If you’ve ever struggled with back pain, you’ve probably heard people recommend either seeing a chiropractor or a physiotherapist. It can be confusing trying to work out which one is “better”— but the truth is, they both have their place. And in many cases, using both together can be a game-changer.

Let’s break it down simply.

What does a chiropractor do?

Chiropractors focus mainly on the spine, joints, and nervous system. Our main tool is the adjustment—a specific, gentle movement applied to a joint (usually in the spine) to help improve alignment, reduce pressure on nerves, and restore proper movement.

How chiropractic helps back pain:

• Relieves pressure on joints and nerves
• Reduces inflammation and tension
• Improves posture and mobility
• Often brings quick relief

Looks at the root of the problem, not just the symptoms. It’s especially helpful for things like sciatica, disc issues, postural strain, and those annoying niggles that creep up after sitting too long or lifting something wrong.

What about physiotherapy?

Physiotherapists are brilliant when it comes to rehabilitation, movement, and muscle strength. They use a mix of hands-on therapy, stretches, tailored exercises, and sometimes things like dry needling or ultrasound to help your body recover and build strength.

How physiotherapy helps back pain:

• Builds strength and stability around weak areas
• Improves flexibility and mobility
• Helps prevent injuries from coming back
• Supports long-term recovery after injuries or surgery

Physiotherapy shines when it comes to rehab, ongoing maintenance, and building resilience.

Can you do both? 100% yes.

This is where it gets exciting. You don’t have to choose between them. In fact, chiropractic and physiotherapy often work best when used together. Here’s how:

Chiropractic helps get your body back into alignment, so everything is moving better, and pain starts to ease.

Physiotherapy then helps strengthen the muscles around those joints, so the changes stick.

So rather than a quick fix that fades, you’re getting to the root, correcting it, and then building up the support system so your body stays happy and healthy.

It’s a bit like fixing the alignment on a car and making sure the tyres are pumped and balanced—you need both to drive smoothly.

So, which one should I go for?

It depends on what’s going on in your body. If you’re in acute pain, can’t move properly, or something feels “off” in your spine or joints — chiropractic is often a great first step.

If you’re recovering from an injury, struggling with muscle imbalances, or want to work on long-term strength, physiotherapy is a brilliant choice.

But honestly? You’ll often get the best results by combining the two.

Final thoughts:

Back pain is tough, but there are options—and you don’t need to suffer through it or rely on painkillers alone.

Whether it’s an adjustment to unlock a stiff joint or a stretch to activate a weak core, both chiropractic and physiotherapy have their strengths. And together, they’re a powerful duo.

So next time you’re debating one or the other, ask yourself—why not both?