@dyslexia,
You know me, I'd say see an orthopedist as a rule out for anything structural; I personally might - or might not - be more likely to go to a good chiropractor than try acupuncture, but I don't rule it out as I used to have a rheumatology colleague who was very interested in acupuncture, as I told Diane. This is all personal experience based - I've been helped by a simple visit to an orthopedist in the past, and I was helped by an md who knew chiropractic methods once.
One of the reasons, though, that I would go to an orthopod first is totally personal - as many of these kind of recommendations are. When I was nine and we lived with my aunt for a couple of months one spring in the fifties, a neighbor came over and raved about manipulating the neck, getting rid of all those nasty whachamacallits. She kneaded my neck (who asked?) and it hurt for at what seemed a week later. Forty years later, cousin's husband started kneading my neck and I nearly belted him, and not for sexual harassment. No one I don't trust to do it gets to mess with my neck, which I know to have some degenerative changes.