Monday, 17 June 2013

Osteopathy vs Chiropractic vs Physical Therapy vs Massage Therapy




 Similarities & Differences
         Osteopathy, Chiropractic, Physiotherapy, Massage Therapy
                                                    (DO vs DC vs PT vs MT)

European style Osteopathy (as opposed to the American style osteopathy which uses surgery & medication), massage therapy, chiropractic & physiotherapy are offered in a diploma or degree format. These four professions have more similarities than differences. They all offer valuable services to patients and are great health professions. In many cases and in many rehabilitation clinics, osteopaths, chiropractors, physiotherapists and massage therapists work together as a multidisciplinary team to get patients better in the best way applicable. They each offer unique & amazing health care which is much appreciated by patients worldwide.


Osteopathy
Chiropractic
Physiotherapy
Massage Therapy
Designation

DOMP, DO, BSc (O), MSc (O), PhD
DC, BSc (C), MSc (C)
BSc (PT), MSc (PT), PhD, DPT
RMT, LMT, MT, CMT


Average School Tuition

$5,000 to $100,000
$60,000 to $120,000
Free (government paid) to $100,000
$15,000 to $30,000


Study Time for Regular Students


From 1 to 4 years (depending on diploma or degree)
3 to 4 years
2 to 4 years
1 to 2 years
Accelerated Program Study Time for Students With Prior Health Education

4 months to 2 years (depending on student’s background & diploma or degree program)
1 to 2 years depending on student’s background
1 to 2 years depending on student’s background
4 months to 1 year depending on student’s background
Average Annual Income (in Canada, Australia, Western Europe & USA)
$90,000
$100,000
$80,000
$40,000


Average hiring salary for new graduates (in Canada, Australia, Western Europe & USA)
$30 per hour
$40 per hour
$40 per hour
$20 per hour
Average Hourly Treatment Fee (Canada, USA, Australia & Western Europe)
$80 to $140
$100 to $150
$80 to $150
$60 to $80
Hourly Fee Set by Financial Service Commission of Ontario (Canada) for Car Accident Patients
$57.67
$111.80
$98.86
$57.67





Insurance Coverage in Canada

Accepted by all major insurers
Accepted by all major insurers
Accepted by all major insurers
Accepted by all major insurers
Board Exams

Yes
Yes
Yes
Yes
Practice



Primary health practitioner. Can open independent clinic and see patients directly without supervision.
Primary health practitioner. Can open independent clinic and see patients directly without supervision.
Primary health practitioner. Can open independent clinic and see patients directly without supervision in most countries. In some places must be supervised by MD
Primary health practitioner. Can open independent clinic and see patients directly without supervision.

Medical Diagnosis
Yes (for degree holders), No (for diploma holders)

Yes
Yes
No
Manual Diagnosis
Yes, both diploma & degree holders can perform osteopathic diagnosis

Yes, can perform chiropractic diagnosis
No. Manual therapy diagnosis is not taught.
Yes. Orthopedic & physiotherapy diagnosis are taught.
No. Manual diagnosis is not taught.
Yes. Palpation  assessment is taught. 


Physiotherapy Modalities
Yes (diploma holders need extra training)
Yes
Yes
NO


Prerequisite to Education



High school graduation for diploma holders & BSc (O), university education for DO & MSc (O)
High school graduation in some countries, 
University education in others
High school graduation
High school graduation
Employment Potential
Zero unemployment. All osteopaths either find employment or open their own clinics.
Zero unemployment.
All chiropractors either find employment or open their own clinics.
Zero unemployment.
All physiotherapists either find employment or open their own clinics.
Zero unemployment.
All massage therapists either find employment or open their own clinics.

Radiography
Not permitted
Able to take x-rays
Not permitted
Not permitted

Radiology
Degree holders able to read x-rays. Diploma holders no.
Able to read x-rays
Not able to read x-rays in most countries. Some countries permit.
Not able to read x-rays

Most Common Disorder Treated
Low back pain followed by neck pain
Low back pain followed by neck pain
Low back pain followed by neck pain
Low back pain followed by neck pain

Foot Orthotics
Able to cast & dispense
Able to cast & dispense
Able to cast & dispense
Not able in most jurisdiction. In some they are permitted with extra training.
Orthopaedic Bracing
Able to dispense
Able to dispense
Able to dispense
Not able in most jurisdiction. In some they are permitted with extra training.
Compression support hose
Able to dispense
Able to dispense
Able to dispense
Not able in most jurisdiction. In some they are permitted with extra training.
Treatment Plan
Able to sign
Able to sign
Able to sign
Able to sign
functional Abilities Evaluation
Degree holders permitted.
Permitted
Permitted
Not permitted
Job Site Analysis
Degree holders permitted
Permitted
Permitted
Not permitted
Home Based Assessment
Degree holders permitted
Permitted
Permitted
Not permitted
Independent Medical Evaluation
Degree holders permitted
Permitted
Permitted
Not permitted
Treatments at Home
Permitted
Permitted
Permitted
Permitted

Regulation
Regulated in 7 countries
Regulated in 7 countries
Regulated in all countries
Regulated in 7 countries
Can Open Independent Clinic
Yes, in all countries
Yes, in all countries
Yes, in some countries. Elsewhere PTs must work in an MD owned clinic or hospital
Yes, in all countries
Largest Schools in Canada
National Academy of Osteopathy
Canadian Memorial Chiropractic College
University of Toronto
Humber College
Largest Schools Internationally
National University of Medical Sciences
Palmer University
University of Southern California
National Holistic Institute Schools of Massage Therapy
Founder
Dr Andre Taylor Still
Dr Daniel David Palmer
Henrique Ling
Unknown
First known school
121 years ago in USA
116 years ago in USA
100 years ago in UK
Less than 100 years ago in USA
Largest Association
International Osteopathic Association
American Chiropractic Association
American Physical Therapy Association
American Massage Therapy Association

Osteopathy vs Chiropractic vs Physical Therapy vs Massage Therapy 



Differences & similarities between osteopathy, physiotherapy, massage therapy & chiropractic. Diferenças e semelhanças entre a osteopatia, fisioterapia, massagem terapêutica e quiroprática
Diferencias y similitudes entre osteopatía, fisioterapia, terapia de masaje y quiropráctica
Differenze e somiglianze tra osteopatia, fisioterapia, massoterapia e chiropratica
Différences et similitudes entre l'ostéopathie, la physiothérapie, la massothérapie et la chiropractie
تفاوتها و شباهتهای رشته‌های استئوپتی، فیزیوتراپی، کایروپرکتیک و ماساژ درمانی
异同之间骨病,理疗,按摩疗法整脊
정골 요법 사이의 차이점 유사점, 물리 치료, 마사지 치료 척추 교정 지압 요법
オステオパシーの違いと類似点、理学療法、マッサージ療法&カイロプラクティック
Verschillen en overeenkomsten tussen osteopathie, kinesitherapie, massage therapie & chiropractie
Различия и сходства между остеопатия, физиотерапия, массаж и хиропрактика


57 comments:

  1. Actually read thru your chart and as a chiropractor I know your numbers for some are way off. The chiropractic program is usually a 5 year program but most students complete it in 4 years by going thru the summer rather than taking it off.
    Also, I believe Life University is by far the largest chiropractic college by number of students.

    ReplyDelete
    Replies
    1. Thank you for your comment. Yes, it is 5 years but to make it faster they offered it at shorter time. I had Palmer as the largest but will check it out.

      Delete
    2. The Association of Chiropractic Colleges actually considers the standard to be 4 years:
      http://www.chirocolleges.org/prospective_students.html

      Delete
  2. I'd love to see a comparison of philosophies, and a comparison of conditions helped (as patients choose the practitioner on their own, rather than according to academic popularity) (probably harder to compile) Thanks for the nice chart.

    ReplyDelete
    Replies
    1. You are most welcome. As I am a chiropractor and an osteopathic manual practitioner I get to see both professions firsthand. If I get a chance I would make another chart as you suggested. However I can tell you first hand that they are quite similar in what they treat, techniques are quite much the same as well, when you consider Dr Palmer was a student of Dr Still, and the philosophies are similar as well in regards to health but the focus is different. Chiropractic uses more (a lot more!) manipulation, and some do not even do soft tissue therapy, and many use modalities. DCs are also more forceful in their techniques.
      Osteopath on the other hand rarely use modalities. National Academy of Osteopathy is the only school in Canada teaching physiological therapeutics. Osteopaths also use less force and a lot more gentle techniques and force and they incorporate STT a lot more than DCs. Osteopaths also founded muscle energy technique (which was renamed by physiotherapists to PNF and adopted by chiropractors), and they use MET all the time while chiropractors do not use PNF that often.
      DCs use orthotics often, while osteopaths rarely do.
      Chiropractors are treatment based (with no set time allowed), while osteopaths are mostly hourly based (30 minutes and 1 hour treatments are the norm).
      These are some of the things that came to my mind right away..

      Delete
    2. Dr. Palmer was not a student of Dr. Still. That is a rumour that has never been proven.

      Delete
    3. This blog contains some good informations.

      Delete
  3. You are most welcome. As I am a chiropractor and an osteopathic manual practitioner I get to see both professions firsthand. If I get a chance I would make another chart as you suggested. However I can tell you first hand that they are quite similar in what they treat, techniques are quite much the same as well, when you consider Dr Palmer was a student of Dr Still, and the philosophies are similar as well in regards to health but the focus is different. Chiropractic uses more (a lot more!) manipulation, and some do not even do soft tissue therapy, and many use modalities. DCs are also more forceful in their techniques.
    Osteopath on the other hand rarely use modalities. National Academy of Osteopathy is the only school in Canada teaching physiological therapeutics. Osteopaths also use less force and a lot more gentle techniques and force and they incorporate STT a lot more than DCs. Osteopaths also founded muscle energy technique (which was renamed by physiotherapists to PNF and adopted by chiropractors), and they use MET all the time while chiropractors do not use PNF that often.
    DCs use orthotics often, while osteopaths rarely do.
    Chiropractors are treatment based (with no set time allowed), while osteopaths are mostly hourly based (30 minutes and 1 hour treatments are the norm).
    These are some of the things that came to my mind right away..

    ReplyDelete
  4. Physiotherapy is now a master's program. The prerequisite is an undergraduate degree.

    ReplyDelete
    Replies
    1. Yes, in some school they have made it a master's degree.

      Delete
  5. So it looks like MT is the best deal.... cost of training vs income. I am in the states, have my own business and am a Trigger point therapist and LMT.

    ReplyDelete
    Replies
    1. When you consider the potential income with the amount of study time, the diploma in osteopathic manual practice (DOMP) is the best deal. It is 8 months, with tuition of $8426 and the graduates are hired at $30 per hour. For students with prior health education; such as massage therapists, the tuition is $5026 and the time to get the DOMP is 4 months.
      That is why 100s of massage therapists, physiotherapists and chiropractors study manual osteopathy.

      Delete
    2. Where in California can you find a DOMP program?

      Delete
    3. National Academy of Osteopathy www.nationalacademyofosteopathy.com
      www.fb.com/osteopathycollege

      Delete
  6. i am physical therapy student and i hope learning at america or europe can you help me

    ReplyDelete
    Replies
    1. Yes, it will.I suggest you add osteopathic manual practice to your education as well. Osteopathy and physiotherapy complement each other very well. We have 100s of physiotherapists in USA, Canada and elsewhere who have joined us and now provide osteopathic care to patients in addition to physical therapy.

      Delete
  7. WITH ALL DUE RESPECT, I WANT TO DRAW YOUR ATTENTION TOWARDS, PHYSIOTHERAPY COURSE. PHYSIOTHERAPIST HAVE VERY STRONG FOUNDATION IN ANATOMY AND PHYSIOLOGY,AND DURING THEIR, 4 AND HALF YEAR DEGREE COURSE, MANUAL THERAPY AND MASSAGE THERAPY IS A MANDATORY PART OF THE CURRICULUM. MANIPULATION WHAT WE CALL AS HVLATT( HIGH VELOCITY, LOW AMPLITUDE THRUST TECHNIQUE)IS PERFORMED BY THERAPIST WHO HAD DONE ADVANCED COURSES IN MANUAL THERAPY.ALSO THOSE WHO HAD DONE DEGREE IN PHYSIOTHERAPY, CAN HAVE OPTION TO DO MASTER IN PHYSIOTHERAPY WITH SUPER SPECIALIZATION IN MANUAL THERAPY, ORTHOPAEDICS, SPORTS MEDICINE, CARDIOPULMONARY, EXERCISE THERAPY,EXERCISE PHYSIOLOGY,BIOMECHANICS,GERIATRICS,NEUROSCIENCES. IF A PHYSIOTHERAPIST, HAS ALL THE THINGS IN THEIR COURSE STRUCTURE, WHY THEY NEED TO DO OSTEOPATHY OR CHIROPRACTOR COURSE. WHICH WHICH DO NOT HAVE ELECTROTHERAPY,EXERCISE THERAPY ETC IN THEIR COURSE STRUCTURE.IF WE HAVE SO MANY THINGS IN COMMON, WHY DONT WE MERGE THE PROFESSION, RATHER THAN FIGHTING FOR INDIVIDUAL IDENTITY.

    ReplyDelete
    Replies
    1. Dear Dr. Most physiotherapy programs do not teach manual techniques. That is why osteopathy is so popular for physiotherapists. For example in Italy, the osteopathic school there only accepts physiotherapists and they had 100s of students.

      But we have physiotherapists in Canada who have taken manual therapy but still register for the osteopathy program as it gives them another license number so they can double the insurance benefit of patients. So patients can have access to more treatments if they need.

      Another reason is as well that osteopathy is the #1 choice of patients for low back pain treatment in Canada. So by becoming an osteopath, physiotherapists receive more referrals.

      Majority of osteopaths in Canada are fully booked and there is a waiting list of 1 to 2 months to see one, while most physiotherapists do not have enough patients. That is another reason why physiotherapists, chiropractors and massage therapists study osteopathy.

      By the way in Canada chiropractors study physiotherapy modalities for 1 year and have to pass a board exam in modalities (I am a chiropractor and an osteopath). And in our osteopathic schools we also teach physiotherapy (we are the only one in Canada and Spain to do so).

      And contrary to your post, we teach rehab and exercise therapy. We have one full course in therapeutic exercise as well as other courses in sports medicine.

      Physiotherapy and osteopathy complement each other very well. And there are 1000s of dual degree physio/osteopaths who are providing amazing services for the sick.

      Delete
  8. The comparison table of chiropractic, osteopathy, and physiotherapy and massage therapy has given here. These all have own importance for different persons.
    physiotherapist bergen county , physical therapy bergen county

    ReplyDelete
  9. I liked the chart, very interesting. I hope to be part of the NAO graduates very soon!

    ReplyDelete
  10. Dear Dr P,
    To train as an Osteopath in Australia takes five (5) years and is generally a double-degree course. The courses here are neither shorter nor longer than this.

    ReplyDelete
    Replies
    1. Yes, that is correct. Australia has the longest study time for osteopathic education worldwide.

      Delete
    2. This comment has been removed by the author.

      Delete
  11. i am a medical graduate from Pakistan, how can i get admission

    ReplyDelete
    Replies
    1. Please send an email to admissions@numss.com and they will send you the academic calendar, application and all the required information about National University of Medical Sciences. You can also visit www.numss.com for more info. We are located in Spain but teach online worldwide, with optional practical classes in 65 cities in 35 countries. We teach 31 online health related degree programs. Do not forget to check out the list of our scholarships at our website. We have numerous scholarships available for students. On June 22nd, to celebrate World Osteopathy Day, we gave over one million dollars in scholarship to 100 students worldwide. Thank you for contacting NUMSS.

      Delete
  12. This comment has been removed by a blog administrator.

    ReplyDelete
  13. From all the comments here it seems that osteopathy is very famous in canada. But from my experience and from conversations with professionals in medical field , not many know about osteopathy. And moreover the doctors refer their patients to chiros and physiotherapists only as they believe osteopathy is not a regulated profession in Canada. So in this scenario how do the osteopaths (DOMP) get their client referrals? How would they be able to open their practise if no one refers them? Any comments in this please. Thanks

    ReplyDelete
    Replies
    1. Many doctors do refer to manual osteopaths and that is because manual osteopathy is known to be highly effective in chronic pain relief. Most patients seek manual osteopaths through word of mouth referrals as a last resort when they did not get better elsewhere. It is quite common for medical doctors refer patients after physiotherapy and other treatments did not help their patients. It is the effectiveness of what we do is the reason why most manual osteopaths are completely booked. As you see, manual osteopaths do not do advertising as they do not need to as their current patients are the ones who refer others.

      Delete
  14. I have read your blog.Thanks for your kind blogging.I know many idea form your blog. Five Dock

    ReplyDelete
  15. This is very informative blog I ever heard. This blog containing so much information regarding Back pain relief Back pain relief
    that is very helpful for each and every person. Osteopathy, physiotherapy, Massage therapy and so on, provide good feeling in our body, we really feel good and freshness in our body after applying this treatment.

    ReplyDelete
  16. We accept most public and private insurance plans. We also offer special pricing for cash-paying patients or those with limited benefits. Restoration Medical Care's mission is to provide personalized, high-quality care to patients who are in need. We focus especially on those who have not responded to traditional treatment by their primary care provider or specialist(s). Just like Dermatology, Cardiology or Oncology, Osteopathic Manipulative Medicine (OMT) is a specialty subset of medical knowledge and skills. While all osteopathic physicians are trained to do it, only a few dedicate sufficient time and energy to become experts. At Restoration Medical Care, we serve our patients as a partner to their Primary Care Providers (PCPs) by Dr. Osteopathy providing a scope of treatments that address conditions many PCPs find frustrating, difficult to resolve and outside their training.

    ReplyDelete
  17. Hi, thanks for your kind blog.It is so follow able.
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  18. This comment has been removed by the author.

    ReplyDelete
  19. hi, im a philippine registered nurse and planning to enroll in osteopathy (5years) in australia, but i just learned about this diploma course which will only take 4 to 8 months of study. is it worth it to take the degree or i'll go for the DOMP? need advise thanks..

    ReplyDelete
    Replies
    1. We also have the 4 years program as well. Diploma is 6 months to a year. Degree is 3 to 4 years. We offer doctor of osteopathy as well. www.numss.com.

      Delete
  20. I would like to become an OD. What are my chances of getting licensed to practice as a manual osteopathic practitioner in the United States? I've been looking every where on the web for guidelines and I can't find anything regarding this matter. It would be very disappointing to graduate and then later not being able to practice. Will i be able to have my transcripts evaluated and if so, what will be the equivalent here in the United States. Thanks in advance for your help.

    Thanks, Virginia

    ReplyDelete
    Replies
    1. We have many graduates in US, and now have also opened the first ever manual osteopathy in Naples, Florida. www.numss.us

      Delete
  21. great post so easy to read keep it up please,
    RMT massage Toronto

    ReplyDelete
  22. Should I become a chiropractor or a massage therapist?
    chiropractic and massage

    ReplyDelete

  23. Authentic Quebec based Massage Therapy Association (AQTN) is a voluntary member organization dedicated to the profession of massage therapy;
    the organization is a valuable resource for both its members and current or potential massage therapy clients. More Massage Therapy: association massothérapeutes Québec

    ReplyDelete

  24. Authentic Quebec based Massage Therapy Association (AQTN) has begun to place itself within various aspects of life and work.
    The need for therapists has grown and the popularity surrounding this alternative form of healing has increased.
    One can assume that massage therapy will continue to gain popularity as a successful healing and curative procedure.
    Please visit us:association massothérapie Québec

    ReplyDelete
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  30. Thank you for sharing such wonderful information!In my opinion, Keep a healthy life by consuming healthy food and doing exercise regularly is the best healthy formula.


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  31. Dear Dr. shahin I'm shahin sherief RN,BSN and PG diploma in nursing in management. I'm currently residing in Canada , I'm really interested to do manual osteopath course. how much will be the duration, turion fees , employment rate . please explain .

    ReplyDelete
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