Sometimes, when back pain strikes, the biggest question isn’t only about finding relief—it’s also about who to see to address it.
Many patients struggle to decide between visiting a physical therapist or a chiropractor for back pain, posture problems, and more, since what they do often overlaps. However, both physical therapists and chiropractors play complementary roles to attain better outcomes, which is why many opt to see both.
Let’s break down their key differences to understand each approach better and how Houston Spine & Rehabilitation Centers combines both specialties to deliver holistic back pain relief.
To understand how chiropractors and physical therapists work together, it’s important to distinguish them from each other first.

Chiropractic care primarily focuses on restoring proper alignment within the spine so the body can heal itself and function more efficiently.
These spinal misalignments interfere with the musculoskeletal and nervous systems, as conditions like bulging discs and shoulder impingement put undue pressure on nerves. They often result in pain, stiffness, and reduced mobility.
To address them, a chiropractor will apply controlled thrusts on the misaligned section of your spine to restore it. This relieves pressure on nerves, reduces inflammation, and improves mobility, offering quick relief while supporting long-term healing.

Physical therapists focus on functional recovery. Their goal is to help patients move better and become stronger to restore their quality of life.
More specifically, therapists assess how a patient’s muscles and joints work together. Then, they create targeted exercises to strengthen weak areas and correct any movement patterns that need improvement. This makes physical therapy ideal for long-term healing, particularly for recovery from injury and surgery.
Although chiropractors and physical therapists use different approaches, they ultimately aim to achieve the same outcome for patients:
Both chiropractors and physical therapists complement each other. Chiropractic adjustments improve alignment and reduce nerve irritation, making it easier for a patient to move and perform physical therapy exercises effectively.

Upper and lower back pain stem from various causes. So, when choosing between a physical therapist vs. a chiropractor for back pain, the right choice will depend on your specific symptoms and recovery goals.
You’ll benefit from seeing a chiropractor when your back pain is related to spinal misalignments. They provide precise adjustments that relieve nerve pressure, improve mobility, and restore the body’s balance for better mobility.
Physical therapy is ideal when your goal is to rebuild strength and address chronic back and neck pain after an injury or surgery. Your therapist will design a program to retrain your movement patterns and restore the strength and flexibility of your muscles for lasting recovery.
For many, the most effective and efficient solution is to combine both treatments into a holistic recovery plan. This approach ensures the spine is correctly aligned while also restoring the muscles that maintain this alignment, allowing patients to experience lasting pain relief.
Houston Spine & Rehabilitation Centers believes there’s no single way to treat back pain. Instead, we trust in a holistic approach that maximizes all avenues, including chiropractic care and physical therapy services, to tackle the root cause of pain and support long-term healing.
Our fully equipped clinics in Houston, The Woodlands, and Sugar Land help locals manage acute, chronic, and post-injury back pain, among other conditions. So, if you’re looking for a reliable back pain chiropractor and physical therapist in these areas, we’ve got you covered.
A chiropractor specializes in realigning the spine to alleviate pain and restrictions caused by nerve irritation. Meanwhile, a physical therapist focuses on restoring a patient’s ability to move functionally.
Absolutely! Seeing a chiropractor and a physical therapist allows you to address misalignments and restore your functional movement, leading to a more holistic recovery.
Yes. Many patients suffering from chronic back pain have found relief from chiropractic care, particularly if their condition stems from nerve irritation due to spinal misalignment.
It depends on your specific condition, symptoms, and biology. That said, many of our patients see results within a few physical therapy sessions.
No treatment is necessarily “better.” Chiropractic adjustments will provide you with acute relief to make physical therapy more manageable, so you can address the causes of your sciatica or herniated disc while preventing their recurrence.
Whomever you choose between a physical therapist and a chiropractor for back pain, what matters most is that you’re getting personalized, consistent care.
That’s precisely what we offer at Houston Spine & Rehabilitation Centers. We provide holistic back pain relief in The Woodlands, Houston, and Sugar Land, allowing you to enjoy the benefits of both chiropractic care and physical therapy. So, schedule your consultation today!