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Back and Spine Specialist Vs. Chiropractor: Key Differences

July 4, 2025

in Back and Spine Specialist
July 04, 2025
Tagged With: artificial disc replacement, Back and Spine Specialist in Bismarck, back and spine specialist near me, Chiropractors, chronic back issues, herniated discs, manage pain and inflammation, pain management experts, physical therapy, spinal stenosis
 

Back pain affects millions every year, leaving many wondering which specialist to consult. While both back and spine specialists and chiropractors focus on treating back pain, they offer different methods and expertise. Understanding these differences between both providers can help you make informed decisions about your care.

Let us break down what each professional does, their approach, and when to choose one over the other.

What Is a Back and Spine Specialist

A back and spine specialist is a medical professional with advanced training in diagnosing and treating conditions affecting the spine. These specialists are also known as orthopedic surgeons.

They work with patients to address both acute and chronic back issues, such as spinal stenosis, herniated discs, and scoliosis.

What Do Back and Spine Specialists Do

Back and spine specialists use a combination of medical history reviews, physical exams, and imaging tests like X-rays or CT scans to diagnose spine-related issues. Based on their findings, they may recommend the following solutions:

Non-Surgical Treatments

These include options like medications to manage pain and inflammation, physical therapy to improve strength and mobility, and epidural steroid injections to reduce nerve irritation and pain.

Minimally Invasive Spinal Procedures

These are advanced techniques, such as nerve ablations or microdiscectomies, designed to relieve severe pain with smaller incisions, faster recovery times, and lower risks compared to traditional surgery.

Surgical Intervention

For complex spinal conditions, procedures like spinal fusion (joining two or more vertebrae) or artificial disc replacement can address structural issues, alleviate pain, and restore stability or functionality.

Most back and spine specialists work closely with physical therapists and pain management experts to create customized treatment plans for each patient.

What Is a Chiropractor

Chiropractors are healthcare professionals trained to diagnose and treat musculoskeletal issues, primarily focusing on the spine. They use manual adjustments or manipulations to improve spinal alignment. These adjustments aim to restore mobility, relieve pain, and improve overall function.

What Do Chiropractors Do

Chiropractors are trained to evaluate and treat back pain using a combination of physical exams, patient history, and, when necessary, imaging studies like X-rays to identify the root cause of discomfort. Their approach typically includes:

  • Spinal Adjustments: Chiropractors use targeted hand movements or specialized tools to realign the spine, helping to restore proper function, reduce pain, and improve mobility.
  • Massage Therapy: This technique is used to relax tight muscles, improve blood flow, and reduce inflammation in soft tissues surrounding the spine.
  • Lifestyle Recommendations: Chiropractors may suggest exercises, ergonomic adjustments, or dietary changes to strengthen the spine, enhance posture, and prevent future pain or injuries.

This holistic approach aims to address both acute symptoms and long-term spinal health. Chiropractors often treat mild to moderate back pain caused by muscular strains or poor posture.

However, they do not perform surgeries, prescribe medications, or treat severe structural abnormalities like a back and spine specialist would.

Key Differences Between Back and Spine Specialists and Chiropractors

There are several important distinctions between these two types of professionals. While both aim to alleviate back pain, their qualifications, approaches, and the types of conditions they treat vary considerably.

Educational Background

Back and Spine Specialists complete medical school followed by extensive specialty training. For example, orthopedic surgeons train in surgery and musculoskeletal disorders.

On the other hand, chiropractors earn a doctor of chiropractic (DC) degree, which typically takes four years, with a focus on spinal manipulations.

Treatment Scope

Back and spine specialists treat a broad range of spinal conditions, from mild to severe, using both surgical and non-surgical options.

In contrast, chiropractors focus on non-invasive spinal manipulations. They do not handle severe spinal disorders or surgical cases.

Diagnostic Tools

Back and spine specialists use advanced diagnostic tools, such as MRIs, CT scans, and nerve tests, to understand complex conditions.

While chiropractors typically depend on physical exams and basic imaging like X-rays.

Pain Relief Options

Back and spine specialists can prescribe medications like muscle relaxants or anti-inflammatory drugs (e.g., ibuprofen). They also provide treatments like epidural steroid injections.

On the other hand, chiropractors do not prescribe medications or administer injections. Instead, they rely on manual therapy and patient education.

Collaboration With Other Specialists

Orthopedic specialists often work as part of a multidisciplinary team, collaborating with physical therapists, neurologists, and pain management doctors. Chiropractors may refer patients to specialists when needed but typically work independently.

When Should You See a Back and Spine Specialist

If you are experiencing the following signs and symptoms, it is best to consult a back and spine specialist:

  • Persistent back pain lasting more than 6 weeks.
  • Pain accompanied by numbness, weakness, or tingling in your legs.
  • A recent spinal injury or trauma.
  • Structural disorders like scoliosis or herniated discs.
  • Symptoms that interfere with daily activities, such as difficulty walking or standing.

To find a qualified professional, search for “back and spine specialist near me” and choose a board-certified physician with experience in treating your specific condition.

Back and Spine Specialist in Bismarck, ND

At The Bone & Joint Center, our team of skilled back and spine specialists is here to help you feel better and move better. From pinpointing the root cause of your pain to providing advanced treatments tailored to you, we stand by your side every step of the way.

Put an end to back pain today by scheduling an appointment with one of our expert back and spine specialists. Contact us now at (701) 946-7400 or visit our appointment request page. We look forward to serving you!

 

 

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At The Bone & Joint Center, our compassionate orthopedic specialists provide a wide range of services including orthopedic surgery, shoulder replacement, hand surgery, shoulder scope, hip replacement, knee replacement, joint revision, minimally invasive procedures, ligament reconstruction, physical therapy, and occupational therapy.

  • Home
  • About Us
    • Careers
    • Back
  • Meet the Providers
    • Bone & Joint Physicians
      • Duncan B. Ackerman, MD
      • Timothy J. Bopp, MD
      • Chad B. Carlson, MD
      • Joseph W. Carlson, MD
      • Derrick O. Cote, MD
      • Brian P. Dahl, MD
      • Timothy J. Juelson, MD
      • Steven Kraljic, MD
      • Brock A. Norrie, MD
      • Troy D. Pierce, MD
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    • General Orthopedics
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    • Trauma & Fractures
    • Back
  • Procedures & Services
    • Orthopedic Surgery
    • Shoulder Replacement
    • Hand Surgery
    • Rotator Cuff – Shoulder Scope
    • Hip Replacement
    • Knee Replacement
    • Joint Revision
    • Minimally Invasive Procedures
    • Ligament Reconstruction
    • Physical Therapy
    • Occupational Therapy
    • Hand Therapy
    • Back
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    • For New Patients
    • Therapy Protocols
    • Schedule an Appointment
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    • Back
  • Ortho Update 2025
    • Achilles Tendon Repair Rehabilitation
    • Achilles Tendon Ruptures
    • ACL Tears: Repair or Reconstructions?
    • ACL Rehab R Malm
    • Articular Cartilage Management
    • Changes over 40 years
    • Conservative Management of Low Back Pain
    • Conservative Treatment for Patella-Femoral Pain
    • Functional Core Stability
    • Imaging of the Spine for Physical Therapists
    • Interventional Pain Medicine
    • Isokinetics: What Can We Learn From the Test?
    • Managing Scapular Dyskinesia
    • Patellofemoral Management
    • Plyometrics
    • Post-op Managment of Slap Repair
    • Rehab Post Rotator Cuff Surgery
    • Remplissage and Latarjet Rehabilitation
    • Return to Sport, What’s New?
    • Robotic Shoulder Replacement
    • Rotator Cuff Disease
    • Shoulder Arthroplasty
    • Shoulder Instability with Bone Loss
    • Slap Tears
    • Spinal Stenosis
    • Total Joint Post op restrictions
    • Total Joint Replacements: Younger Patients
    • Total Knee Replacement Rehabilitation
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