About Us

Welcome to Health 1st Wellness & Physical Medicine!

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.

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.

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.


Health 1st Wellness & Physical Medicine

804 Higdon Ferry Road
Hot Springs, AR 71913

9307 Maumelle Boulevard
North Little Rock, AR 72113