- Alternative medicine refers to health practices used in place of conventional Western medicine; when used alongside it, the term is complementary medicine. Together they are called CAM.
- The National Center for Complementary and Integrative Health (NCCIH) groups CAM into three categories: natural products, mind-body practices, and other complementary approaches.[1]
- Some CAM therapies have strong clinical evidence (acupuncture for pain, mindfulness for anxiety), while others have limited or mixed research support. The evidence landscape is uneven, not absent.
- About 38 percent of U.S. adults use some form of complementary or alternative medicine, with annual out-of-pocket spending exceeding $30 billion.[2]
- Health education specialists and community health workers, a category that includes many CAM-related roles, are projected to grow 7 percent from 2023 to 2033.[3]
- A formal degree in alternative medicine, like Everglades University's BS in Alternative Medicine, builds a foundation in the science behind CAM practices, how to evaluate evidence, and professional practice.
Alternative medicine is a broad term for health practices, products, and systems that fall outside conventional Western medicine. You will also see it called CAM (complementary and alternative medicine), a term that has been in use since the 1990s when the National Institutes of Health established what is now the National Center for Complementary and Integrative Health (NCCIH).
The distinction between “alternative” and “complementary” matters. A practice is alternative when it is used instead of conventional treatment. It is complementary when it is used alongside conventional treatment. A patient who manages chronic back pain exclusively with acupuncture is using alternative medicine. A patient who adds acupuncture to a physical therapy program prescribed by an orthopedist is using complementary medicine. In practice, most people who use these therapies use them complementarily, not as full replacements for conventional care.
The field has moved steadily toward mainstream acceptance. Major medical centers, including the Mayo Clinic, Cleveland Clinic, and Johns Hopkins, now operate integrative medicine departments that combine conventional and evidence-supported CAM therapies. Insurance coverage for certain CAM services, particularly chiropractic care and acupuncture, has expanded over the past decade. None of this means all alternative practices are validated. It means the boundary between conventional and alternative is not as fixed as it once was.
What counts as alternative medicine
The NCCIH classifies complementary and alternative approaches into three broad categories.[1]
- Natural products. This includes herbal supplements (echinacea, turmeric, St. John’s wort), vitamins, minerals, probiotics, and other dietary supplements. Natural products are the most commonly used CAM category in the United States.
- Mind-body practices. This covers a wide range of techniques that focus on the interactions between the brain, mind, body, and behavior. Examples include meditation, yoga, tai chi, acupuncture, massage therapy, chiropractic and osteopathic manipulation, relaxation techniques, and hypnotherapy.
- Other complementary approaches. This is a broader category that includes whole medical systems developed outside of Western medicine, such as traditional Chinese medicine (TCM), Ayurveda, naturopathic medicine, and homeopathy. It also includes movement therapies like the Feldenkrais method and Alexander technique, as well as energy therapies like Reiki and therapeutic touch.
These categories are not permanent. The boundary between “alternative” and “mainstream” shifts as research validates specific practices. Meditation was considered fringe thirty years ago; today, mindfulness-based stress reduction (MBSR) is recommended by the American Heart Association for blood pressure management. Acupuncture was considered unscientific by most Western physicians in the 1980s; the Veterans Health Administration now provides it as a covered service for chronic pain. What counts as alternative medicine today may simply be medicine tomorrow.
Types of alternative medicine
The table below covers eight major types of alternative medicine, what each involves in practice, and where the evidence currently stands. This is not exhaustive, but it covers the systems and practices most commonly studied, practiced, and discussed in the field.
| Type | What it is | How it is practiced | Evidence status |
|---|---|---|---|
| Naturopathic Medicine | A whole medical system emphasizing the body’s self-healing ability, using natural therapies and minimally invasive methods | Licensed naturopathic doctors (NDs) complete four-year graduate programs. Treatment may include clinical nutrition, botanical medicine, hydrotherapy, counseling, and minor surgery depending on state licensure | Mixed. Some individual therapies used by NDs (clinical nutrition, certain botanicals) have good evidence. The system as a whole has limited high-quality RCT data |
| Acupuncture / TCM | A component of traditional Chinese medicine involving the insertion of thin needles at specific points on the body to influence energy flow (qi) | Licensed acupuncturists complete master’s or doctoral programs. Sessions typically last 30 to 60 minutes. Often combined with other TCM practices such as herbal formulas and cupping | Strong for chronic pain (back, neck, osteoarthritis, headache). Growing evidence for nausea, post-surgical pain. Recognized by the WHO for multiple conditions[4] |
| Chiropractic | A health profession focused on disorders of the musculoskeletal and nervous systems, primarily through spinal manipulation and adjustment | Doctors of Chiropractic (DCs) complete four-year doctoral programs. Treatment centers on manual spinal adjustments, often combined with exercise recommendations and soft tissue therapy | Good evidence for acute and chronic low back pain, neck pain, and certain types of headache. Less evidence for non-musculoskeletal conditions |
| Herbal Medicine | The use of plants and plant extracts for therapeutic purposes. One of the oldest forms of medicine across all cultures | Practiced by herbalists, naturopaths, TCM practitioners, and Ayurvedic practitioners. Administered as teas, tinctures, capsules, extracts, or topical preparations | Varies widely by herb. St. John’s wort for mild depression, ginger for nausea, and saw palmetto for BPH have reasonable evidence. Many herbs lack rigorous clinical trials. Drug interactions are a real concern |
| Ayurveda | A traditional medical system originating in India over 3,000 years ago, based on balancing three fundamental energies (doshas): vata, pitta, and kapha | Ayurvedic practitioners assess a patient’s constitution and use individualized combinations of diet, herbal remedies, yoga, massage, meditation, and cleansing therapies (panchakarma) | Limited but growing. Some Ayurvedic herbs (turmeric, ashwagandha) have evidence for specific uses. Safety concerns exist around heavy metal contamination in some imported preparations |
| Homeopathy | A system based on the principle that “like cures like” and that extreme dilution of a substance increases its therapeutic potency | Homeopathic practitioners select highly diluted remedies based on a patient’s total symptom picture. Remedies are typically in pellet, tablet, or liquid form | Weak. Multiple systematic reviews and meta-analyses, including those by the NHMRC (Australia) and the UK House of Commons Science and Technology Committee, have found no reliable evidence that homeopathy is effective beyond placebo |
| Mind-Body Practices | Techniques that focus on the interaction between brain, mind, body, and behavior, including meditation, yoga, tai chi, guided imagery, and biofeedback | Taught by certified instructors, therapists, or self-directed. Practiced individually or in group settings. Increasingly integrated into conventional care for stress, pain, and mental health | Strong for several applications. MBSR for anxiety and chronic pain, yoga for low back pain and depression, tai chi for fall prevention in older adults all have good RCT support[1] |
| Energy Therapies | Practices based on the concept that the human body has energy fields that can be manipulated to promote healing. Includes Reiki, therapeutic touch, and qigong | Practitioners use light touch or hold their hands near the body to influence energy flow. Sessions typically last 30 to 90 minutes. Increasingly offered in hospitals as a comfort measure | Limited. Some studies suggest benefits for anxiety and pain reduction, but methodological quality is generally low. Difficult to design placebo-controlled trials for hands-on energy work |
The evidence question
The most common question about alternative medicine is whether it works. The honest answer is that it depends entirely on which practice and which condition you are asking about.
Some CAM therapies have been studied in rigorous randomized controlled trials and have demonstrated clear benefits. Acupuncture for chronic pain conditions (low back pain, osteoarthritis of the knee, tension headaches, and migraines) is one of the most well-studied areas, with multiple meta-analyses supporting its effectiveness beyond sham acupuncture.[4] Mindfulness-based stress reduction has strong evidence for anxiety, depression, and chronic pain. Yoga has been shown to improve outcomes in low back pain and has growing evidence for depression and anxiety.
Other therapies have much less support. Homeopathy, despite being widely practiced, has not been shown to produce effects beyond placebo in well-designed trials. Some herbal supplements have evidence for specific conditions (St. John’s wort for mild to moderate depression, for example), but many have not been adequately studied, and quality control across supplement products is inconsistent.
The NCCIH, part of the National Institutes of Health, is the federal government’s lead agency for research on complementary and integrative health approaches. It funds clinical trials, basic science research, and translational studies on CAM therapies. Its existence reflects a recognition that these practices are widely used and that rigorous evidence, both for and against, serves the public interest.[1]
The evidence landscape for CAM is uneven, not absent. Dismissing the entire field because some practices lack evidence is as misleading as promoting the entire field because some practices have strong evidence.
For anyone considering a career in alternative medicine, understanding this evidence landscape is essential. The field needs more people who can read research critically, communicate honestly about what is and is not supported, and contribute to the evidence base rather than working around it.
Alternative medicine vs. integrative medicine
The terminology in this field has shifted over the past two decades, and the distinctions matter.
Alternative medicine refers to practices used instead of conventional medicine. This is the original term and still the most widely recognized by the general public.
Complementary medicine refers to the same practices when used alongside conventional medicine. Most CAM use in the United States is actually complementary rather than strictly alternative.
Integrative medicine (sometimes called integrative health) is a newer term that describes an approach to care that combines conventional medical treatments with evidence-supported complementary therapies in a coordinated way. Integrative medicine is practiced by MDs and DOs who have additional training in CAM approaches, often through fellowship programs accredited by the Academic Consortium for Integrative Medicine and Health.
The shift from “alternative” to “integrative” reflects a broader move in healthcare toward combining the best of conventional and complementary approaches rather than treating them as opposing systems. Many academic medical centers now use the term “integrative” rather than “alternative” to signal that evidence and coordination with conventional care are central to their approach.
For students, all three terms remain relevant. The public searches for “alternative medicine.” Employers in clinical settings increasingly use “integrative health.” The academic and research community uses “complementary and integrative health.” Understanding the distinctions helps you communicate with different audiences.
How a degree formalizes practice
Studying alternative medicine formally does something that self-directed learning cannot: it provides a structured framework for understanding the science behind CAM practices, evaluating evidence critically, and practicing within professional and ethical boundaries.
Everglades University’s Bachelor of Science in Alternative Medicine is designed for students who want to understand the full landscape of CAM practices, not just learn a single modality. Coursework typically covers:
- Science foundation: Anatomy and physiology, biology, nutrition science, and research methods. These courses provide the baseline knowledge needed to understand how CAM therapies interact with the body and how to evaluate clinical evidence.
- CAM systems and practices: Survey courses covering the major systems (naturopathy, TCM, Ayurveda, homeopathy) and practices (herbal medicine, mind-body techniques, manual therapies). The goal is breadth of understanding across the field.
- Evidence and research: Training in how to read, evaluate, and apply clinical research. This is where students learn to distinguish between practices with strong evidence, practices with promising but limited evidence, and practices that lack support.
- Professional practice: Ethics, scope of practice, communication with conventional providers, health education methods, and business aspects of wellness practice.
A bachelor’s degree in alternative medicine is not a clinical license. It does not make someone a naturopathic doctor, licensed acupuncturist, or chiropractor. Those paths require additional graduate-level training and state licensure. What the bachelor’s degree does is build a foundation for careers in health education, wellness program development, integrative health settings, health product industries, and further clinical training.
EU’s Bachelor of Science in Alternative Medicine grounds you in the science behind CAM practices and how to evaluate the evidence.
Explore the programCareer paths in alternative medicine
The career landscape for alternative medicine graduates is broader than many people expect. It extends well beyond opening a private practice, though that remains an option for those who pursue additional clinical training.
Common career directions include:
- Health education and wellness coordination. Health education specialists design and implement programs that promote healthy behaviors. In CAM-oriented roles, this might involve developing workplace wellness programs, community health initiatives, or patient education materials for integrative health settings.
- Integrative health settings. Hospitals, clinics, and health systems with integrative medicine departments employ coordinators, patient navigators, and program managers who bridge conventional and complementary care.
- Health product and supplement industry. Companies that produce, market, or regulate dietary supplements, herbal products, and wellness technologies need people who understand both the science and the consumer landscape.
- Public health and community health. CAM-trained professionals contribute to community health programs, particularly in populations where traditional healing practices are culturally significant.
- Foundation for clinical training. Many graduates use their bachelor’s degree as a stepping stone to naturopathic medical school, acupuncture and Oriental medicine programs, chiropractic programs, or other clinical graduate training.
The Bureau of Labor Statistics projects 7 percent growth for health education specialists and community health workers from 2023 to 2033, faster than the average for all occupations.[3] As integrative approaches continue to expand within mainstream healthcare, the demand for professionals who understand both conventional and complementary medicine is likely to grow alongside it.
Career outcomes vary by individual circumstance, experience, market conditions, geography, and industry. The career paths described above represent directions alternative medicine graduates commonly pursue. Individual results may vary.
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Learn how Everglades University's Bachelor of Science in Alternative Medicine prepares graduates for careers across the CAM landscape.
Request informationFrequently asked questions
What is alternative medicine?
Alternative medicine refers to health practices and systems used in place of conventional Western medicine. Examples include acupuncture, naturopathic medicine, chiropractic care, herbal medicine, Ayurveda, and homeopathy. When these practices are used alongside conventional treatment rather than replacing it, the term complementary medicine applies. Together they are often called complementary and alternative medicine, or CAM.
What is the difference between alternative and complementary medicine?
Alternative medicine is used instead of conventional medical treatment, while complementary medicine is used alongside it. For example, using acupuncture as your sole treatment for chronic pain is alternative; using acupuncture alongside physical therapy prescribed by your doctor is complementary. The umbrella term CAM covers both approaches.
Is alternative medicine evidence-based?
It depends on the specific practice. Some CAM therapies have strong clinical evidence: acupuncture for chronic pain, mindfulness meditation for anxiety and depression, and certain herbal supplements have been supported by randomized controlled trials. Other practices have limited or mixed evidence. The National Center for Complementary and Integrative Health (NCCIH) funds ongoing research to build the evidence base across the field.
What are the most popular types of alternative medicine?
According to the National Health Interview Survey, the most widely used CAM therapies in the United States include natural products (herbal supplements, vitamins, minerals), mind-body practices (meditation, yoga, tai chi), chiropractic and osteopathic manipulation, acupuncture, and massage therapy. Usage patterns vary by age, gender, and health condition.
Can you get a degree in alternative medicine?
Yes. Several universities offer bachelor's and master's degrees in alternative medicine or related fields. Everglades University offers a Bachelor of Science in Alternative Medicine that covers the science behind CAM practices, how to evaluate evidence, and professional practice. A bachelor's degree is not a clinical license but serves as a foundation for health education careers and further clinical training in specific modalities.
What careers can you pursue with an alternative medicine degree?
Graduates with an alternative medicine degree work in health education, wellness program coordination, integrative health settings, health product companies, public health, and healthcare administration. Some use the degree as a foundation for further clinical training in naturopathic medicine, acupuncture, or other licensed specialties.
- [1] National Center for Complementary and Integrative Health. Complementary, Alternative, or Integrative Health: What's in a Name?
- [2] National Health Interview Survey (NHIS). Use of Complementary Health Approaches in the U.S. National Center for Complementary and Integrative Health.
- [3] U.S. Bureau of Labor Statistics. Health Education Specialists and Community Health Workers, Occupational Outlook Handbook. Employment Projections, 2023 to 2033.
- [4] World Health Organization. WHO Traditional Medicine Strategy: 2014-2023.