Physiotherapists also provide spinal manipulation safely to patients with specific problems and similar modalities when indicated. Physiotherapists believe that the majority of mechanical back problems do not require diagnostic X-rays and are successfully treatable with a thorough physical examination and appropriate treatment regime. In addition to spinal manipulation, mobilization. and modalities, physiotherapists include active exercise, soft tissue procedures. Depending on the province, payment for physiotherapy treatment may be covered by the provincial health care insurance plan. This is the case in most hospital settings.
Some provinces also have yearly maximum dollar amounts, co-payments or both.
The figures that are mentioned are extrapolated. Some studies showed chiropractic was more cost effective, others showed it was more expensive. Therefore, there is no definitive evidence that chiropractic care is any more cost effective than that provided by other health care professionals. The majority of studies state that more research is required to determine the efficacy of chiropractic cam compared with other forms of treatment for lower back pain.