Many patients wonder whether they should see a physiotherapist or an osteopath. The answer is complex — because today many therapists are trained in both disciplines. Félix Esser, trained in osteopathy at Praxis Loten, explains the similarities and differences.
What distinguishes the two approaches?
Physiotherapy is a medically regulated discipline with a strong focus on evidence-based techniques, movement therapy and functional rehabilitation. Osteopathy views the body as a unit and works with more holistic techniques on joints, soft tissues, fascia and visceral structures. In Belgium, osteopathy is not a legally recognised healthcare profession (as of 2024) — which is why our therapists apply it as an extension of their physiotherapeutic competence.
- Reimbursed (INAMI)
- Medical prescription
- Exercises & rehab
- Long-term follow-up
- Holistic approach
- No prescription needed
- Hands-on techniques
- Punctual sessions
Often combined at the practice — each brings its strength.
When which form of therapy?
Physiotherapy is the first choice for: acute injuries, post-operative rehabilitation, chronic pain with a clear structural cause, neurological conditions. Osteopathic techniques usefully complement treatment for: diffuse complaints without a clear diagnosis, digestive problems with a musculoskeletal component, chronic tension headaches, pelvic floor dysfunction. At Praxis Loten, Félix Esser integrates both approaches into a holistic treatment.