Chiropractors and osteopaths both use hands-on techniques to treat musculoskeletal problems. But their training, scope of practice, and treatment philosophy are different. If you're trying to decide between the two for back pain, neck pain, or joint issues, here's what you need to know.
Chiropractors (DC) earn a Doctor of Chiropractic degree, which takes 4 years of graduate-level education after a bachelor's degree. Training focuses heavily on the spine, nervous system, spinal adjustments, and diagnostic imaging. Chiropractors are licensed to diagnose and treat neuromusculoskeletal conditions but do not prescribe medication or perform surgery.
Osteopaths (DO) earn a Doctor of Osteopathic Medicine degree, which is a full medical degree. DOs complete medical school, residency, and can specialize in any medical field. They are licensed to prescribe medication, perform surgery, and practice the full scope of medicine. Their training includes osteopathic manipulative treatment (OMT), which is similar to chiropractic adjustment but is one tool among many in their practice.
Chiropractors primarily use spinal adjustments and joint manipulation as their core treatment. At Novaré, Dr. Ivan Bracic also integrates digital x-ray imaging, spinal decompression, Class IV laser therapy, and manual therapy into treatment plans. The focus stays on the musculoskeletal system, but the toolbox is broader than adjustments alone.
Osteopaths take a whole-body medical approach. While they can perform OMT (similar to chiropractic manipulation), many practicing DOs focus on their medical specialty and rarely perform manual manipulation. An osteopath who does focus on OMT may see patients similarly to a chiropractor, but with the added ability to prescribe medication when needed.
4-year doctoral degree focused on spine, nervous system, and joint biomechanics. Licensed to diagnose and treat neuromusculoskeletal conditions. Can't prescribe medication or perform surgery.
Full medical degree with residency. Can prescribe medication, perform surgery, and practice the full scope of medicine. OMT is one tool among many in their practice.
Chiropractic adjustment is the core of a DC's practice. OMT is one optional tool in a DO's medical practice. Many DOs rarely perform manual manipulation.
Dr. Ivan Bracic (DC, 30+ years) and Dr. Javier Sosa (MD, 38+ years) work together. Chiropractic care with medical oversight. No bouncing between offices.
How chiropractors and osteopaths compare on the factors that matter most.
| Factor | Chiropractor (DC) | Osteopath (DO) |
|---|---|---|
| Degree | Doctor of Chiropractic | Doctor of Osteopathic Medicine |
| Can prescribe medication | No | Yes |
| Can perform surgery | No | Yes |
| Primary focus | Spine, joints, nervous system | Whole-body medicine |
| Manual treatment | Core of practice | One tool among many |
| Imaging training | X-ray interpretation included in training | Varies by specialty |
| Visit frequency | Multiple visits common for musculoskeletal care | Fewer visits, may combine with medication |
A chiropractor is the right first step when your pain is musculoskeletal and you want drug-free, hands-on treatment.
An osteopath is the better choice when your condition requires medical management beyond hands-on treatment alone.
Yes. Some patients see a chiropractor for regular spinal maintenance and alignment, and an osteopath or MD for medical issues that require prescription management. At Novaré Injury Care and Rehab, our Medical Director (Dr. Javier Sosa, MD) provides physician oversight, which means patients get both chiropractic expertise and medical oversight under one roof.
Not sure where to start? Use our virtual consultation tool to share your concerns and get recommendations from home.
Get clear answers about choosing between chiropractic and osteopathic care.
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Spinal adjustments, Cox Flexion Distraction, Pro Adjuster SRT.
Non-surgical disc treatment using the DRX9000 and AccuSpina. MRI required.
Auto accident, workplace, and sports injury treatment.
AI-guided Class IV lasers for tissue repair.
Digital x-rays with MRI coordination.
Myofascial release, joint mobilization.
