Chiropractor

As America’s Baby Boomer generation ages and the scientific understanding of pain and movement evolves, the demand for physical therapists and chiropractors has grown significantly in recent years. Physical therapists and chiropractors use non-surgical methods to provide treatment, rehabilitation, or preventive care to those of all ages. Both typically work in an office, clinic, care facility, or home visit setting, where patients can receive one-on-one care. However, the professions differ in treatment philosophy. Physical therapists use exercises, hands‑on therapy, and assistive equipment to provide care. This includes demonstrating exercises or stretching maneuvers for patients to do at home, using hands‑on treatment such as stretching muscles, or equipment such as wheelchairs or exercise machines. Some PTs may see many different patients in one day, working with everyone from a patient who has cerebral palsy to a patient recovering from a sports injury. Others may focus on a specific area of practice, such as pediatric or orthopedic care. Typically, physical therapists are seen by referral and work as part of a patient’s care team. Physical therapists must obtain a Doctor of Physical Therapy (DPT) degree and be licensed to practice physical therapy. Licensing requirements vary by state but universally require passing the National Physical Therapy Examination. Some physical therapists may want to pursue a specialty through the American Board of Physical Therapist Specialities (ABPTS). The ABPTS offers nine specialties, including women’s health, oncology, geriatrics, and sports. Alternatively, chiropractors focus on the alignment of the musculoskeletal system, particularly the spine, to provide treatment and care. They use spinal adjustments, ultrasound, massage therapy, and more to help patients with musculoskeletal health problems. The field has over 100 methods of treatment, and there is a wealth of chiropractic specialties to work in. Chiropractors may choose to specialize in multiple methods or work within a specific area of chiropractic. Similar to physical therapists, chiropractors may see a lot of different patients in one day. However, seeing a chiropractor does not require a referral unless otherwise required by a health insurance plan. Chiropractors must be licensed to practice chiropractic, requiring obtaining a Doctor of Chiropractic (DC) degree. While states have different licensure requirements, each state requires passage of the National Board of Chiropractic Examiners exam. Side-by-Side Comparison: Chiropractor vs Physical Therapist (PT) Below is a side‑by‑side comparison of chiropractors and physical therapists, including the typical timeline to practice, responsibilities, education, licensure, and professional resources. Physical Therapists (PTs) Education Chiropractors are not required to have a bachelor’s degree but must have a Doctor of Chiropractic (DC) degree. However, most state licensing boards require chiropractors to have a bachelor’s degree and a DC degree. Many accredited chiropractic schools offer concurrent BS/DC degrees. Additional certifications in a variety of specialties are also available. Physical therapists must earn a bachelor’s degree and a Doctor of Physical Therapy degree (DPT). There are many accredited programs that offer concurrent BS/DPT degrees. The American Board of Physical Therapist Specialities (ABPTS) offers additional certifications in nine specialty areas. Timeline to Practice It typically takes over three years of graduate education, training, and credentialing for chiropractors to practice after earning a bachelor’s degree. After earning a bachelor’s degree, PTs generally take three years of graduate education and training to qualify for a license to practice. However, additional residency and fellowship options may extend this timeline to four or five years. Typical Duties Review patients’ medical history and meet with them to understand their concerns. This may include a physical examination, such as testing their reflexes or assessing their posture. Work with patients to develop a care plan, including other health and lifestyle advice, such as nutrition or sleep patterns. Use neuromusculoskeletal therapy to adjust patients’ spine, joints, and more. This may include massage therapy, spinal manipulations or adjustments, or using additional equipment such as braces. Monitor patient progress, adjusting care plans as needed or referring patients to a medical provider. Go over referrals, notes, and medical history provided by patients’ care teams. This could include information provided by surgeons, primary care physicians, and more. Meet with patients to understand their health needs, including having them perform exercises and movements to diagnose areas needing care. Compile individualized care or recovery plans for each patient, bringing together information provided by their care team and themselves. Work one‑on‑one with patients to meet their care plan goals. This could include demonstrating exercises or stretching maneuvers, using hands‑on therapy, or equipment such as wheelchairs or exercise machines. Monitor patient progress and update care plans as needed. Provide education and health and wellness information to patients around the care process. Can They Prescribe Medicines? No. Chiropractors are not licensed medical professionals. However, alternative medicines and hands‑on natural healing approaches are the bedrock of this profession, and therefore, prescribing medicine is outside of its focus. No. While physical therapists commonly work as part of a healthcare team and may recommend certain kinds of medical treatment, they cannot prescribe medicine. Common Practice Settings Chiropractors typically work in a clinic or office setting, although some chiropractors may provide care at a patient’s home or work non‑traditional hours to accommodate patients’ schedules. Most physical therapists work in a clinical or office setting. However, PTs may also work in a care facility or home visit setting where patients can receive one‑on‑one care. Licensing and Certification Licensure requirements vary state‑by‑state. However, all states require passage of the National Board of Chiropractic Examiners exam. This exam includes four parts that test applicants on basic science, clinical science, clinical areas, and practical skills. There are also elective exams offered in acupuncture and physiotherapy. Licensed chiropractors may choose to receive their diplomate (certification) through one of the specialty boards or councils recognized by the American Board of Chiropractic Specialities (ABCS). Requirements differ by state and specialty board or council. However, those looking to obtain their diplomate (certification) generally need to complete additional clinical work in the specialty area and potentially pass additional exams. Note that available specialties may vary by state. Some states do not permit certain chiropractic specialties, so chiropractors interested in a specialty area should check state licensing requirements before pursuing a diplomate (certification). Each state requires passage of the National Physical Therapy Examination, regardless of individual licensing requirements. This exam is administered by the Federation of State Boards of Physical Therapy (FSBPT). Some states may require additional exams, such as a jurisprudence exam that tests knowledge of state laws and regulations. Those ready to apply for licensure should check the individual requirements for the state they want to practice physical therapy. The American Board of Physical Therapist Specialities (ABPTS) is the primary professional board that manages specialist certification for physical therapists. The ABPTS offers ten specialties: Cardiovascular & Pulmonary Clinical Electrophysiology Oncology Women’s Health Geriatrics Neurology Orthopaedics Pediatrics Sports Wound management Physical therapists looking to get certified in a specialty area are required to 1) Pass an exam and either complete 2,000 hours of clinical work in the specialist area they are interested in; or 2) Successfully complete a clinical residency program in that specialist area. Continuing Education Requirements Continuing education requirements and subjects vary by state. For example, California requires 24 hours of continuing education a year, while Iowa requires 60 hours over two years. States condition license renewal on meeting these continuing education requirements. Physical therapists should check with their state licensing board for continuing education requirements. Many states will only renew a license to practice physical therapy if continuing education requirements are met. Physical therapists may take continuing education courses on new state laws, best practices, or recent trends. Specializations Chiropractors interested in choosing a specialty can focus on specific patient populations, such as sports or neurology. Chiropractors looking to choose a specialty will need to pursue additional credentials in addition to licensure requirements. The American Board of Chiropractic Specialities (ABCS) coordinates specialty councils and boards accredited by the American Chiropractic Association (ABA). Each board and council represents a different specialty and has additional requirements for certification (also known as diplomate certification) that may differ by state. Typically, certification requires additional clinical experience, passage of an exam, and annual continuing education requirements to stay up-to-date on current trends and best practices. Physical therapists interested in specializing may choose to complete a clinical residency program after they receive licensure. These typically year‑long programs provide the opportunity to gain experience and specialized training. Additional fellowships are also available for those who wish to gain a deeper understanding of specific specialty areas. Career Outlook (Bureau of Labor Statistics, 2023‑2033) The BLS (2024) expects employment for chiropractors to grow by 10 percent between 2023 and 2033, as more health insurance plans cover chiropractic care and the Baby Boomer generation ages. This will add 6,100 jobs nationally. The BLS (2024) projects demand for PTs will increase by 14 percent by 2033; this is primarily a result of the aging Baby Boomer population in the United States. This will add 36,800 jobs nationally. Physical Therapist Centralized Application Service (PTCAS) Salary Data Chiropractor vs Physical Therapist How Much Do Chiropractors Make? The BLS shows chiropractors earned an average annual salary of $91,830. Here are the wage percentiles for the same year: United States Number employed in the U.S. 37,630 Average Annual Salary $91,830 10th Percentile $44,780 25th Percentile $59,320 50th Percentile (Median) $79,000 75th Percentile $104,000 90th Percentile $149,990 How Much Do Physical Therapists Make? In May 2024, the BLS reported that the average annual salary for physical therapists is $102,400. The wage percentiles for the same year are as follows: United States Number employed in the U.S. 248,630 Average Annual Salary $102,400 10th Percentile $74,420 25th Percentile $83,470 50th Percentile (Median) $101,020 75th Percentile $117,190 90th Percentile $132,500 #J-18808-Ljbffr