In addition to undergoing standard treatments, many people with back or neck pain seek out alternative treatments—like massage, acupuncture, or yoga—to bring further relief.

See Types of Yoga

But which options are the most reliable in helping with your specific condition?

Acupuncture, which uses tiny needles to stimulate energy and pressure points, offers pain relief for many with neck or back pain. See Acupuncture: An Ancient Treatment for a Current Problem

Researchers from the National Center for Complementary and Integrative Health set out to answer this question with a large review of randomized, controlled clinical trials, which are considered the gold standard of scientific studies.

The review looked at eight different alternative therapies and revealed which ones yielded the most significant positive results. Studies included in the review included patients with back pain, neck pain, osteoarthritis, fibromyalgia, or migraines.

See Symptoms of Arthritis of the Spine


Best for back pain: acupuncture and yoga

For each combination of condition plus therapy, the researchers tallied the total studies and categorized them as “positive” if they found statistically significant improvement of pain levels for the therapy versus usual care or placebo, and “negative” if there was no difference.

See Non-Surgical Treatments for Lower Back Pain

Among the studies that included people with back pain, two therapies emerged with more positive studies than negative, indicating the most evidence of their benefits: acupuncture and yoga.

See Acupuncture Considerations

There was also less strong but still positive results found for massage therapy, spinal manipulation, and osteopathic manipulation in treating back pain.

Best for neck pain: massage therapy

For treatment of neck pain, only one therapy demonstrated a clear positive effect: massage therapy. In addition, that positive effect wore off after a few months, indicating that massage therapy is probably most effective in the short term.

See Neuromuscular Massage Therapy

However, before those with neck pain despair that they have few alternative therapy options, keep in mind that of all the conditions studied, neck pain had by far the fewest studies. More studies about therapies for those with neck pain probably would have yielded more positive results.

See Treatment for Neck Pain

Alternative therapies are pretty safe

In addition to the “best” therapies listed above, the review also looked at other therapies such as tai chi, relaxation techniques, and supplements. Just because these therapies didn’t score a positive rating in the review doesn’t mean they don’t help people.

See Tai Chi Practice

In fact, the review authors noted that of all the studies included, none identified a serious adverse effect as the result of a therapy. Alternative therapies have a good record for safety and lack of side effects.

See Pilates Exercise System to Promote Back Health

However, it’s always best to check with your doctor before starting a new therapy, because he or she knows best how it may affect your specific condition.

Learn more:

Yoga Poses

Tai Chi for Posture and Back Pain


  1. Evidence-Based Evaluation of Complementary Health Approaches for Pain Management in the United States. Mayo Clin Proc. 2016 Sep;91(9):1292-306. doi: 10.1016/j.mayocp.2016.06.007.