What is the difference in the service provided by a regulated osteopath, a chiropractor or a physiotherapist?

subluxation When I used give talks to chiropractors and students one of my slides would put up the British Chiropractic Associations definition of Chiropractic , The British Osteopathic Associations definition and the chartered physiotherapists definition and would ash which was the chiropractor.
Last year I interviewed 8 prospective new graduates from AECC and asked each one. What is the difference between a chiropractor and a physiotherapist that does manipulation, the students were unable to explain the difference. They would say things like we look for the cause, we look at the whole body as if physiotherapists did not and it would always come down to x-rays and I would point out 75% of chiropractors dont have x-ray facilities.
The answer is simple enough however the regulators in their efforts to set “ medical standards” for chiropractic and osteopathy are trying to make the professions so similar, that there is  now very little difference between the professions and are ripe for amerging  into a branch of manual medicine.
Ten years ago all chiropractic definitions  made clear chiropractors did not use drugs, not any more. I have taken four definitions; a chiropractic definition from the AECC chiropractic College another from  the World Health Organisation, Osteopathy from  the British school of Osteopathy and the Physiotherapy Society.
Everyone will get one right for a very simple reason, its what they call in marketing jargon the chiropractors  USP.
  What is XXXXXX?

XXXXXX is a primary health care system, complementary to other medical practices. It is suitable for almost anyone and can contribute to the treatment and management of a wide range of

conditions. XXXXXX primarily work through the neuro-musculo-skeletal system, mostly on muscles and joints, using holistic and patient centred
approaches.

A core principle behind XXXXXX is the idea that the body is an integrated and indivisible whole, and contains self-healing mechanisms that can be utilised as part of the treatment. No part of the body works, or can be considered, in isolation. Relevant psychological and social factors also form part of the process of patient diagnosis.

The key tools for XXXXXXX diagnosis include listening to the patient’s history, examining muscles and joints and observing movements. X -rays, scans and other clinical investigations are also used if required. A wide range of gentle, non-invasive manual techniques such as deep tissue massage, joint articulation and manipulation are
applied therapeutically.

XXXXX must be registered with the  XXXXXXX Council in order to practice. Patients may be referred by their doctor, or may opt to see XXXXXX independently.

 

What is XXXXX?

XXXXXX is a primary contact healthcare discipline that places its emphasis on the examination, diagnosis and management of problems and/or conditions that can affect the spine, muscles or extremity joints of the body.

Most people associate XXXXXX with just the treatment of back pain, neck pain and headaches. We go further than that by taking into consideration your overall health status before embarking on a treatment programme, in co-operation with you, the patient.

We commonly see patients with:

  • Back or neck pain

  • Migraine headaches

  • Sporting & accidental injuries

  • Whiplash related problems

  • Work related aches and pains

  • Limb pain, numbness and tingling

  • Arthritic and other joint problems

Although specialising in the mechanical disorders of joints and muscles, particularly those of the spine, XXXXXX have to take into consideration, for example, the patient’s home and work environments, sporting activities, hobbies and anything else that could have an effect on an individual’s physical and mental health.

 

What is XXXXXX?

XXXXXX is a healthcare profession with a science foundation. The range of work is very broad and varied and involves working with people to promote their own health and well being.

XXXX uses physical approaches to promote, maintain and restore physical, psychological and social well-being, taking account of variations in health status.

XXXXX is science-based, committed to extending, applying, evaluating and reviewing the evidence that underpins and informs its practice and delivery. The exercise of clinical judgement and informed interpretation is at its core."

 

What is XXXXX

A health care profession concerned with the diagnosis, treatment and prevention of
disorders of the neuromusculoskeletal system and the effects of these disorders on
general health. There is an emphasis on manual techniques, including joint adjustment
and/or manipulation, with a particular focus on subluxations.

The Chiropractic College definition. The Osteopathic College definition 

Chartered Society of Physiotherapy definition  World Health Organisation definition

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Richard Lanigan
Richard Lanigan

Richard Lanigan DC.BSc (Chiro) MSc( Health Promotion) was born in North London 1957 of Irish Parents and was educated in Ireland. Originally trained as a PE teacher, he moved to Denmark 1979, where a serious knee injury got him interested in rehabilitation and training methods. Richard founded Denmarks premier fitness centre "Sweat Shop" in 1982 and travelled all over the world to find how best to prepare athletes for competition. In 1984 he became fitness and rehab consultant to the Danish national badminton teams, handball teams and many football club sides. This approach to optimal performance is normal in 2010, however back in the early 80s it was very revolutionary, when stretching was limited to putting on your socks and knee injuries were immobilised for months in plaster.
Richard developed rehabilitation and fitness programmes for many of Denmark’s top athletes including Kirsten Larsten and Ib Frederickson, all England singles badminton champions in late 80s. "Team Denmark" hired him and his facilities to help prepare many of Denmarks athletes for the LA and Seoul Olympics. In 1990 he worked with Anya Anderson, Olympic gold medallist and voted worlds best female handball player at the Atlanta Olympics.
Richard advised Copenhagen’s main teaching (Rigs) Hospital on starting their rehab facility in 1984. In the same year he started working with Denmarks leading chiropractor; Ole Wessung DC, who demonstrated the effectiveness of Chiropractic in improving athletic performance, so impressed was Richard that in 1990 he moved back to England to study chiropractic at Anglo European College of Chiropractic and was student president for two years between 1993-1995.

Richard was awarded a fellowship by the College of Chiropractors in 2008, however in January 2009 Richard chose to stop using the title chiropractor in the UK because the British regulatory body for chiropractic (The GCC) had not maintained international standards of chiropractic education in the UK and including prescribing medicines in the chiropractic scope of practice, a fig leaf for incompetent UK chiropractors to hide behind. Richard has another clinic in Dublin and is a member of the Chiropractic Association of Ireland and the European Chiropractic Union.
Richard has four children Eloise aged 3, Molly and Isabelle aged five and the eldest Frederik aged twenty one is pursuing a career as a professional tennis player and has represented Norway in the Davis Cup in 2006 & 2007. None of Richards children have ever taken any medicine, www.vaccination.co.uk they eat healthy food, take lots of exercise and have their spines checked every month, www.familychiropractic.co.uk
Richard has had much experience working in the Cuban health service where Doctors are keen to incorporate drug free interventions (acupuncture and chiropractic) and prevention in their health care programmes www.henryreevebrigade.org

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