I’m in pain, do I go to a Physio or a Chiro?

I’m in pain, do I go to a Physio or a Chiro?

 

Throughout my years in practice, I quite frequently get asked this question. So I thought I would blog about it this week, and clear up a few misconceptions, at least from the chiropractic end. I would like to start by saying that contrary to popular belief, chiro’s and physio’s do like each other and get along very well! The truth is, each has a special part to play and neither can think of doing the work of the other.

 

I have patients that I have suggested see a physio in addition to the work that I do with them. Physio’s help with rehabilitation exercises post injuries, after I have worked on their spinal alignment. Physio’s do a great job in prescribing strengthening and reconditioning exercises, muscle release, stretching and joint mobilisation.

 

My area of expertise is in the human spine and improving the communication between the brain and the rest of the body. I do this by removing interference along the spine. People typically come in for low back pain, sciatica, headaches, neck and shoulder pain which can result from sitting too long at their desks. My job is to find misalignments of joints along the spine and remove them. This takes pressure off joints, reduces inflammation around nerves and allows muscles to relax and start working properly again. If a patient has a chronic (long standing) condition, they would really benefit from strengthening exercises.

 

In my practice, I focus on posture correction. I correct posture by releasing stuck tissue deep within the spine and then realigning joints along the spine. After that, strengthening exercises are recommended and seeing a physio is a great idea! I don’t claim to be able to properly guide a rehabilitation program and so referring to someone who does it very well is a must. Similarly, purely strengthening muscles around the spine isn’t the complete answer either, so looking at spinal alignment is necessary too.

 

So the answer is this. If you are in pain, or not, you need to find the therapy that best works for you. Both have great roles to play, and I would consider seeing both.

 

Chiropractic has also been used for years as preventative alternative medicine, and in my opinion, getting a spinal assessment early, before pain, is a great idea. You could learn a lot about your body and see how great your body was designed feel. It is not necessary to be in pain to see one of us. So care for your spine. It is the only one you have. Never stop looking for answers or the therapy that will give you the best results. There are many, great quality practitioners out there, be it physio’s or chiro’s. It is your job to find the right one, and what works best for you.

 

Chiropractor

Quay Health

 

Nerissa D'Mello​​

Clinical Lead Physiotherapist
Nerissa’s interest in physiotherapy began after experiencing multiple injuries growing up. Being in and out of clinics sparked her curiosity about how the body heals and inspired her to help others return to what they love. Early hands-on experience with a Scottish rugby club during her masters strengthened her passion for musculoskeletal and orthopaedic rehabilitation.
 
Now the Clinical Lead Physiotherapist at Quay Health, she has a strong interest in helping patients recover without surgical intervention when possible. Her treatment style combines hands-on techniques with exercise prescription, grounded in the latest research to promote lasting recovery.
 
Some of the techniques Nerissa uses are dry needling, VALD ForceDecks and Dynamo for data-driven rehab, taping, and shockwave therapy for stubborn tendon injuries.
 
She enjoys treating a broad range of patients, regardless of age, fitness, or background, and is currently expanding her expertise in women’s health.
 
Patients can expect a thorough, personalised approach focused on understanding their goals, hands-on treatment, and education in a supportive environment.
 
Outside work, you can find Nerissa training for her first full marathon, playing tennis, smiling at your dog, and trying to keep up with all her downloaded podcasts.
 
Clinical interests include:
 
  • Shoulder injuries, including rotator cuff and instability
  • Ankle sprains
  • Tennis and racquet sports injuries
  • Neck and upper back pain
  • Rehab from postoperative hip and knee replacements
  • Women’s health 
 
Languages spoken other than English: Conversational Hindi
 
Nerissa is available at Quay Health. Call 1300 782 943 to make an appointment or book online.

Riccardo Erba​

Senior Physiotherapist

Riccardo’s passion for physiotherapy started while working with patients recovering from strokes, multiple sclerosis, and brain injuries. Seeing how vital movement is inspired him to explore the connection between the brain and body. Over seven years, he developed a holistic approach combining manual therapy, education, and sport-focused rehab.

His treatment style is evidence-based and tailored, blending hands-on therapy with corrective exercises and advanced technologies. Riccardo believes every patient deserves a personalised plan that balances pain relief and long-term improvement.

He uses techniques including spinal manipulation, mobilization with movement, dry needling, Class IV lasers, shockwave therapy, and VALD ForceDecks.

Riccardo enjoys helping clients who want to understand their bodies, relieve pain, prevent injury, and improve performance.

Outside work, he loves hiking, climbing, and following ball sports of all kinds.

Clinical interests include:

  • Headaches and neck pain
  • Shoulder and elbow conditions
  • Hip and knee rehab
  • Shockwave and laser therapy

Languages spoken other than English: Italian

Riccardo is available at Quay Health. Call 1300 782 943 to make an appointment or book online.