The osteopath and the physiotherapist do not compete with each other, they complement each other. the physiotherapist is reimbursed, provided that the sessions are prescribed by a doctor, and up to 60% of their amount. THE’osteo is not reimbursed, but many mutuals offer a lump sum reimbursement over a number of variable sessions depending on the chosen formula. Current price for a session: 50 to 80 euros. According to back pain, it is better to consult the osteopath or the physiotherapist, or even both. What are you suffering from?
It is an acute pain: lumbago, stiff neck
Instead, favor a osteopath. It is necessary to treat the vertebral dysfunction, most often due to a bad gesture. “Physiotherapy tools, massages, physiotherapy, flexibility, stretching and gymnastics, cannot achieve this”, explains Vincent Arin Stochetti, osteopathic physiotherapist.
The osteo goes clear the vertebra, without cracking it, then correcting the dysfunctions that could, from a distance, “make the bed” of lumbago (emotional or muscular stress) or torticollis (loss of mobility of the skull or pelvis).
“If the pain is severe, you must first consult the doctor, who will prescribe a muscle relaxant. The osteo intervenes only once the tensions around the vertebra are released. ”
How many sessions? Usually one is enough, then another three to four weeks later.
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It is a chronic low back pain or neck pain
Consult instead a physiotherapist. The source of the pain, which is often related to muscle failure and a lack of flexibility: “Management is based on strengthening and softening of the muscles concerned. The work is completed by learning how to lock the lumbar spine and by education in the right actions in daily and professional life. “Care of physiotherapy (electrodes) and massages at the same time soothe inflammation and pain. “
How many sessions? Usually fifteen to twenty.
Osteopathy has limited effects in patients with low back pain
French doctors conducted a study on the effect of osteopathic manipulations in patients with low back pain with pain greater than 6 weeks. The results published in March 2021 in the JAMA Internal Medicine, show that they had a small positive effect on activities of daily living and pain but the improvement was not clinically significant.
The study included 400 people with low back pain who benefited from six sessions of osteopathic manipulations or six sessions of so-called “placebo” manipulations, provided by exclusive osteopaths, every two weeks for 3 months. The primary endpoint was the decrease in low back pain repercussion on their activities of daily living. Other so-called “secondary judgment” criteria were also taken into account: pain, quality of life, number and duration of sick leaves, number of episodes of low back pain and drug use at three and twelve months.
The results showed that at three months, the mean score reduction was -4.7 points in the osteopathy group and -1.3 points in the placebo group. At 12 months, the mean difference between the two groups was -4.3 points and -2.0 interms of pain reduction. In addition, no significant difference on the secondary endpoints was observed.
For the scientific team, “these results show that osteopathic manipulations have a weak effect and not clinically relevant, on the impact of low back pain on activities of daily living at 3 and 12 months, in comparison to placebo manipulations. Osteopathic manipulations have no effect on pain, quality of life or drug consumption. “
It is pain due to osteoarthritis
Both techniques are suitable. They will not treat osteoarthritis itself (wear and tear of the cartilage covering the vertebrae), but they can relieve it.
- ” The physiotherapist, by massages, improves the elasticity of the peripheral muscle tissue, reducing the pain and the compression undergone by the vertebra.
- THE’osteo, by very gentle manipulations, develops the mobility of the neighboring vertebrae and releases the tensions of their fascias, small ligaments which surround them. “
How many sessions? Usually one or two for osteoarthritis, about twenty for physiotherapists.
It is a back pain
Instead, favor a osteo. “Back pain often originates either from stress, cranial manipulations give good results, or from an old lesion, for example a sprained ankle, which has had repercussions all the way to the back., The osteopath is then attached. to treat this original lesion to free the whole chain. “
How many sessions? Usually one or two.