Chiropractic is an independent therapy aimed at the examination and
treatment of musculoskeletal mechanical problems (ie, joints, muscles,
ligaments). The focus here is on the treatment of the spine and its
effects on the function of the nervous system. Chiropractors use targeted
impulses, manipulating handles and special bearings. In osteopathy,
however, the almost innumerable interrelations between the locomotor
system (parietal osteopathy), the internal organs and its vascular
structures (visceral osteopathy) and the cranium and its structures
(craniosacral osteopathy) are taken into account in the examination and
While chiropractic today is (almost) exclusively a musculoskeletal
therapy, osteopathy has evolved considerably and today is divided into
three major areas,
* Structural or Parietal Osteopathy. This area deals with the
musculoskeletal system and is very similar to chiropractic.
* Visceral osteopathy. This area deals with the internal organs. Here
is essentially an attempt to influence the position and proper motion
of the organs and their mobility against each other.
* Craniosacral osteopathy. This area was originally concerned with the
cerebro-spinal fluid, the “brain fluid” and the structures surrounding
the brain and spinal cord, the skull and the spine. In the meantime,
however, work is very differentiated with other fabrics.
Chiropractic or osteopathy are not recognized by mainstream medicine
because of insufficient scientific efficacy studies. The above
description of the therapy is therefore a thought model based on the
experiences of users.
The terms chirotherapy and manual therapy are more recent. Doctors have
been using the term chiropractic for several years to differentiate
themselves from those practicing healer and American-style chiropractors,
both of whom use the term chiropractic. There is no difference in
content. Manual therapy is an additional qualification for
physiotherapists that includes both chiropractic and osteopathic
elements, except that the manual therapist may not use so-called
“high-velocity techniques” (osteopathic techniques). These are reserved
for non-medical practitioners and doctors.
Here are some tips for dealing with therapists:
* A therapist who has the therapy name “chiropractic”, “chiropractic”
or “osteopathy” on his practice shield should also master the
respective therapy. Do not hesitate to ask for the appropriate training
of the therapist.
* Before and during the treatment, explain exactly what the therapist
intends or intends to do.
* If you are afraid of a particular treatment technique, say so. The
therapist should always have multiple treatment alternatives or explain
why the fear is unfounded.