What other pain medications are offered?

I have decided I don't want to get an epidural. I just have a reflex that causes my back to move when touched or even the thought of something touching my back. And I really really hate needles. (No hate please as everyone is entitled to their own choices) 
I was just curious what other types of pain relief are offered? Did you choose something besides epidural? Or go all natural? How was your experience with your choice?