Yes, I always recommend anti-inflammatories as a staple in treatment.
Oftentimes, that isn't enough.
Really is amazing how closed minded people can be, especially with something that is nebulous and subjective like pain management.
I'm medically trained, and it's how I always begin treatment... I want imaging, and I start on anti-inflammatories. Imaging is just a formality, though. Unless there is a severe protrusion or herniation, treatment is similar throughout. People don't want to be on painkillers (which I agree with, unless absolutely necessary), and surgery is probably the worst treatment option for people with chronic neck or back pain.
Anecdotally, I've seen a combination of chiro, massage therapy, PT, and trigger point injections work better than giving someone an epidural or cortisone injection every 3-4 months and calling it a day. Doesn't matter, people will believe what they will. And I'm aware that there is questionable evidence of these treatment methods, but they're as successful as the other, more traditional methods that people expect from a medical pain management team.