Types of alternative medicine
Mind-body therapy combines mental focus, breathing, and body movements to help relax the body and mind. This includes meditation, biofeedback, hypnosis, yoga,tai chi, and imagery.
Manipulative and body-based practices focus on working with one or more parts of the body. They include practices such as massage therapy, chiropractic therapy, and reflexology.
Biologically based alternative medicine is the use of substances found in nature including vitamins, dietary supplements, and botanicals.
Energy healing is based on the idea that vital energy flows through the body and seeks to balance this energy flow. There is no evidence that the energy field the treatments aim to address exists, but most of the treatments are not harmful. The treatments include reiki and therapeutic touch.
Whole medical systems are healing systems and beliefs that have evolved in different cultures and parts of the world. They include practices such as Ayurvedic medicine, Traditional Chinese medicine, and naturopathic medicine.
Mind-body therapies
Meditation
Meditation is a practice of deep reflection that fosters focused awareness and personal insight. Originally linked to spirituality, it is now commonly used for relaxation, stress relief, and enhancing overall health, including managing issues like high blood pressure and insomnia.
Biofeedback
Biofeedback involves the use of devices to learn how to voluntarily control heart rate, blood pressure, and muscle tension to aid in pain management. There is evidence that biofeedback is effective in improving overactive bladders after prostatectomy and in treating headaches. Although there is less evidence, some trials suggest that biofeedback may also be beneficial for fecal incontinence and stroke recovery.
Hypnosis
Hypnosis is a trance-like state that helps relieve stress, anxiety, and pain. It is utilized in therapy to assist patients with mental conditions. Clinical trials have demonstrated that hypnotherapy has positive effects, with the most significant results observed in child patients. It is important to note that while the outcomes of the studies were positive, they varied and need to be directly compared to other methods.
Yoga
Yoga is used to balance the mind and body through exercise. It started as a spiritual practice, but as practiced in America today, the focus is on physical postures, breathing techniques, and meditation. Studies show that it is effective in helping with stress management, mental and emotional health, promoting healthy eating and activity habits, sleep, and balance.
Tai chi
Tai chi is a form of traditional Chinese exercise that combines physical movement and meditation. It involves slow sequences of body movements and controlled breathing, which enhance balance, flexibility, muscle strength, and overall health. In patients with breast cancer, Tai chi shows results similar to conventional treatments in improving fatigue, sleep quality, depression, and BMI at 3 or 6 months, but it is more effective than conventional treatments in enhancing quality of life at 3 months and helps alleviate fatigue when used alongside conventional medicine.
Imagery / Image therapy
During image therapy, individuals visualize positive images or scenarios in their minds. They engage all their senses while imagining to relax the body and foster a sense of well-being. This technique can be utilized to alleviate stress, pain, anxiety, and depression. In a study involving patients with bipolar disorder, image therapy was found to reduce symptoms such as mood instability, mania, depression, and anxiety, while enhancing the patients' ability to function, decreasing feelings of hopelessness, and reducing problematic imagery.
Biologically based practices
Vitamins
Vitamins are a combination of vitamins and minerals designed to help individuals meet the recommended daily amounts when they cannot obtain enough nutrients from food. The FDA does not regulate them in the same manner as medications. Multivitamins lack a regulatory definition, including the specific nutrients they must contain or the required amounts. There is a wide variety of multivitamins with differing ingredients, making it challenging for studies to assess their effectiveness.
Dietary supplements
Dietary supplements are medication taken orally that typically consist of vitamins, minerals, herbs, amino acids, and enzymes. They can have adverse side effects when taken with other medications and are not well-studied for potential side effects in pregnant women, nursing women, or children. Dietary supplements are not well regulated by the FDA, leading to many instances of incorrect ingredient lists on bottles or false claims being made.
Botanicals
Botanicals refer to plants or parts of plants. The most common types of botanicals include botanical preparations, botanical drugs, and essential oils. Botanical drugs are products meant to treat specific medical conditions. The FDA approves them following the same evaluation as conventional drugs. Manufacturers must provide evidence that the botanical drug effectively cures a disease.
Massage therapy is a traditional approach to alleviate pain and improve overall wellness. It has been shown to provide relief for conditions such as low back pain and neck and shoulder discomfort. For instance, a 2015 review of 25 studies indicated short-term pain relief from massage for low-back pain, but the researchers expressed skepticism about its effectiveness due to the low quality of the studies. Similarly, a 2013 review found that while massage was more beneficial than inactive treatments for neck and shoulder pain, it did not outperform other active therapies and only offered temporary relief for shoulder pain.
Chiropractic therapy is when a licensed chiropractor manipulates your body's joints using their hands or tools. It can help you feel less pain and improve the alignment and physical function of your body.
Reflexology is a type of therapy that involves applying light pressure to specific points on your feet, and possibly on your hands or ears as well. The concept is that this helps reduce stress, which in turn enhances the functioning of your body. More research is needed to determine its effectiveness.
Manipulative & body-based practices
Energy healing
Therapeutic touch
Therapeutic touch is when Practitioners gently touch or pass their hands over a patient's body to make the person’s energy more balanced or increase the energy. There is evidence to suggest therapeutic touch has some effect but the effect is not as large as conventional medicine.
Reiki
Reiki is a complementary health approach in which practitioners lightly place their hands on or just above a person to direct energy and help facilitate the individual’s healing response. There is evidence suggesting that it is more effective than a placebo at activating the parasympathetic nervous system, but further research is needed.
Whole medical systems
Ayurvedic medicine
Ayurvedic medicine is a medical system from India. Its goal is to cleanse the body and restore balance. It uses diet, herbal medicines, exercise, meditation, breathing techniques, physical therapy, and other methods. Ayurvedic medicine has proven to be effective in clinical trials, but some Ayurvedic products may contain harmful metals, minerals, or gems.
Traditional Chinese medicine
Traditional Chinese medicine is a medical system that has been used for thousands of years to prevent, diagnose, and treat diseases. It is based on the belief that qi flows along channels in the body, maintaining a person’s spiritual and physical health in balance. Its aim is to restore the body’s equilibrium between the natural opposing forces of yin and yang, which can block qi and lead to illness. The effectiveness of traditional medicine depends on the approach and the practitioner, as it is not well-regulated in America. However, it has been shown to enhance a person's quality of life and alleviate certain pain conditions when administered correctly.
Naturopathic medicine
Naturopathic medicine is a system that utilizes natural remedies to assist the body in healing itself. It encompasses various therapies, such as herbs, massage, acupuncture, exercise, and nutritional counseling. The goal is to heal both the physical and mental states of a person while addressing the root cause of an illness. Naturopathic physicians attend accredited four-year graduate programs where they study basic sciences alongside nutrition, psychology, and alternative therapies like homeopathy and herbal medicine. In some regions, they must obtain a license by passing an exam and completing continuing education. Unlike licensed naturopathic physicians, traditional naturopaths do not require a license, resulting in diverse educational backgrounds.
Sources
Mind. (2022). Types of complementary and alternative therapies. Www.mind.org.uk. https://www.mind.org.uk/information-support/drugs-and-treatments/complementary-and-alternative-therapies/types-of-complementary-and-alternative-therapies/
Complementary and Alternative Medicine (CAM). (2024, October 31). Cancer.gov. https://www.cancer.gov/about-cancer/treatment/cam
APA Dictionary of Psychology. (n.d.). https://dictionary.apa.org/meditation
Types of complementary and alternative medicine. (2024, June 20). Johns Hopkins Medicine. https://www.hopkinsmedicine.org/health/wellness-and-prevention/types-of-complementary-and-alternative-medicine
NCI Dictionary of Cancer Terms. (n.d.). Cancer.gov. https://www.cancer.gov/publications/dictionaries/cancer-terms/def/biofeedback
National Center for Complementary and Alternative Medicine (NCCAM), Crohn’s & Colitis Foundation (CCFA), & Irwin, M. (n.d.). Fact Sheet News from the IBD Help Center COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM). https://www.crohnscolitisfoundation.org/sites/default/files/legacy/assets/pdfs/complementary-and-alternative.pdf
Definitions of health terms: Vitamins: MedlinePlus. (n.d.). https://medlineplus.gov/definitions/vitaminsdefinitions.html
Grom, C. (2024, March 26). FDA doesn’t test dietary supplements before sale. Northwell. Retrieved February 23, 2025, from https://www.northwell.edu/news/the-latest/fda-dietary-supplements-testing#:~:text=March%2026th%2C%202024%20Cassidy%20Grom
What are botanicals? (n.d.). WebMD. https://www.webmd.com/balance/what-are-botanicals
Massage therapy: What you need to know. (n.d.). NCCIH. https://www.nccih.nih.gov/health/massage-therapy-what-you-need-to-know
Professional, C. C. M. (2025, February 7). Chiropractic adjustment. Cleveland Clinic. https://my.clevelandclinic.org/health/treatments/21033-chiropractic-adjustment
What is reflexology? (n.d.). WebMD. https://www.webmd.com/balance/what-is-reflexology
Reiki. (n.d.). NCCIH. https://www.nccih.nih.gov/health/reiki
Ayurvedic Medicine: in depth. (n.d.). NCCIH.https://www.nccih.nih.gov/health/ayurvedic-medicine-in-depth
Traditional Chinese medicine: What you need to know. (n.d.). NCCIH. https://www.nccih.nih.gov/health/traditional-chinese-medicine-what-you-need-to-know
Naturopathic Medicine: What you need to know. (n.d.). WebMD. https://www.webmd.com/balance/what-is-naturopathic-medicine
Kondo, Karli, et al. “Efficacy of Biofeedback for Medical Conditions: An Evidence Map.” Journal of General Internal Medicine, vol. 34, no. 12, Dec. 2019, pp. 2883–93, https://doi.org/10.1007/s11606-019-05215-z.
Rosendahl, Jenny, et al. “Meta-Analytic Evidence on the Efficacy of Hypnosis for Mental and Somatic Health Issues: A 20 Years Perspective.” Frontiers in Psychology, vol. 14, Frontiers Media, Jan. 2024, https://pmc.ncbi.nlm.nih.gov/articles/PMC10807512/#sec36
NCCIH. (2020). Yoga: Effectiveness and Safety. NCCIH; NCCIH. https://www.nccih.nih.gov/health/yoga-effectiveness-and-safety
National Center for Complementary and Integrative Health. (2022, March). Tai Chi: What you need to Know. NCCIH. https://www.nccih.nih.gov/health/tai-chi-what-you-need-to-know
van den Berg, K.C., et al. “Comparing the Effectiveness of Imagery Focussed Cognitive Therapy to Group Psychoeducation for Patients with Bipolar Disorder: A Randomised Trial.” Journal of Affective Disorders, vol. 320, Oct. 2022, https://pubmed.ncbi.nlm.nih.gov/36206888/
National Institutes of Health. “Office of Dietary Supplements - Multivitamin/Mineral Supplements.” Nih.gov, 17 July 2024, https://ods.od.nih.gov/factsheets/MVMS-HealthProfessional/
National Center for Complementary and Integrative Health. “Using Dietary Supplements Wisely.” NCCIH, Jan. 2019, https://www.nccih.nih.gov/health/using-dietary-supplements-wisely
McManus, D. E. (2017). Reiki Is Better Than Placebo and Has Broad Potential as a Complementary Health Therapy. Journal of Evidence-Based Complementary & Alternative Medicine, 22(4), 1051–1057. https://doi.org/10.1177/2156587217728644
Peters, R. M. “The Effectiveness of Therapeutic Touch: A Meta-Analytic Review.” Www.ncbi.nlm.nih.gov, Centre for Reviews and Dissemination (UK), 1999,https://www.ncbi.nlm.nih.gov/books/NBK67772/