osteopaths know that the spine must stay mobile, and that restrictions create muscle imbalance and pain. Chiropractors historically treat through the lens of nervous tissue dysfunction while osteopaths tend to see dysfunction through the lens of blood flow but both know that both situations occur. Duh!! “The chiropractic subluxation complex” and the “osteopathic lesion” are the same thing= trigger point/ focal adhesion / joint restriction that are the basis for mobilizing said joint. Yes long levers for osteopath and shorter for chiros historically, I like the Chicago roll myself . I’m finding that some longlever moves are better for being less stressful on me!
Thank you for the informative video I'm a chiropractor and I was thought that diseas is the result of a disfunction of the nervous system not the spine. We adjust the spine to release nerve interference. We rely on the patient's innate intelligence for healing. So please correct your opening statement :) I love osteopathy too ..
From a chiropractor, i can tell you you're dead wrong with your assessment that osteopaths have a more global understanding of the body. Do you honestly think a chiro doesnt know the association between foot, knee, and hip pathology, and how these can affect other structures superiorly?
Have you heard of putting a blood pressure cuff up your nose to adjust the bone plates in your skull? There is a Chiro who has many a RU-vid videos, his name is Dr. Jim McCarty who claims to heal occipital neuralgia. Is this technique practiced in either profession? If so, is it common and does it work? I'm looking for help that's why I ask. Thank you in advance for your help in answering.
Hi Elle, I had never come across this before until you mentioned it. It is not something osteopaths here in the UK are taught so I couldn't tell you if it works or not. I would probably recommend you try other options first before seeking something less well known. Good luck, Ashley.
Precision Wellbeing Group -------- Apparently it's either an old lost art or cutting edge stuff that is WITHOUT SURGERY OR MEDICATION!! I think once you research it, or if I was younger and in your position, I would SO educate myself on these new techniques cuz I'm telling you, it IS the future of (a portion) your and your fellow colleges practices! In my opinion...but listen and watch Dr wJim McCarty's patients AFTER his treatments...I've called a few of them myself cuz I was like....nahhhh...no way. But they are telling the truth when they say that he has helped fix things that SO many other doctors DIDN'T EVEN KNOW WHAT WAS WRONG WITH THEM!! You know?! They just tell you you're fine, maybe get you on a script or anti-depressants, AND SEND YOU ON YOUR WAY!!! I believe that if you doctors got together and did some tests proving that these techniques worked, you all could get covered under insurance!! And I know that YOU know that NO insurance company pays for chiro or osteopath!! It would be a win-win!! For both doctor and patient!! And so many happier, healthier families and individuals. Dang...sorry...didn't mean to get on a soap box! Lol ha ha ha 😂😂😆😆 YOU need to get excited about it...if I were a young gal.....id certainly learn that and be a DO or MD but with that knowledge taken into my practice. Ok..I'm done. 😂😂. p.s. Remember me if you get rich off of this!! 😂😂👍👍😄😄🙋🙋
@@delthorpe223 you quoted Tim, and maybe you and him are unlucky and got bad chiropractors. so why generalize? unless you try like 6 or 7 and they are all bad then you can do it
I went to a chiropractor and they injured me as well as none of the adjustments they did improved anything, and the stretches they advised me to do didn't do anything. Complete waste of time and money and for some reason they adjusted my neck to help fix my back, which made no sense.....and they injured my neck, I am still injured 6 months later.
So i treatment there is no other difference than just to warm up before restoring functionality by force? Less or bigger - it is not big difference. I learned osteopathy as cranial-sacral and viscera movement where you influence energetically. It is like you are just connected and follow the movements that is initiated energetically. This is a big difference. But western world is reluctant to consider "energy". That is ok, but then in what you do there is no difference from chiropractors.
wrong. the sole purpose of GENUINE CHIROPRACTIC ( it is not spinal manipulative therapy, or therapy of any kind) is to correct the cause of (subluxation caused) nerve interference. PERIOD. let's begin with the true definitions of chiropractic terms. regardless of the prevailing ignorance, a SUBLUXATION is a fixated misalignment between two spinal bones impinging nerve tissue resulting in nerve interference. this occurs only in the upper neck. an ADJUSTMENT is the manual procedure of correcting a subluxation, therefore the only place an adjustment can be made is in the upper neck. all in the body, structure and function, is dependent on innervation. imbalanced innervation to muscles causes their elongation and weakness, which distorts alignment, fixate joints and cause pain and degenerative changes. imbalanced innervation to internal organs and glands, vessels, etc. tends to cause their dysfunction and degeneration. some of both are always affected as part of their cord pressure caused nerve interference pattern in each person with upper neck subluxation, which can only be corrected through careful determination of the specific directions of misalignment in each case, followed by the appropriate adjustment for that individual. the adjustment is a light concussive force over atlas transverse on side posture adjusting table with drop head piece. genuine chiropractic is unique in that it corrects cause. all else is concerned with treatment of effects, which is why it fails to restore health.
First thank you for attempting to explain the differences between chiropractic and osteopathy in such general terms. I have been in practice as a chiropractor for over 30 years and am not in agreement with your vision in absolute. First of all both chiropractic and osteopathy started at the same time in history, Drs. Palmer and Stillwagon and shared an holistic philosophy about helping the body to restore its homeostasis or ability to heal by looking at the nervous system, and spinal column. Both use manual technique to restore the bodies healing ability, our two professions share many techniques. Dr Goodhart, Chiropractor and founder of AK as well as many other chiropractors developed global systems of evaluating and treating patients. Dr. Carrick, founder of functional neurology with global ways to evaluate the central nervous system. We have advanced greatly since then, with new technology and understanding of the nervous system. A manual adjustment ( articular or soft tissue) changes the afferent or sensory input into the nervous system which in turn changes the efferent or motor expression of body movement. Within the 2 professions we share many techniques, our education may vary, as the art and application of each practitioner. I have worked with osteopaths who are extremely knowledgable and other less so. The same occurs in every profession. Your evaluation as to how chiropractors works is very narrow sighted. The most important is the results for each patient, therefore generalization are not an effect ways to compare holistic healing professions who consider the uniqueness of each patient. Sevilla Spain
I just went to osteopath today to re-adjust my shoulder dis-alignment and it went very well. What kind of exercise would be good after a treatment? In my case, it was minor due to an after effect of a minor surgery
Hi Michael, I'm afraid I won't be able to advise you too much on exercises as I don't know what's wrong with your shoulder. Your osteopath should have given you the appropriate aftercare advice. However I do have a couple of shoulder videos that you may find helpful; ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-B4UYaumLy90.html or ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-1U_ctTDiflU.html I hope they help, best wishes, Ashley
Seriously guys, go to an Osteopath instead. They work the muscles before doing any chiropractic adjustments. It's both gentler and more effective in my experience
Here in the U.S., it’s strange…the path of the D.O. Is very different…they are indistinguishable from M.D.s except from a course in OMM…they prescribe and some do surgery…I do find D.O.s tend to be a bit more holistic…which I prefer…but M.D. or D.O. have same privileges here…
It depends on your location but even so, some of them don't bother with OMM. Still, an M.D. friend told me years ago that I should NEVER see a chiropractor and instead opt for an osteopath. We studied martial arts together and fellow students saw chiropractors quite often.
Chiropractic is diverse, this video isn't wrong about some chiropractors, but many of us look beyond the spine. We have evolved. We don't all use x rays to diagnose joint dysfunction and most of us don't use this anymore. Sublaxations are point of disagreement in our field, some believe in this, some have moved onto "joint restrictions". We also are being trained to incorporate rehabilitative exercises, soft tissue manipulation, diet and lifestyle modification and comanage health conditions. It is true DC's specialize in high amplitude, low velocity adjustments/grade 5 mobilization, but also will use other grades 1-4. Many DC'S don't believe cavitation means an adjustment was effective, not all people are sore after manipulation. We often perform exams rezexams, manipulation and use adjunct staff to perform theraputic soft tissue manipulation (therapeutic massage). Today, schools teach differential diagnosis of systemic disease, organ pathology, neurology and conservative management of health conditions. Chiropractic has by and large become evidence informed. Chiropractors are a diverse, poorly defined profession that gets poorly reimbursed by insurance companies and often doesn't reimburse anything other than manipulation (either grade 1-5 mobilization, or soft tissue work) which is why visits often are short. Our education is in the hundreds of thousands of dollars. Not all Doctors of Chiropractic (DC) are the same, and this guy is right, you have to find a physician that is appropriate for you. There are DC'S that practice similar to osteopaths, that look holistically, at restrictions in the myofascial (Tom Myers) system as well as joint restriction. One major difference: we can't prescribe medication (except in New Mexico, USA)
Hey Brady this explanation is incredibly useful, so thank you for taking the time to write it. I also agree with you in that not all practitioners treat the same and also that Chiropractic has evolved. I'm sure if I was to film this video again no it would be totally different. Have a great day, Ashley
His comments regarding treatment procedure is not necessarily correct. The chiropractor I went to was easily able to take x-rays and on the same visit adjust.
The biggest difference between a chiropractor and an osteopath is the spelling. The chiropractic philosophy you have described is rarely taught in chiropractic education now. What you have described as osteopathy is how the majority of chiropractors work. Yes some are subluxation theory based, but I'd say the majority are not. Yes some take xrays if they have the facilities, but most don't (but can and will refer for imaging when appropriate). Yes some use funky machines, but most don't. Yes some chiropractors use adjusting techniques that make clicking noises, but many practice other chiropractic techniques that dont - for starters, a third of chiropractors are McTimoney trained and they assess and adjust (with no cavitation) not only the spine, neck and pelvis, but the cranium, ribs and extremities too. Once osteos and chiros graduate they attend many of the same courses in a wide variety of additional techniques. As you rightly say, there are more similarities than differences, but when it comes to explaining those differences, I respectfully suggest that you need to do some research.
+ARIZJOE The training is the UK is the same standard for both. The chiropractor degree is now an MSc. Osteopathy is also a masters. I don't know what you mean by "the same privileges as doctors".
In the United States before WWll, osteopaths were not considered on a par with medical doctors. Previously they had to practice at separate hospitals. They could not prescribe drugs. Since then in the U.S., the status of osteopaths has been elevated. There is no longer prejudice against them, but a lot of confusion by the public. In the U.S., osteopaths go to university for 4 years, then a medical school for 3 years, and then a residency at a hospital for 3-6 years the same as an MD. An osteopath has equivalent board certification as a medical doctor.
Most chiropractors at present day do not subscribe to the subluxation theory. That perception of the profession is outdated but it lingers because of chiropractic's history
Actually, subluxations exist, it's just that chiropractors have no methodology to identify them nor treat them. Its pretty bad when you get both wrong.
such "chiropractors" are in fact, not chiropractors, as the subluxation is the foundation of chiropractic practice. the greatest chiropractor in history called such imposters, "chiropractoids".
Thank you for your video! I've suffered from lower back pains in the last couple of years and had osteopathy and chiro. But I totally believe in Osteopathy as it works like a miracle 🤩. Only in 1 session, my back pain was GONE, each time!!! Osteopathy is more expensive here in France but in total it ends up cheaper because I only need 1 session! Philosophy is good and effectiveness is amazing. I totally agree with you that one must find an osteopathe that we can trust. My body reacts really well as I fell very relaxed at the treatment. Wishing you all the best to bring this miracle to those who suffer from unbelievably severe pain!🙏
Sure, there is a gentleman named IAN NOTHING above that covers things fairly well, it seems there are about 3-4 chiropractors who have also disputed this speakers knowledge on the topic. My major objection to what was said on the video was that osteopaths are more holistic and recongnise the problems in the kinetic chain, and this speaker believes chiropractors don't. I find this statement absolutely absurd! When i was at college, we were told that the founders of chiro (D.D.Palmer) and osteo (A.T.Still) were classmates at a magnetic healing school, after graduation they founded their respective professions, and the main philosophical difference was that chiros were more concerned about nerve integrity, whereas osteos are more concerned about optimising blood flow. In terms of clinical differences, there is so much borrowing between practitioners that it is almost impossible to call something exclusively a chiropractic or osteopathic technique, however, from what i understand, terminology, incorporation of medical procedures, scheduling, and philosophy surrounding frequency of visits is where the major differences between the two professions lie.
I agree with what you said but thats info for the general public. Ive been struggling (a lot) with the desicion of if i should study Chiro or Osteo. I've done a lot of research and all the stuff ive found is the same. I've talked with some DC's and DO's but i still cant make a desicion. I would like to study one of them in Australia, so im not interested at all on the osteopathy education offered in the US. As far as i know, in the UK and Australia its the same education offered for osteopathy and chiropractic. But i still cant have a clear vision of if i like one or the other. Just to clear it up, im not interested in Osteopathic Medicine, im a guy that likes manual therapy and thats why im currently studying physiotherapy.
A slightly biased and derogatory tone in how you focus on the more sensational aspect of chiropractic treatment as if the noises represent nothing other than hocus pocus. You also suggest they are fleecing patients. I personally know that much money is wasted in unnecessary medications, such as statins, and other pharmaceutical products that can actually cause illness. Unfortunately, because of medical arrogance, snobbery, and big pharma interest in making billions of pound/dollars and they are putting chiropractic treatment down and there is a movement to try and make it illegal. Many people get huge help by chiropractors and you know you are doing a disservice to patients that have been let down by other branches of medicine. You are also treating practitioners as lesser qualified when, actually, they take their studies seriously and spend as much time, if not more, earning their status as doctors than you may have done. The sooner you hop out of the dark ages the better. Your "global" claim suggests that chiropractic treatments are less effective when, in fact, they are a different form of treatment that can and do complement your own branch of specialisation. Although you didn't directly say that people shouldn't seek chiropractic treatment, your suggestion to be selective about who one chooses to be treated by is even more appropriate when it comes to "traditional medicine" where you will find much malpractice and a huge measure of iatrogenesis. Why can't you just accept that chiropractic medicine is a very good, safe, and non-invasive form of treatment? It would be fair and just to promote chiropractic medicine as a good complementary treatment.
Hi Jimmy, this video was never intended to bias one therapy over another or be derogatory, so for that I can only apologise if it came across that way. I would never speak badly of a therapy that tries to help people in a safe way. It is of course difficult to make generalised statements about anything and get it right across a whole spectrum. This will also include osteopathy; my statements will not accurately describe the way many osteopaths practice also. You make a great point about allopathic medicine and you are also correct that many people are helped with Chiropractic. I wish you the best in your practice, Ashley.
I appreciate this video. I've often wondered what the differences were; especially knowing from a friend the O's prescribe those horrid drugs. Nevertheless, I've been a chiropractic patient for 26 years. No reason to quite now. Thank you though.
You're welcome! If you're in the US then DO's can prescribe medications whereas here in the UK us Osteopaths can't. If Chiropractic works for you then keep doing it!
Osteopaths in the US are physicians and surgeons, doing everything an MD does plus manipulate. Unfortunately we have sick care (not health care) and DOs aren’t adequately compensated for treatments. My dad is a DO (retired). They tend NOT to quickly resort to drugs, listen to their patients believing if you listen long enough, the patient can often diagnose themselves. The patient knows his body better than anyone. I can’t speak highly enough about DOs.
the fact that you're using blanket statements on the whole chiropractic profession makes what you say absolutely nonsense. "adjustments are the clicks of necks and back." Lol. try again.
Hey let’s make it “scientific” let’s compare malpractice rates. Malpractice rates are directly related to the amount of money an insurance company pays out when someone in our field hurts people or when we make mistakes. If my rates are safer indicating that I am safer treating back/neck pain yh
Oops, If my rates are lower that indicates I am safer than you are at treating low back/neck pain etc. No hard feelings, I have a son that wants to take over my practice one day and I will have him consider DO school. Medical Insurance Companies treat you guys much better and occasionally my patient’s need a muscle relaxer etc.
Not sure chiropractors would agree with how their profession is presented. Many chiropractors do propose a treatment at the first appointment and also address other structures than the spine.
What may also be interesting to note is that Chiropractic actually came from Osteopathy if you look back at the history and who started Chiropractic, which is why you will find similarities between them. From what I understand now, the Chiropractic colleges have changed up the curriculum quite a bit due to lawsuits/safety and are even including exercise in their therapy as well... A couple chiro students I know have referred to themselves more like physios with manual training. Interesting as well, Osteopaths back in the day used to prescribe exercise to their patients to help correct their lesion patterns. Both professions have changed so much and are taught differently depending on where you go! My profs have also told me that "osteos pull, and chiros push"? Regardless, every practitioner is going to have their own interpretation of what treatment is and what is effective. All comes down to the patient practitioner relationship and who/what works for that individual. I'm studying Classical Osteopathy though and absolutely love it! All about the interrelationships!
Your history on chiropractic and osteopathic medicine is completely wrong. They may have some similarities but have two completely different focal points.
Good balanced video. I know multiple chiropractors, and they're success stories are fascinating and undeniable. I don't know osteopath as well - but hey as long as people are exploring these options FIRST instead of going straight to their physician for medicine and surgery, I say great. These are art forms in my opinion, as they should be. The human body is the greatest thing ever designed, whoever or however you believe it came to be doesn't matter. Western science tends to treat these art forms as paperwork, pill for ill, etc. I had surgery on my knee a few years ago. Granted, I did need it, but I remember how arrogant the surgeon was. He talked so fast and I had to interrupt him to ask questions before he got himself out the door. Sadly I feel that is not an uncommon experience in the world of MD.
Thanks for your comment Trav. Yes I agree other avenues should definitely be explored before going through with surgery and it doesn't matter what other therapy someone goes to if it gets them results.
Korr Aang - If this comparison is dated, what would be your more recent comparison between Canada and the UK/US? I would love to have your version and thank you.
Dear Sir, My dad 57 years old just got Harnia surgery post surgery he started chronic pain in his Hip and Upper legs .. we have consulted, surgen, MD, Ortho, Neuro, Again Surgen, Again MD again Ortho recetly to Homeopathy we are so worried. No one is doing exact dignose .. can you plz guide whom to go??
This is a valuable overview. However, it would be helpful to inform people that every medical practitioner, whether an osteopath, chiropractor, physiotherapist, or others, has unique interests and approaches to treatment. These preferences are shaped by their training, experience, and specific areas of expertise, such as scoliosis, sports injuries, neurological conditions, or even cranial therapy. Therefore, it's advisable for patients to reach out to a specific clinic and ask questions to determine if their approach aligns with the patient's needs. Additionally, some chiropractors excel in global rehabilitation techniques, so it's essential to avoid assumptions and always inquire about the practitioner's expertise. For instance, I often order X-rays, but this may not be standard practice for most osteopaths. The key takeaway is that healthcare providers can be generalists or specialists, and the choice depends on the patient's individual requirements. Wishing you the best in your practice!
Chiro here, we don't image unessecarily, it's only a tool for further investigation its not indicated in most cases unless the pt dosent respond to care or needs to see a specialist. Were taught to always follow the nice guidelines and since we treat a lot CLBP and neck px imaging isn't really indicated in initial assessment based on what Nice outline. We always do thorough case hx + phys exam as our main diagnostic tools imaging should be used if the result of the images changes the plan of management. We also utilise dxa refferal as we can't adjust without an osteoporosis risk assessment so we send for a dxa when people flag up high risk which actually proves useful as a lot of people don't know their bone density status. I hope people think we're gonna send you for a bunch of scans as soon as you walk in the door as that's what we're taught not to do!!
Hello I'm struggling to walk and stand I'm in so much pain. I can drive, cycle ok pain free. I can sprint funny enough but can't walk slow or slowly. I developed a limp about two years ago....due to the nature of my job as a postman. Do you think muscles have over compensated? I didn't stop I carried on
My sister is suffering from mild bulge disk at lower spine L4 L5 & L5 S1 . She has gone through many sessions of physiotherapy , gone through medical treatment ,visited neurologist, ortho. and homeopathic but no avail. Can ostepathic or chiropathy help us plz guide ...m from India .
Hi Sam I'm sorry to hear about your sister's back pain. A manual therapy could potentially help your sister. To be honest it's more about finding a good practitioner. Treatments may help her get out of pain, but then she will need to address flexibility imbalances and probably work on getting stronger in the back, buttocks and legs. I'm about to release a video next week about fixing back pain so make sure to look out for that as there may be some things in there that could help her. Let me know how she gets on. Best wishes, Ashley.
@@PrecisionWellbeing hi Ashley thanks for your suggestions. She recently gone through four sessions of ostepathy, Currently she is in some state of relax. But practitioner also emphasised on exercise the same u suggested ..now M keenly waiting for ur next video. Ur doing great job .God bless you .
I have minor cervical spondylosis which caused a trapped nerve I have had a Epidural cortisone injection to take the inflammation down should I see both chiropractor and osteopath to get the benefit of both.
Chiropractors also look at the body as a whole it’s important to address the nhs only push physiotherapists and osteopaths Such as physiotherapists to do rehabilitation and osteopaths to massage etc Even though chiropractors can do it all and are the highest level of holistic care physicians as they can order ,take,interpret xrays when they get licensed they focus on the muscular skeletal as a whole also
The difference being is very little. Both expensive and do next to nothing in my case to relive an intense lower back pain. Painkillers and rest, then slowly gain movement when possible. Save your money!!!
Very political at the end. but just reading the comments there is this hypocritical feel to the comment responses. "Hi Chris, yes you are right! There is so much overlap between the two it is certainly hard to tell the difference these days!" and then a "Erm no." response to you need to update this. This may be done by different practitioners but in the end there needs to be one clear message and an understanding of both professions to answer this question.
Provoke the problem? now why the hell would you want that. Everyone i know that went to an osteopath, ended up in more pain than they went in for :/ I mean "Treatment reaction".... what?
@@mattmobbs2205 I always treat on the first appointment, as long as it’s safe and appropriate to do so. Chiropractors will try to sign you up to a bulk buy program costing an arm and a leg. Osteopaths will normally get you better in three treatments or fewer.
If you have a misaligned tailbone would you see an osteopath or chiropractor? I believe this is the issue I have from net researching only. I've made an appointment with an osteopath but could only speak to a receptionist who just thinks they deal with this so maybe I'm wasting time and money with no straight answer. Grateful to anyone for any advice)
Hi Marty if it is your coccyx you are talking about then this is something that some osteopaths and some chiropractors can deal with, but not all. It really depends on whether it is bent out of place or whether you have just sprained the ligaments around the coccyx. My advice is go and see someone for an initial consultation and they will be able to advise you better once they've seen you. Best of luck, Ashley
Everything you described as specific to Osteopaths is the bread and butter of ~85% of Chiropractors in the US. This video is a bit inaccurate. Take it with a grain of salt.
An adjustment is not “the clicking” is the correction of a specific vertebral subluxation the clicking is a cavitation which is the name of the sound, but you don’t need the sound to have a result. Some adjustments don’t even use direct contact with bone but are only a soft tissue technique. And depending on the technique we will do the analysis, this usually includes the whole body, fascia, muscles, neurological implications of the subluxation, medical Dx etc. Not all chiropractors spent only 15 minutes with patients.
Just went for a first appointment with a osteopath today never have I walked like I did after I thought it was all mumble jumble to begin with but I tell you what I hold myself so well and walk so better
Hi Moon Child, osteopathy can help deal with the pain associated with your disc but I can't claim it will fix the disc issue. Give osteopathy a try and see if it helps.
I have chronic tmd tmj condition been to chriopacter had 10,sessions didn't feel much better because of the lockdown I have been suffering big time tomorrow, 1st appointment with an oestepath and acupuncture see what happens
In the USA DO is an Osteopathic physician and surgeon, focused on the whole person. They are surgeons, specialists, deliver babies-everything an allopath does. They are trained to avoid drugs unlike MDs who tend to over prescribe, as a rule. A DO is everything an MD is PLUS they’re trained in manipulation. My dad is a retired DO and is an excellent diagnostic physician.
