Think the large scale studies showed neither was particularly better than placebo treatment.
it is pretty difficult to fake a manipulation with some sort of placebo, so therefore it is pretty difficult to have a meaningful trial.
Chiropractors tend to try to get you to commit to a course of treatment, which is often needed anyway as they never do much anyway.
The good osteopaths will do a deep tissue massage first before any manipulation. Otherwise your tight muscles tend to pull you back into the poor posture than probably caused the issue in the first place.
I go to one near St Pauls and he works so hard he has just had to take a break because he is suffering from a rotator cuff injury frmo hauling patients around.
He is excellent – he has worked on several injuries I have had and helped all of them – whether it was straightening me up or working on damaged muscles/AC joints/etc.
My wife works for a chiro and gets free treatment, but will pay the train fare to London and his fees to see him instead as she thinks he is a ‘magician’. She was getting really bad headaches and he located it to a difficult to get to muscle near her neck – after treatment she was alright for a year and a half until she triggered it again at work.
Conversely I went to a Bupa recommended shoulder specialising physio and he was useless.
But you need a personal recommendation as conscientious physios, chiros, and osteopaths could all converge to the same type of treatment.
Going to a doctor may not be that great a move as they haven’t in the past recommended osteos or the like – you could be like my mother who got recommended for a very risky op some years ago, but she has been in fine fettle since courtesy of the local osteo.
This is the guy I go to :
http://www.cityclinic.co.uk/
notice that he is working on his pregnant wife in the video. Also notice the Before and After pictures of some bloke with scoliosis, which is something you normally have to have an op for, but he straigtened him up.