Welcome To Health 1st Wellness & Physical Medicine

Who We Are:

At Health 1st Wellness & Physical Medicine, our goal is to provide customized, caring, pain relief for each, and every patient.  We apply targeted treatment systems designed to each patient’s specific needs.

Patients discover that they obtain uncommon results because of our attention to detail. Whether it’s customizing a gentle corrective spinal treatment plan, educating patients about caring for their backs, providing an anti-inflammatory nutritional regimen, prescribing specific stabilization exercises, or weight loss counseling, we’ve got you covered.

Dr. Randall Roth, D.C of Health 1st Wellness & Physical Medicine Gives A Thorough Analysis Of Diagnostic Imaging For Each Patient

Dr. Roth, D.C. Gives A Thorough Analysis Of Diagnostic Images (i.e. MRI's, X-Rays, etc.)

Our Doctors Of Chiropractic

Our Doctors of Chiropractic, Dr. Randall Roth and Dr. Ryan Roth, are extensively trained and experienced in the diagnosis and treatment of a variety of musculoskeletal conditions. They utilize several imaging procedures including X-rays, MRIs, and CT scans to accurately diagnose and treat patients.

In patients with more complex conditions, the doctors may order bloodwork to determine if dietary or nutritional intervention is necessary.  They will take the time to explain their findings and answer all of your questions.

What We Do:

We offer treatment for a wide range of conditions including back pain, neck pain, fibromyalgia, sprains and strains, sciatica, arthritis, carpal tunnel syndrome, plantar fasciitis, bursitis, knee pain, shoulder pain, headaches, and much more.  Our team will provide a personalized treatment approach that actually promotes healing, rather than band-aiding your symptoms with drugs.

Our mission is to improve the health and quality of life of all our patients, while being compassionate and genuinely concerned with the health/wellness of patients who entrust us with their healthcare needs. Our philosophy is to treat the body as a whole and not as separate components.

- Our Mission Statement -

Our Story

In November 2009, Dr. Randall Roth, D.C. founded a clinic in Hot Springs, AR on Higdon Ferry Road.  This clinic would be different than previous clinics he owned (since beginning practicing in 1990) in Central Arkansas and Plano, Texas, in that it would focus more on challenging musculoskeletal conditions.  In fact, many patients who visit our office have previously tried many other options without getting the results they had hoped for. 

Throughout the years, patients have come to our office from all over the state of Arkansas, and even from surrounding states.  It's because we take the time to truly help the patient understand what is wrong, take a comprehensive approach to determining the best course for care, and use a multi-faceted treatment system customized for the individual patient's specific condition. 

Our treatment systems have helped many patients avoid surgeries, injections, and medications.  Throughout the years, we have adapted our service-offerings as new technology becomes available and have modified treatment protocols based on clinic findings and research.

Dr. Randall Roth, D.C.

Dr. Randall Roth, D.C.

We offer highly effective non-surgical and drugless treatments for a variety of musculoskeletal conditions including, but not limited to: back pain, peripheral neuropathy, neck pain, knee pain, hip pain, shoulder pain, other joint pain, arm and leg pain, headaches, sciatica, and spinal stenosis. Diagnostic tools may include X-rays (as needed), MRIs, and bloodwork.  Functional medicine and blood chemistry analysis help in our assessment and treatment of nutritional imbalances.


There's no time like the present. Conditions that we see don't usually get better on their own. Take us up on our offer for patients that are new to our office today. Let us help you begin your journey back to health!


Video Testimonials


Knee Pain

Knee Pain

Low Back and Leg Pain