Massages make all the difference to tense muscles

When it comes to musculoskeletal health, Australians are spoilt for choice. Chiropractors and physiotherapists are two highly trained, government-regulated professions that help people move and feel better—but they take different paths to get there. They are both first contact practitioners, which means you don’t need a doctor's referral to make an appointment with them.

So how do they compare, and which one might be right for you?

Education & Qualifications

Chiropractors in Australia must complete a five-year accredited program to become registered with the Australian Health Practitioner Regulation Agency (AHPRA). This usually involves either:

A double degree, or a 3-year Bachelor’s degree followed by a 2-year Master’s degree. There is also a 4-year chiropractic program offered by the Australian Chiropractic College in Adelaide, with a 1-year prerequisite.

After graduating, chiropractors must continue their professional development every year to stay registered. This includes attending seminars, completing training modules, and staying up to date with the latest research and techniques (Australian Chiropractors Association).

Physiotherapists also undergo intensive training, typically through a 4-year undergraduate degree or a 2-year postgraduate Master's degree if they already hold a relevant bachelor's. Like chiropractors, they are registered through AHPRA and must complete continuing professional development annually to maintain registration.

Treatment Focus

Both professions treat issues related to the muscles, joints, and nervous system, but they often approach treatment differently.

Physiotherapy focuses on restoring movement and function using exercise therapy, manual therapy, education, and rehabilitation strategies. It is commonly used after injury, surgery, or illness, and in managing chronic conditions.

Chiropractic care focuses more specifically on the spine, nervous system, and overall alignment. Chiropractors often use spinal adjustments (manipulations), soft tissue therapy, and lifestyle advice to support recovery and performance.

Chiropractors are trained to assess how the spine affects the nervous system and may work with people experiencing back pain, headaches, joint issues, or posture-related concerns.

Regulation & Evidence-Based Practice

Both chiropractors and physiotherapists are nationally regulated under AHPRA, meaning they are held to strict standards for education, ethics, and professional conduct. Both professions are committed to using evidence-based practice, combining the best available research with clinical experience and patient preferences.

The image shows a person receiving physical therapy, with a therapist assisting in leg movement while the patient lies on a treatment table.

Working Together

In many multidisciplinary clinics, chiropractors and physiotherapists work side-by-side—sometimes even co-managing the same patient. For example, a person recovering from a back injury might see a chiropractor to restore spinal mobility and alignment, and a physio to strengthen surrounding muscles and build long-term stability.

So Which One Should You See?

It depends on your needs. If you’re recovering from surgery or need a tailored rehab program, a physiotherapist may be your first choice. If you’re experiencing spinal discomfort, nerve irritation, or alignment issues, chiropractic care might be more suited.

Sometimes, the best approach is collaborative—and your provider may even refer you to the other profession if they believe it will support your progress.

References:

Chiropractic Qualifications - ACA

APA | PD Courses, Resources & Advocacy Support for Physiotherapists

Physiotherapy Board of Australia - Home

Chiropractic Board of Australia - Home