BACKGROUND: Manual therapy is routinely used in the management of upper back pain (UBP), a disabling condition. However, the approach to diagnosis and treatment techniques used by manipulative physiotherapists and osteopaths is largely unknown. OBJECTIVES: To explore knowledge about UBP, including diagnosis and treatment, by New Zealand (NZ) osteopaths and manipulative physiotherapists and to investigate differences (if any) in the self-reported approaches to diagnosis and management of UBP between the professions. DESIGN: A cross-sectional survey administered through an online platform (Qualtrics) between September 2023 and January 2024. PARTICIPANTS: One hundred and ten NZ osteopaths and manipulative physiotherapists completed the survey. RESULTS: Forty-eight percent ( CONCLUSIONS: The survey highlights a strong consensus among respondents that a multimodal approach is essential for effective UBP management. The survey also identified profession-specific approaches to the diagnosis and management of UBP. Future research using qualitative methods is required to further explore these profession-specific differences and explore outcomes of care.