I'd start off with the chiropractor first before pain management. I know it's still considered alternative but I benefited a lot from ancupunture. I say this because there is such strong opposition to pain meds right now and if you can show you've tried all the alternatives you'd get treated better by the medical establishment.

I tried everything before seeking meds and I was treated quite well by my doctors but I've heard horror stories from others seeking pain relief. Just my opinion