Back Pain Help: Chiropractor, Physiotherapist or Orthopaedic?

Back pain is one of the most common reasons people seek medical attention, with lower back pain affecting people of all ages and lifestyles. Whether it’s the result of poor posture, heavy lifting, sports injuries, or chronic conditions, the question remains: who should you see for help? Choosing between a chiropractor, physiotherapist, or orthopaedic specialist can be confusing, especially if you’re looking for the most effective relief.

Each specialist offers a unique approach to treating back pain, and the right choice often depends on the root cause of your discomfort. If you’re searching for a lower back pain specialist in Singapore, here’s what you need to know to make an informed decision.

Chiropractor: Realigning the Spine

Chiropractors focus primarily on spinal alignment and how it affects the nervous system. Their main tool is spinal manipulation, which involves hands-on adjustments of the spine and joints to improve alignment, reduce nerve irritation, and restore movement.

Chiropractic care may be suitable if:

• Your pain is linked to misalignment or postural issues

  
  

• You’ve been diagnosed with conditions like scoliosis or a herniated disc

  
  

• You prefer a non-invasive, drug-free approach

However, chiropractic adjustments may not be ideal for individuals with severe disc damage, osteoporosis, or structural abnormalities requiring surgical intervention.

Physiotherapist: Strengthening and Rehabilitation

Physiotherapists use exercise, movement, and manual therapy to restore strength, flexibility, and function. They often work with patients recovering from injury, surgery, or chronic pain conditions. A physiotherapist might prescribe a combination of targeted exercises, posture training, soft tissue work, and home care routines.

Physiotherapy is ideal for:

• Rehabilitation post-surgery or injury

  
  

• Muscle imbalances or weakness

  
  

• Long-term management of chronic lower back pain

Their goal is not only to reduce pain but also to empower patients to prevent recurrence through education and self-management.

Orthopaedic Specialist: Surgical and Medical Interventions

Orthopaedic doctors are medical professionals who specialise in the musculoskeletal system, including bones, joints, ligaments, and tendons. They are trained to diagnose serious spinal conditions and may recommend surgical or non-surgical interventions, such as medication, injections, or physical therapy referrals.

Orthopaedic specialists are best suited for:

• Severe structural issues (e.g. spinal stenosis, fractures)

  
  

• Persistent pain that doesn’t improve with conservative treatment

  
  

• Cases where imaging or surgery might be required

While surgery is often a last resort, an orthopaedic surgeon can offer clarity on when it might be necessary and what alternatives are available.

So, Who Should You See First?

If your back pain is mild to moderate and related to posture or muscle strain, starting with a physiotherapist or chiropractor might be appropriate. They can assess your condition and help determine if further investigation is needed.

However, if you’re experiencing:

• Numbness or tingling in the legs

• Loss of bladder or bowel control

• Sudden, sharp pain after a fall or injury

• Pain that radiates and worsens over time

You should visit a comprehensive pain clinic immediately.

Seeing a Pain Specialist: The Best of All Worlds

Instead of navigating multiple clinics and specialties, visiting a pain specialist like those at Affinity Pain Clinic can streamline your care. Pain specialists often work in multidisciplinary teams that include physiotherapists, orthopaedic consultants, and other allied health professionals. This ensures you receive a comprehensive diagnosis and a customised treatment plan based on your specific needs.

They may use diagnostic imaging, prescribe targeted therapy, administer guided injections, or refer you for chiropractic care or surgery if needed. The benefit of seeing a pain specialist is that they don’t just treat symptoms—they identify the underlying cause and coordinate your entire recovery journey.

When to Take Action

Back pain that lingers for more than a few days, interferes with daily life, or worsens over time should never be ignored. Early intervention can mean the difference between temporary discomfort and chronic pain.

Here are signs you need professional help:

• Persistent or worsening pain

• Difficulty standing or walking

• Disrupted sleep due to discomfort

• Recurrent back pain episodes

Final Thoughts

Whether you choose a chiropractor, physiotherapist, or orthopaedic surgeon, the most important step is taking action. For comprehensive, coordinated care, consider visiting a pain specialist who can assess your situation holistically and offer the right combination of treatments.

If you're looking for a trusted lower back pain specialist in Singapore, visit Affinity Pain Clinic today to begin your journey toward relief and recovery. Our team of experienced pain specialists will work with you to uncover the root of your discomfort, personalise your treatment plan, and help you return to a life free from chronic pain. Your health deserves expert attention—reach out to us now.