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Cancer: Treatment, Support & Integrative Care
About 4 in 10 people in the U.S. will be diagnosed with cancer in their lifetime, and about 7 in 10 people diagnosed are still alive 5 years later. Standard treatment is what controls or cures cancer; integrative therapies such as acupuncture, massage, yoga and meditation can ease symptoms alongside it — never instead of it.
Integrative therapies should be used alongside, never instead of, standard cancer treatment. Don’t use unproven products or practices to replace or delay medical treatment, and talk with your health care provider before adding any complementary product or practice (NCCIH, U.S. National Institutes of Health (opens in a new tab)). No complementary approach has been shown to cure cancer or make it go into remission (NCCIH (opens in a new tab)).
Why it matters: in a U.S. study of people with curable breast, prostate, lung or colorectal cancer, those who chose alternative medicine instead of standard treatment had about two and a half times the risk of death (JNCI, 2018 (opens in a new tab)). A second study found that people who used complementary medicine were more likely to turn down parts of their standard treatment — and that turning it down explained their higher risk of death (JAMA Oncology, 2018 (opens in a new tab)). Used with standard care, some approaches help people feel better (American Cancer Society (opens in a new tab)).
Tell your oncology team about every supplement — even vitamins, no matter how safe you think they are (National Cancer Institute (opens in a new tab)). Some can make cancer treatment work less well (NCCIH (opens in a new tab)).
In treatment now? Call your care team right away — even in the middle of the night (CDC (opens in a new tab)) — for:
- A fever of 100.4°F (38°C) or higher during chemotherapy. This is a medical emergency: fever may be the only sign of an infection, and infection during chemotherapy can be life-threatening (CDC (opens in a new tab)). Chemotherapy can lower the white blood cells that fight infection (neutropenia) (CDC (opens in a new tab)). If you go to the emergency room, tell the person checking you in that you are a cancer patient getting chemotherapy, so you are seen quickly (CDC (opens in a new tab)).
- Other signs of infection: chills and sweats, a new or changed cough, shortness of breath, a sore throat or new mouth sore, a stiff neck, burning or pain when urinating, redness, soreness or swelling (including around surgical wounds and ports), diarrhea, vomiting, belly or rectal pain, or new pain (CDC (opens in a new tab)). An infection that isn’t getting better, or is getting worse, can lead to sepsis — act fast (CDC (opens in a new tab)). Ask your doctor before taking anything to lower a fever, because it can hide signs of a serious problem (NCI (opens in a new tab)).
- Bleeding that won’t stop after a few minutes; bleeding from your mouth or nose or when you vomit; red or pink urine; black or bloody stools; or bad headaches, vision changes, confusion or unusual sleepiness (NCI (opens in a new tab)).
- Vomiting you can’t control — it can lead to dehydration and other serious problems (NCI (opens in a new tab)).
Keep your care team’s daytime and after-hours numbers with you (CDC (opens in a new tab)). If you are thinking about suicide or are in emotional crisis, call or text 988 (988 Suicide & Crisis Lifeline (opens in a new tab)). Never wait for an acupuncture, massage or chiropractic appointment for any of these.
What is cancer?
Cancer is a disease in which some of the body’s cells grow uncontrollably and spread to other parts of the body. It can start almost anywhere. Cancerous (malignant) tumors invade nearby tissue and can travel to distant places to form new tumors — this is called metastasis. Benign tumors don’t invade or spread. Many cancers form solid tumors, but blood cancers such as leukemias generally do not (National Cancer Institute (opens in a new tab)).
Cancer is caused by changes to genes that control how cells grow and divide. These changes can come from errors as cells divide, from damage by things such as tobacco smoke and the sun’s ultraviolet rays, or be inherited. The body’s ability to clear damaged cells goes down with age, which is part of why cancer is more common later in life. Each person’s cancer has its own mix of genetic changes — and many newer treatments target specific changes (NCI (opens in a new tab)). That is why “cancer” is really a group of related diseases (NCI (opens in a new tab)).
How common is it?
For 2026, an estimated 2,114,850 people in the U.S. will be diagnosed with cancer and 626,140 will die of it. About 39 in 100 people (39.2%) will be diagnosed with cancer at some point in their lives. The good news: about 7 in 10 people diagnosed (70.5%) are expected to survive the effects of their cancer for at least 5 years, the U.S. cancer death rate is going down, and in 2023 an estimated 18.6 million people in the U.S. were living with cancer (NCI SEER Program (opens in a new tab)). Survival statistics describe large groups and can’t predict what will happen to any one person (NCI SEER (opens in a new tab)).
Lowering your risk
It usually isn’t possible to know why one person gets cancer and another doesn’t. Some risk factors, such as getting older and family history, can’t be changed; others can (NCI (opens in a new tab)). The best-proven steps:
- Don’t use tobacco, or quit. Scientists believe cigarette smoking causes about 30% of all U.S. cancer deaths, and not smoking or quitting lowers the risk of getting and dying from cancer (NCI (opens in a new tab)). Free help: call 1-800-QUIT-NOW (CDC (opens in a new tab)) or NCI’s quitline at 1-877-44U-QUIT (NCI (opens in a new tab)).
- Drink less alcohol, or none. There is strong evidence that alcohol can cause cancer; the more someone drinks, the higher the risk, and even light drinkers can be at higher risk of some cancers (NCI (opens in a new tab), CDC (opens in a new tab)).
- Get vaccinated. The HPV vaccine and the hepatitis B vaccine can help prevent cancer (CDC (opens in a new tab)). HPV vaccination is recommended at ages 11–12 (it can start at 9) and through age 26 for those not fully vaccinated; some adults 27 to 45 may decide with their doctor to get it. It has the potential to prevent more than 90% of cancers caused by HPV (CDC (opens in a new tab)).
- Protect your skin. Most skin cancers are caused by too much ultraviolet light from the sun and tanning beds. Use shade, clothing, a wide-brimmed hat, sunglasses and broad-spectrum sunscreen of SPF 15 or higher, and avoid indoor tanning (CDC (opens in a new tab)).
- Stay active and aim for a healthy weight. Obesity is linked to a higher risk of several cancers, and people who lose weight lower their risk of these cancers; active people have a lower risk of certain cancers (NCI (opens in a new tab)).
- Know your family history and share it with your doctor (CDC (opens in a new tab)).
- Get the screening tests recommended for you — see Cancer screening tests below.
Supplements are not a shortcut: the U.S. Preventive Services Task Force advises against vitamin E or beta-carotene supplements to prevent cancer (beta-carotene can harm some people, such as smokers), and there isn’t enough evidence to say whether other vitamins or minerals help (NCCIH (opens in a new tab)).
Warning signs to get checked
Cancer can cause many symptoms, but they are most often caused by something else. If a symptom doesn’t get better after a few weeks, see your doctor — and don’t wait for pain, because cancer often doesn’t hurt (NCI (opens in a new tab)). Signs NCI lists include:
- a lump or swelling anywhere (such as the breast, neck, underarm, belly or groin), or nipple or breast skin changes;
- blood in the stool or urine, a change in bowel habits, or trouble or pain urinating;
- a cough or hoarseness that doesn’t go away, trouble swallowing, or heartburn or indigestion that doesn’t go away;
- bleeding or bruising, fever or night sweats, or weight loss or gain — for no known reason;
- severe fatigue that lasts;
- a new mole or a change in a mole, a sore that doesn’t heal, or a white or red patch in the mouth;
- headaches, seizures, or changes in vision or hearing (NCI (opens in a new tab)).
For bowel symptoms, see also our Bowel Problems guide.
Getting a diagnosis and finding trustworthy care
- See a cancer specialist. An oncologist is a doctor with special training in diagnosing and treating cancer; hematologists, radiation oncologists and surgeons also treat cancer. Your primary care doctor or local hospital can suggest someone (NCI (opens in a new tab)).
- Consider an NCI-designated cancer center. These 74 centers meet rigorous standards for research and deliver cutting-edge treatments; thousands of patients join clinical trials there each year (NCI (opens in a new tab)). The closest to the Monterey Bay area are the Stanford Cancer Institute, the UCSF Helen Diller Family Comprehensive Cancer Center in San Francisco and the UC Davis Comprehensive Cancer Center in Sacramento (NCI Find a Cancer Center (opens in a new tab)). You can also check whether a hospital is accredited by the American College of Surgeons Commission on Cancer (NCI (opens in a new tab)).
- Get a second opinion if you want one. It is very common, most doctors welcome it, and many insurers pay for it — some require it, especially before surgery. Involve your doctor so your records and test results can be shared (NCI (opens in a new tab)).
- Ask about clinical trials when you discuss treatment options (NCI (opens in a new tab)).
- Free, confidential help: NCI’s Cancer Information Service, 1-800-4-CANCER (1-800-422-6237), in English and Spanish (NCI (opens in a new tab)), and the American Cancer Society’s 24/7 helpline, 1-800-227-2345 (American Cancer Society (opens in a new tab)).
What “integrative” really means
Complementary medicine is used along with standard treatment — for example, acupuncture to lessen side effects. Alternative medicine is used instead of standard treatment — for example, a special diet instead of the cancer drugs an oncologist prescribes. Integrative medicine combines conventional care with complementary practices shown by science to be safe and effective (NCI (opens in a new tab)). People with cancer use these approaches to cope with side effects such as nausea, pain and fatigue, and to ease worry and stress (NCI (opens in a new tab)). The Society for Integrative Oncology’s guidelines say some approaches help control symptoms when added to conventional care, but unproven methods shouldn’t replace it, because delayed treatment lowers the chance of remission or cure (NCCIH (opens in a new tab)). Many NCI-designated cancer centers offer survivorship programs (NCI (opens in a new tab)), and some, such as Memorial Sloan Kettering, run their own integrative medicine services (Memorial Sloan Kettering (opens in a new tab)) — ask your cancer center what it offers.
Side by side
Six approaches compared
For every condition we look at the same six approaches: what each involves, what it typically costs, and what a patient can realistically expect.
| Approach | What it involves | Estimated cost | What to expect |
|---|---|---|---|
| Conventional medicine (AMA) | Surgery, radiation, chemotherapy, immunotherapy, targeted therapy, hormone therapy and stem cell transplant — usually in combination — plus clinical trials, palliative care at any stage and follow-up care. | Among the most expensive conditions to treat; U.S. cancer care cost about $208.9 billion in 2020. Insurance, Medicare, Medicaid and nonprofit programs help; screening is often $0. | The treatments that control and cure cancer. About 7 in 10 people diagnosed are alive 5 years later, and the U.S. death rate is falling. Results depend on the cancer type and stage. |
| Chiropractic | No role in treating cancer. Possibly gentle care for ordinary back or neck pain — only with your oncologist’s OK. | About $50–$150 an adjustment without insurance ($15–$50 with); first visits $100–$250. | No evidence it affects cancer. New back pain after cancer can be a sign of spread to the spine, and cancer in bone can lead to fractures — get checked first. |
| Acupuncture | Used alongside treatment for chemotherapy nausea, aromatase-inhibitor joint pain, cancer pain, hot flashes, fatigue and dry mouth. | About $90–$185 a follow-up visit cash-pay; community clinics about $50–$90. One cancer center charges $145 (private) or $70 (community). | Best evidence is for treatment-related nausea and aromatase-inhibitor joint pain; guidelines support it for some pain. Needs strict clean-needle technique. |
| Herbal medicine | No herb or supplement treats or cures cancer. Some, like ginger, are studied for side effects — only with your oncology team’s OK. | Cost estimate being researched. | Real risks: St. John’s wort weakens some cancer drugs, and antioxidant supplements may make chemotherapy or radiation less effective. Many oncologists advise avoiding supplements during treatment. |
| Massage therapy | Gentle massage from a therapist trained in oncology massage, for stress, anxiety, mood and pain. | About $50–$90 for 45–60 minutes at clinics and spas, $60–$120 privately; one cancer center charges $160 an hour. | Low-quality but encouraging evidence for anxiety, mood and pain. No evidence it treats cancer, and no research has shown it spreads cancer. |
| MBHA Wellness Coach | Staying active, eating well, sleep, mind-body practices (mindfulness, yoga, tai chi), support groups, caregiver support, survivorship plans and help finding financial resources. | Coaching: cost estimate being researched. Many support groups are free. | Guidelines recommend exercise, mindfulness programs and yoga for cancer fatigue, anxiety and mood. Supports — never replaces — cancer treatment. |
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Conventional medicine (AMA)
Most people with cancer have a combination of treatments, such as surgery with chemotherapy and radiation therapy. Which you get depends on the type of cancer and how advanced it is, and biomarker testing may help you and your doctor choose (National Cancer Institute (opens in a new tab)).
1. The main types of treatment
- Surgery removes cancer from the body.
- Radiation therapy uses high doses of radiation to kill cancer cells and shrink tumors.
- Chemotherapy kills or stops the growth of cancer and other fast-growing cells.
- Immunotherapy helps your immune system fight cancer.
- Targeted therapy targets the changes in cancer cells that help them grow, divide and spread.
- Hormone therapy slows or stops the growth of breast and prostate cancers that use hormones to grow.
- Stem cell transplants restore blood-forming cells after very high doses of chemotherapy or radiation. Other treatments include hyperthermia and photodynamic therapy (NCI (opens in a new tab)).
2. Managing side effects is part of treatment
- Nausea and vomiting: anti-nausea medicines given before treatment work well to prevent or reduce them; they are harder to treat once they start, so tell your team early (NCI (opens in a new tab)).
- Fatigue: more than 80% of people getting chemotherapy or radiation have fatigue. It isn’t fully relieved by rest; tell your team, who can look for causes such as anemia, pain, poor sleep or depression (NCI (opens in a new tab)).
- Infection and bleeding risks: chemotherapy can lower white blood cells and platelets — see the emergency box at the top of this page (NCI (opens in a new tab), NCI (opens in a new tab)).
3. Clinical trials
Clinical trials test new ways to find, prevent and treat cancer, and ways to manage side effects and improve quality of life. Today people live longer thanks to past trials (NCI (opens in a new tab)). Ask about trials when you discuss treatment options; some are only open to people who haven’t started treatment (NCI (opens in a new tab)). Many trial costs are covered by the study sponsor or your insurance; ask the study coordinator which costs are covered. Medicaid covers all routine patient care costs in a clinical trial, and Medicare may reimburse some costs of trials of new ways to diagnose or treat cancer (NCI (opens in a new tab)). Taking part in a clinical trial is one legal way to try an experimental treatment (FDA (opens in a new tab)).
4. Palliative care — at any stage, not only at the end
Palliative care improves quality of life for people with a serious illness such as cancer. It treats symptoms and side effects — such as pain, fatigue, nausea, shortness of breath and poor sleep — as early as possible, along with emotional, spiritual, practical and caregiver needs. Anyone can receive it, at any age or stage, from diagnosis on, and you can keep getting cancer treatment at the same time. Hospice is different: it begins when cure is no longer the goal (NCI (opens in a new tab)). Some studies show early palliative care for advanced cancer can improve quality of life and mood and may even prolong survival, and the American Society of Clinical Oncology recommends it for everyone with advanced cancer. Ask your oncologist for a referral (NCI (opens in a new tab)).
5. After treatment: follow-up and survivorship
When treatment ends, you should receive a written treatment summary and follow-up care plan — together called a survivorship care plan. People generally have check-ups every 3 to 4 months for the first 2 to 3 years, then once or twice a year. Tell your doctor about new symptoms, emotional problems and any new medicines, vitamins, herbs or supplements; some treatment effects (“late effects”) appear months or years later (NCI (opens in a new tab)).
What it costs
Cancer is one of the most expensive medical conditions to treat in the U.S., and out-of-pocket costs (copays, deductibles and coinsurance) can cause “financial toxicity” even for people with insurance. Some survivors report spending more than 20% of their yearly income on medical care, and working people in treatment missed about 22 more workdays a year in one study (NCI (opens in a new tab)). U.S. spending on cancer care was an estimated $208.9 billion in 2020 (NCI (opens in a new tab)). Costs vary greatly by where you live, your insurance and the hospital (NCI (opens in a new tab)). See Help paying for cancer care below.
How well it works — what to expect
Standard treatment is what controls and cures cancer. About 7 in 10 people diagnosed in the U.S. are alive 5 years later (NCI SEER (opens in a new tab)), and overall cancer death rates have fallen since the early 1990s (NCI (opens in a new tab)). Your own outlook depends on the type and stage of your cancer and how it responds — ask your oncologist what to expect.
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Chiropractic
Chiropractic care has no role in treating cancer. No complementary approach has been shown to prevent or cure cancer (NCCIH, U.S. National Institutes of Health (opens in a new tab)), and a systematic review found the chiropractic literature on people with cancer is made up mostly of case reports and commentaries, and that the benefits of chiropractic care for them remain to be investigated (Integrative Cancer Therapies, 2012 (opens in a new tab)). Outside of cancer, spinal manipulation may give small improvements in low-back pain and can help acute neck pain (NCCIH (opens in a new tab)).
Get your oncologist’s clearance first. Bone is one of the most common places cancer spreads, and cancer in the bone can cause pain and fractures (NCI (opens in a new tab)). People with osteoporosis or cancer that has spread to the bone may be more likely to break a bone with activity that puts stress on the bones (American Cancer Society (opens in a new tab)). Breast cancer is the most common cause of cancer in the spine, and it can come back years after treatment; a 2022 report described a cancer survivor whose new back pain turned out to be cancer in the spine, and advised that hands-on therapies be used cautiously and under oncology supervision in such cases (American Journal of Case Reports, 2022 (opens in a new tab)).
Using chiropractic care safely
- If you have had cancer and develop new or worsening back or neck pain, see your oncology team first rather than starting with adjustments (Am J Case Rep, 2022 (opens in a new tab)).
- Tell the chiropractor about your diagnosis, treatment and any bone involvement; in the 2022 case, the oncologist approved only gentle traction and soft-tissue work while the patient continued radiation and chemotherapy (Am J Case Rep, 2022 (opens in a new tab)).
- Tell your oncology team about any supplements a chiropractor suggests (NCI (opens in a new tab)).
What it costs
A standard adjustment is about $50–$150 without insurance and $15–$50 with it; a first consultation $100–$250 (MedicalCostInfo (opens in a new tab)). Some insurance plans cover chiropractic care; a referral from your cancer care team may help (American Cancer Society (opens in a new tab)).
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Acupuncture
Acupuncture is one of the best-studied complementary therapies in cancer care. It is used alongside treatment to ease symptoms and side effects — not to treat the cancer itself (National Cancer Institute (opens in a new tab)).
What the research shows
- Nausea and vomiting from treatment: the strongest evidence for acupuncture in cancer care; a 2013 review of 41 trials found it helped chemotherapy-related nausea and vomiting (NCI (opens in a new tab)). Most of this research was done before today’s anti-nausea medicines, so it’s uncertain how much it adds to them (NCCIH (opens in a new tab)). Guidelines endorsed by the American Society of Clinical Oncology (ASCO) recommend acupuncture and acupressure for chemotherapy nausea and vomiting in breast cancer (SIO guideline, ASCO endorsement, 2018 (opens in a new tab)). NCI also mentions wrist acupressure and Sea-Band wristbands — ask your doctor first (NCI (opens in a new tab)).
- Joint pain from aromatase inhibitors (hormone therapy for breast cancer): a 2018 trial of 226 women found less joint pain with acupuncture than with sham or no acupuncture (NCCIH (opens in a new tab)). The 2022 SIO–ASCO guideline says acupuncture should be recommended for this pain (SIO–ASCO guideline, 2022 (opens in a new tab)).
- Cancer pain: acupuncture, reflexology or acupressure may be recommended for general cancer pain or musculoskeletal pain (SIO–ASCO, 2022 (opens in a new tab)). A 2020 analysis of 14 studies linked acupuncture to less cancer pain (NCCIH (opens in a new tab)), though NCI notes many pain studies are small or poorly designed (NCI (opens in a new tab)).
- Hot flashes from hormone therapy: results are mixed — trials found acupuncture safe and helpful, but not clearly better than sham acupuncture (NCI (opens in a new tab)).
- Fatigue, dry mouth and sleep: trials suggest benefits for fatigue, dry mouth from head-and-neck radiation, and insomnia, though real acupuncture isn’t always clearly better than sham (NCI (opens in a new tab)). After treatment ends, ASCO–SIO guidance says acupressure may be recommended for fatigue (ASCO–SIO guideline, 2024 (opens in a new tab)).
- Anxiety: the 2023 SIO–ASCO guideline recommends acupuncture for anxiety symptoms after cancer treatment (SIO–ASCO guideline, 2023 (opens in a new tab)).
- Nerve damage from chemotherapy (neuropathy): some trials show promise, but more evidence is needed (NCI (opens in a new tab)).
Staying safe
- Complications are few when sterile needles and proper procedures are used. Because chemotherapy and radiation weaken the immune system, a strict clean-needle method is a must for people with cancer (NCI (opens in a new tab), NCCIH (opens in a new tab)).
- The FDA requires sterile, single-use needles, and most states require certification from the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) (NCI (opens in a new tab)).
- If your blood counts are low, ask your oncology team before a session. Chemotherapy can lower the white cells that fight infection and the platelets that stop bleeding, making you bruise or bleed more easily (NCI (opens in a new tab), NCI (opens in a new tab)).
- Acupuncturists sometimes suggest herbs. Check every herb with your oncology team first — see the herbal section below.
What it costs
Cash-pay follow-up visits run about $90–$185, first visits up to about $125–$230, and community acupuncture about $50–$90 (The Pricer (opens in a new tab)). As one example of a hospital program, Memorial Sloan Kettering lists $145 for a private session and $70 for community acupuncture; insurance coverage varies a great deal, so call your plan first (Memorial Sloan Kettering (opens in a new tab)).
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Herbal medicine
No supplement cures cancer. There are no studies proving that any special diet, food, vitamin, mineral, dietary supplement or herb can slow cancer, cure it or keep it from coming back — and some can change how your cancer treatment works (National Cancer Institute (opens in a new tab)). Talk with your oncology team before taking any herb, vitamin or supplement, and give them a complete list of what you already take (American Cancer Society (opens in a new tab)).
Why supplements are a special concern during treatment
- St. John’s wort can weaken some cancer medicines, including irinotecan, imatinib and docetaxel (NCCIH (opens in a new tab)), and may make certain cancer drugs not work as well as they should (NCI (opens in a new tab)).
- Antioxidant supplements (such as vitamins C and E): some trials found that people who took them during cancer therapy had worse outcomes, especially smokers. NCI advises caution until more is known (NCI (opens in a new tab)); Memorial Sloan Kettering says it is wise to avoid them during chemotherapy (Memorial Sloan Kettering (opens in a new tab)); and ACS notes they might make some chemotherapy medicines less effective (ACS (opens in a new tab)).
- Other interactions: some herbs change how the body breaks down chemotherapy drugs, making them less effective, or add to side effects such as bleeding (MSK (opens in a new tab)). Some supplements can cause severe skin reactions during radiation, and some can cause problems around surgery — a few take 2 to 3 weeks to leave the body (ACS (opens in a new tab), ACS (opens in a new tab)).
- Because of these risks, many cancer experts advise avoiding dietary supplements during treatment (ACS (opens in a new tab), MSK (opens in a new tab)). Interactions with new cancer medicines may not be known yet (ACS (opens in a new tab)).
- “Natural” doesn’t mean safe — comfrey, green tea and kava can harm the liver (ACS (opens in a new tab)).
Where some products have been studied
- Ginger for chemotherapy nausea: the evidence is mixed — some studies found it helped, others found no effect (NCCIH (opens in a new tab)), and it’s uncertain whether it adds to standard anti-nausea treatment (NCCIH (opens in a new tab)). Foods and drinks with ginger, such as ginger tea, are among NCI’s tips for easing nausea (NCI (opens in a new tab)). Ask before taking ginger supplements (NCCIH (opens in a new tab)).
- American ginseng for fatigue: a 2024 ASCO–SIO guideline says it may be recommended for adults during cancer treatment; other dietary supplements did not improve fatigue (ASCO–SIO guideline, 2024 (opens in a new tab)). Ask your oncologist whether it is right for you.
- Curcumin (from turmeric): there isn’t enough evidence to recommend it for treating cancer (NCCIH (opens in a new tab)).
- For breast cancer, there is no strong evidence that swallowed dietary supplements help manage treatment side effects, and acetyl-L-carnitine is not recommended for preventing nerve damage because it may cause harm (SIO guideline, ASCO endorsement, 2018 (opens in a new tab)).
- Products to avoid: black salves for skin cancer are neither safe nor effective and can destroy healthy skin; laetrile (amygdalin) has no clinical evidence of benefit and can be toxic (NCCIH (opens in a new tab)). See Spotting false cancer cures.
Checking a product
Memorial Sloan Kettering’s free About Herbs database, kept up to date by a pharmacist and botanicals expert, lists the proven uses, possible side effects and drug interactions of common herbs and supplements (Memorial Sloan Kettering (opens in a new tab)). If your team agrees to a supplement, look for quality seals such as USP or NSF, start one product at a time, and avoid mixtures of many ingredients (ACS (opens in a new tab)). We don’t list doses here — that decision belongs to your oncology team and pharmacist.
What it costs
Cost estimate being researched.
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Massage therapy
Massage can help many people with cancer feel calmer and more comfortable. There is no scientific evidence that it treats cancer (Cancer Research UK (opens in a new tab)).
What the research shows
- Anxiety, mood and stress: guidelines for breast cancer care include massage among approaches that may help with stress, anxiety, depression, fatigue and quality of life (NCCIH (opens in a new tab)); the ASCO-endorsed guideline recommends massage for depression and mood disorders (SIO guideline, ASCO endorsement, 2018 (opens in a new tab)).
- Pain: the 2022 SIO–ASCO guideline says massage may be recommended for pain during palliative or hospice care (SIO–ASCO guideline, 2022 (opens in a new tab)). A 2021 review of manual therapies found benefits for pain, physical function and well-being, but not fatigue, nausea, anxiety or depression (NCCIH (opens in a new tab)).
- The honest picture: a 2016 review of 19 studies found some evidence for pain and anxiety, but the evidence was very low quality and inconsistent (NCCIH (opens in a new tab)). Massage is reasonable supportive care with appropriate precautions, but the evidence is not strong (NCCIH (opens in a new tab)).
- Massage may help decrease stress, anxiety, depression and pain (American Cancer Society (opens in a new tab)), and it is among the relaxation approaches NCI lists for easing nausea and vomiting (NCI (opens in a new tab)).
Does massage spread cancer?
Some people worry that massage could make cancer cells travel around the body, but no research has shown this to be true (Cancer Research UK (opens in a new tab)).
Staying safe
- Choose a therapist trained in oncology massage, and ask about their training in treating people with cancer (Cancer Research UK (opens in a new tab)). Oncology massage therapists have advanced training to work safely around the complications of cancer and its treatment (Memorial Sloan Kettering (opens in a new tab)). Your cancer care team can refer you to a trusted therapist (ACS (opens in a new tab)).
- Gentle, not deep. People with cancer should avoid very deep massage; therapists may need to use less pressure in areas made sensitive by cancer or treatment (Cancer Research UK (opens in a new tab), NCCIH (opens in a new tab)). Techniques may need adapting if you are in treatment, very weak or have bone fractures (CRUK (opens in a new tab)).
- Skip certain areas: any area getting radiation, and skin that is broken, bleeding or bruised (CRUK (opens in a new tab)).
- Lymphedema: avoid general massage on a swollen arm or leg. A specialized technique, manual lymphatic drainage, is given by a lymphedema specialist on referral (CRUK (opens in a new tab)).
- Low platelets: chemotherapy and targeted therapy can make you bruise or bleed easily (NCI (opens in a new tab)) — check with your care team before any massage while your counts are low.
- Talk with your cancer doctor or nurse before starting massage (CRUK (opens in a new tab)).
What it costs
About $50–$90 for 45–60 minutes at clinics, gyms and spas, and $60–$120 with a private therapist (CostHelper (opens in a new tab)). Specialized oncology massage can cost more: one cancer center lists $160 for 60 minutes and $98 for 30 minutes (Memorial Sloan Kettering (opens in a new tab)). Insurance sometimes covers massage; a referral from your care team may help, and HSAs or FSAs may cover out-of-pocket costs (ACS (opens in a new tab)).
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MBHA Wellness Coach
An MBHA Wellness Coach works alongside your cancer care team on the everyday things that help you get through treatment and recover — never as a substitute for it.
Staying active
- For most people, exercise is safe and helpful before, during and after cancer treatment. It can improve quality of life and energy, reduce fatigue, and help with stress (American Cancer Society (opens in a new tab)). An international exercise roundtable concluded that every survivor should “avoid inactivity,” and that exercise can improve anxiety, depressive symptoms, fatigue, physical functioning and quality of life (American College of Sports Medicine roundtable, 2019 (opens in a new tab)).
- The ACS goal for survivors: start slowly and build up to 150–300 minutes of moderate activity (or 75–150 minutes of vigorous activity) a week, plus muscle strengthening at least 2 days a week (ACS (opens in a new tab)).
- Check with your team first, especially if you have heart or lung disease, severe fatigue, balance problems, an ostomy, or weak bones or cancer in the bone. Stay away from public gyms and crowds while your infection risk is high, and avoid contact sports (ACS (opens in a new tab)).
- Even 10 minutes of light activity a day helps if you’re very tired (ACS (opens in a new tab)).
Managing fatigue
The 2024 ASCO–SIO guideline recommends exercise, cognitive behavioral therapy (CBT), mindfulness-based programs, and tai chi or qigong to reduce fatigue during treatment; after treatment, exercise, CBT and mindfulness-based programs, with yoga, acupressure and moxibustion as further options (ASCO–SIO guideline, 2024 (opens in a new tab)). Keeping a fatigue diary to share with your care team can help (NCI (opens in a new tab)).
Mind-body practices
- For anxiety and low mood, the 2023 SIO–ASCO guideline recommends mindfulness-based interventions, yoga, relaxation, music therapy and reflexology during treatment (plus inhaled aromatherapy for anxiety), and mindfulness, yoga and tai chi or qigong after treatment (SIO–ASCO guideline, 2023 (opens in a new tab)).
- A 2020 review of 26 studies found people with cancer in mindfulness programs had less anxiety, depression, fatigue and stress and better quality of life (NCCIH (opens in a new tab)).
- Safety: yoga is generally safe with a qualified instructor, but cancer may raise the risks — ask your care team which poses or practices to avoid. Meditation can be adapted if sitting still is uncomfortable (NCCIH (opens in a new tab)).
Eating well
No single food or special diet has been proven to control cancer. Aim for a variety of healthy foods, and ask the doctor in charge of your treatment what you should eat, since needs differ (NCI (opens in a new tab)). During treatment, follow food-safety steps: wash hands, cook meat, fish and eggs well, and keep hot foods hot and cold foods cold (NCI (opens in a new tab)). For nausea, try small, frequent meals, bland or cold foods, plenty of fluids and avoiding strong smells (NCI (opens in a new tab)).
Feelings, support and caregivers
- A wide range of emotions is normal, during and after treatment. Ask your hospital social worker or nurse about emotional and practical support (NCI (opens in a new tab)).
- Support groups — in person, online or by phone — can help you feel more hopeful and less alone; many are free. Ask your cancer center, or look to groups such as CancerCare and the Cancer Support Community (NCI (opens in a new tab)).
- Caregivers need care too. Accept help with chores, rides and meals, and consider a support group or counselor for yourself (NCI (opens in a new tab)).
- Free help lines: NCI 1-800-4-CANCER (NCI (opens in a new tab)); ACS 1-800-227-2345, 24/7 (ACS (opens in a new tab)); and 988 for a mental-health crisis (988 Lifeline (opens in a new tab)). See also our Anxiety guide.
Survivorship and follow-up
A coach can help you keep your survivorship care plan and treatment summary together, prepare questions, and keep track of follow-up visits — and make sure each of your doctors shares notes with the others (NCI (opens in a new tab)). Staying active, eating well and keeping a healthy weight may help lower the risk of a second cancer, and a healthy lifestyle might lower the risk of some cancers coming back (ACS (opens in a new tab)).
What it costs
Wellness coaching: MBHA cost estimate being researched. Many support groups are free, though some charge a small fee (NCI (opens in a new tab)).
Another approach
Cancer screening tests
Screening means checking for cancer before you have symptoms. Regular screening can find breast, cervical, colorectal and lung cancers early, when treatment is likely to work best (CDC (opens in a new tab)). These recommendations from the U.S. Preventive Services Task Force (USPSTF) are for people at average risk without symptoms — if you have symptoms or a strong family history, talk with your doctor.
Recommended tests
- Breast: a mammogram every other year for women aged 40 to 74 (2024) (USPSTF, 2024 (opens in a new tab)).
- Cervical: ages 21–29, a Pap test (cytology) every 3 years; ages 30–65, a Pap test every 3 years, a high-risk HPV test every 5 years, or both together every 5 years. Not recommended before 21, after 65 with adequate past screening, or after a hysterectomy that removed the cervix (for people without a history of precancer or cervical cancer) (USPSTF, 2018 (opens in a new tab)). The Task Force is updating this recommendation.
- Colorectal: all adults 45 to 75 (USPSTF, 2021 (opens in a new tab)). Test options and costs are explained in our Bowel Problems guide.
- Lung: a yearly low-dose CT scan for adults 50 to 80 who have a 20 pack-year smoking history and still smoke or quit within the past 15 years. (One pack-year is a pack a day for a year.) Screening stops after 15 years without smoking (USPSTF, 2021 (opens in a new tab)).
- Prostate: for men 55 to 69, PSA screening is a personal decision to make with your clinician after discussing the small possible benefit and the harms — false alarms, biopsies, overtreatment, incontinence and erectile problems. Not recommended at 70 and older (USPSTF, 2018 (opens in a new tab)).
Screening for ovarian, pancreatic, testicular and thyroid cancers has not been shown to reduce deaths, and there is too little evidence to judge screening people without symptoms for bladder, oral or skin cancer (CDC (opens in a new tab)).
What it costs
- Marketplace and most private plans (ACA): colorectal and lung cancer screening for eligible adults (HealthCare.gov (opens in a new tab)), and mammograms every 1–2 years from 40 and cervical cancer screening (HealthCare.gov (opens in a new tab)), are generally covered with no copay or coinsurance from an in-network provider, even before you meet your deductible. Coverage may vary (HealthCare.gov (opens in a new tab)).
- Medicare (no cost for these when your provider accepts assignment): screening mammograms every 12 months for women 40 and older at no cost if your provider accepts assignment (diagnostic mammograms: 20% after the Part B deductible) (Medicare.gov (opens in a new tab)); Pap tests and pelvic exams generally every 24 months, and HPV tests every 5 years for ages 30–65, at no cost (Medicare.gov (opens in a new tab)); yearly low-dose CT lung screening for people 50 to 77 who meet the smoking-history rules, after a counseling visit, at no cost (Medicare.gov (opens in a new tab)); and a yearly PSA blood test for men over 50 at no cost for the test (Medicare.gov (opens in a new tab)). Colorectal coverage is in our Bowel Problems guide.
Another approach
Spotting false cancer cures
Products claiming to cure cancer are common on websites and social media. Legitimate cancer drugs and devices must be approved or cleared by the FDA before they are sold; bogus “treatments” come as pills, powders, creams, teas, oils and kits, are often called “natural,” and can cause harm by delaying or interfering with proven treatment — or by containing dangerous ingredients (U.S. Food and Drug Administration (opens in a new tab)).
Red flags
- Claims such as “treats all forms of cancer,” “miraculously kills cancer cells and tumors,” “shrinks malignant tumors,” “selectively kills cancer cells,” “more effective than chemotherapy,” “attacks cancer cells, leaving healthy cells intact” or “cures cancer” (FDA (opens in a new tab)).
- One product that claims to treat many unrelated diseases; personal “success” testimonials; quick fixes; “all-natural cure”; “miracle cure,” “new discovery,” “guaranteed results” or “secret ingredient”; and conspiracy claims such as “the cure Big Pharma doesn’t want you to know about” (FDA (opens in a new tab)).
- Products claiming benefits with no side effects — such claims are almost always fraudulent (American Cancer Society (opens in a new tab)).
- Sellers with a financial stake in the product. One study found about 1 in 3 social-media articles about cancer treatment contained incorrect or harmful information (ACS (opens in a new tab)).
Products already shown not to work
Black salves sold for skin cancer are neither safe nor effective and can cause severe scarring; laetrile has no clinical evidence of benefit and can be toxic (NCCIH (opens in a new tab)).
Before you try anything new, ask your care team
- What are the risks and expected benefits? Do the benefits outweigh the risks?
- Will it affect my standard treatment?
- Is it part of a clinical trial, and who sponsors it?
- Will insurance cover it? (NCI (opens in a new tab))
If you decide to give up proven treatment, know that you are doing so, and ask your team what options might still work if the alternative doesn’t (ACS (opens in a new tab)). Report a bad reaction to a product to the FDA at 1-800-FDA-1088 (FDA (opens in a new tab)).
Another approach
Help paying for cancer care
Worry about money is common, even with insurance — and it’s worth raising early. Tell your care team if costs could be a burden, so treatment decisions can take that into account (National Cancer Institute (opens in a new tab)).
- Ask for a financial counselor or social worker at your hospital about payment plans and programs beyond insurance (NCI (opens in a new tab)). When choosing a cancer center, ask whether it offers social workers and help finding financial assistance (NCI (opens in a new tab)).
- Nonprofit help with medicines, travel, lodging, copays and living costs: CancerCare, the Cancer Financial Assistance Coalition, the HealthWell Foundation and, for blood cancers, the Leukemia & Lymphoma Society. Triage Cancer offers legal and practical help (NCI (opens in a new tab)).
- Insurance: if you are uninsured, compare plans at HealthCare.gov (1-800-318-2596); if you can’t afford insurance and don’t qualify for Medicaid or Medicare, ask hospitals about charity care and sliding-scale fees (NCI (opens in a new tab)). The No Surprises Act bans surprise bills for emergency care and for out-of-network providers at in-network facilities (NCI (opens in a new tab)).
- Palliative care is usually covered by private insurance, and Medicare and Medicaid pay for some kinds (NCI (opens in a new tab)).
- Clinical trials: Medicaid covers routine patient care costs in a trial; ask the research team about help with travel and lodging (NCI (opens in a new tab)).
- Integrative therapies: acupuncture, chiropractic and massage are sometimes covered; ask your care team for a referral, which insurers may require, and check whether an HSA or FSA can pay (ACS (opens in a new tab)).
- NCI’s Cancer Information Service (1-800-4-CANCER) can refer you to emotional, practical and financial support (NCI (opens in a new tab)).
Member stories
Living with Cancer: Treatment, Support & Integrative Care? Share your experience
Real experiences help others choose. Tell us what you tried — conventional medicine, chiropractic, acupuncture, herbs, massage or coaching — what it cost and what changed.
Sources
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This page is for education only and is not medical advice. Costs are typical U.S. ranges and estimates; yours will depend on your provider, location and insurance. Talk with your doctor before starting, stopping or combining any treatment. In an emergency, call 911. See our disclaimer.
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