Patient Guide

October 26, 2026

Chiropractor or Physical Therapist: Which do you need?

Not sure whether to see a chiropractor or a physical therapist? Learn how they differ, when each fits, and why many people do best with both.

Dr. Kevin Thomas
Dr. Kevin ThomasFounder & Clinical Director
physical therapist

Your back hurts, your shoulder won't cooperate, or an old injury keeps flaring up. You know you need help, but who should you see? A chiropractor or a physical therapist?

It's one of the most common questions we hear. Both professions treat pain and help you move better, and there's real overlap between them. But they each have different strengths. Here's how they compare, which signs point to each one, and why many people do best with both.

What does a chiropractor do?

A chiropractor focuses on how your spine, joints, and nervous system work together. When a joint gets stuck or stops moving well, the muscles and nerves around it can become tight and irritated. That's often what drives back pain, neck pain, and tension headaches.

The main tool in chiropractic care is the adjustment. It's a quick, precise movement that restores motion to a stiff joint. Chiropractors also use soft tissue work, spinal decompression, and other hands-on methods to ease pain and pressure on nerves.

Chiropractic care is often a great first step when pain comes on quickly or when a joint feels locked up. Learn more about our chiropractic care.

What does a physical therapist do?

A physical therapist focuses on rebuilding strength, mobility, and control. Their main tool is guided exercise, paired with hands-on treatment. The goal is to retrain the muscles and movement patterns that let an injury happen in the first place.

Physical therapy is often the go-to after surgery, after an injury, or when weakness and poor movement keep causing the same problem. Your exercises progress as you get stronger, so you're always working at the right level. Learn more about our physical therapy and sports recovery.

Chiropractor vs. physical therapist: the key differences

The simplest way to think about it:

  • A chiropractor helps get your joints moving and calms pain and nerve irritation.
  • A physical therapist helps you build the strength and movement to keep the problem from coming back.

In other words, chiropractic care often focuses on relief and restoring motion, while physical therapy often focuses on rebuilding and long-term function. There's plenty of overlap. Many chiropractors teach exercises, and many physical therapists use hands-on techniques. But each brings a different emphasis to your care.

When a chiropractor may be the better fit

You may want to start with a chiropractor if you have:

  • Back or neck pain that came on suddenly
  • A joint that feels stiff, locked, or stuck
  • Tension headaches that start in your neck
  • Pain that travels down your arm or leg, like sciatica
  • Stiffness from long days at a desk or on your phone
  • Discomfort in your back or hips during pregnancy

When a physical therapist may be the better fit

You may want to start with a physical therapist if you:

  • Are recovering from surgery, like a knee or shoulder repair
  • Have a sports injury and want to return to play safely
  • Feel weak, unstable, or unsure of a joint after an injury
  • Keep re-injuring the same area
  • Have trouble with everyday movements like stairs, lifting, or reaching
  • Want to rebuild strength and confidence after time off

Why many people do best with both

Pain relief and lasting strength go hand in hand. If a joint can't move well, it's hard to strengthen the muscles around it. And if the muscles stay weak, the joint is more likely to lock up again.

That's why combining both types of care often works so well. Chiropractic care can ease pain and restore motion. Physical therapy can then build the strength and control to protect that progress. Together, they address both the symptom and the cause.

For example, someone with low back pain might start with adjustments and decompression to calm the pain. As they feel better, physical therapy helps them strengthen their core and hips so the pain is less likely to return.

Not sure which you need? Start with an exam

You don't have to figure this out on your own. At Infinite Health Group, chiropractors and physical therapists work together under one roof. Every new patient starts with a thorough exam that looks at how your whole body moves, not just where it hurts.

Based on your exam, your doctor will recommend the care that fits your needs. That may be chiropractic care, physical therapy, or a plan that blends both. Because your providers share notes and talk to each other, your care stays connected from start to finish.

Curious how it works? Read what to expect at your first visit.

When to see a doctor first

Some symptoms need medical attention before chiropractic care or physical therapy. Call 911 or go to the emergency room if you have:

  • Loss of bladder or bowel control
  • Numbness in your groin or inner thighs
  • Sudden weakness in your legs or arms
  • Severe pain after a fall, car accident, or other major injury
  • Back pain with fever, chills, or unexplained weight loss

Once serious causes have been ruled out, our team can help you recover.

Frequently asked questions

Can I see a chiropractor and a physical therapist at the same time?

Yes. Many of our patients do. When your providers work in the same office, it's easy to coordinate your care so each visit builds on the last.

Which one is better for back pain?

It depends on what's causing your pain. Chiropractic care can help ease pain and stiffness, while physical therapy can build the strength that supports your spine. Many people with back pain benefit from both. Your exam will help show the best place to start.

Which one is better after surgery?

Physical therapy is usually the main focus after surgery, since it rebuilds strength and motion in a safe, step-by-step way. Your surgeon may have specific guidelines, and we'll follow them.

Do I need a referral?

Call our team at (212) 970-0047, and we can let you know what your plan requires.

Will my insurance cover my visits?

We accept most major PPO plans, either in-network or through out-of-network benefits. Select plans are in-network with our physical therapy department. We'll verify your coverage before your first visit. We don't accept EPO, HMO, or Medicare plans, but we do offer self-pay rates.

Which office should I choose?

Pick whichever is most convenient. Our Financial District office is at 150 Broadway, Floor 9, and our Midtown office is at 11 West 36th Street, Floor 4. Both offer the same high standard of care.

Get the right care from the start

You don't have to guess which provider you need. One thorough exam can show what's behind your pain and which type of care will help you feel better.

Book your consultation or call (212) 970-0047.

Infinite Health Group

Ready to feel better?

Book your consultation

One thorough exam can change how your body feels. Book with our team and find out what is really behind your pain.