Massage is to work and act on the body with pressure. Massage techniques are commonly applied with hands, fingers, elbows, knees, forearm, feet, or a device. The purpose of massage is generally for the treatment of stress or pain.

Acupuncture is a technique in which practitioners stimulate specific points on the body - most often by inserting thin needles through the skin.  Results from a number of studies suggest that acupuncture may help ease types of pain that are often chronic such as low-back pain, neck pain, and osteoarthritis/knee pain.

Chiropractic is primarily used as a pain relief alternative for muscles, joints, bones, and connective tissue, such as cartilage, ligaments, and tendons and back pain.
It is often used in conjunction with other medical therapies.

Pain management uses a wide variety of techniques to address pain and painful disorders. Pain management is most often utilized when symtoms fail to
respone to conventioal treatment modalities . 

Surgery may be an option and sometimes it is the first and best option. Most spine conditions however can be treated successfully and long term without resorting to surgical therapy at all. Save the Surgeon for 'Last'.