Successful resolution of a recent or chronic condition requires a combination of competent professional diagnosis, combined with the right treatment and genuine compassion.  Health 1st Wellness & Physical Medicine has coupled cutting edge technologies with gentle chiropractic techniques, massage therapy, weight management, and nutritional counseling to address complex, challenging, and difficult conditions.  This approach has been combined with an in-office therapeutic stabilization program to help patients achieve long-term benefits from the treatment they receive.  In fact, our results have prompted hundreds of patients from a multi-state radius to visit Health 1st Wellness & Physical Medicine for treatment.

Conditions we treat in our clinic include:

Spinal Stenosis

Spinal Pain

Back and neck pain are the most common complaints to our clinic.  The causes are multi-factorial and require careful evaluation to determine the correct diagnosis.  The correct diagnosis guides the proper treatment.  Gentle chiropractic care combined with cutting edge technologies, therapeutic stabilization programs, massage therapy, and risk factor management are all employed at our clinic. You’ll discover that our chiropractors are expertly trained to identify and diagnose the source of your pain so they can correct the underlying cause.

Degenerative Disc Disease

Spinal discs serve a valuable role in providing cushioning in your spine and are normally soft and compressible.  As a component of the aging process, spinal discs can dehydrate and flatten.  This leads to a decrease in the space between the spinal vertebra potentially resulting in the development of osteoarthritis, a herniated disc, or spinal stenosis.  Health 1st Wellness & Physical Medicine employs the use spinal decompression technology with gentle chiropractic techniques and nutritional guidance to help the discs regain nourishment and heal.

Numbness/Tingling/Burning in Arms or Legs

Degenerative changes in the spine often lead to impinged spinal nerves in the upper and lower portions of the spine.  In the neck region, the impingement will lead to symptoms in the arms and hands.  In the low back region, the impingement will lead symptoms in the legs and feet.  This situation is referred to in healthcare setting as a radiculopathy.  Although chiropractic techniques can be helpful in relieving the pain experienced in the low back, our clinic employs the use of spinal decompression to achieve longitudinal decompression of the spinal discs and relieve nerve pressure.


Sciatica is a form of radiculopathy (sciatic radiculopathy) as discussed above.  In fact, it is classified as a compressive neuropathy.  Pressure placed on the sciatic nerve from degenerative spinal changes will often lead to weakness, pain, numbness, and/or tingling in the buttock, leg, or foot region.  Although it sounds simple, the treatment must be comprehensive to overcome the symptoms and bring about long-term results.  Our clinic employs a multimodal treatment approach that includes spinal decompression, gentle and targeted chiropractic adjustments, myofascial release, and core stabilization exercises to achieve excellent and dependable results.  Further, we work closely to educate our patients in the lifestyle risk factors that lead to this condition.


Many patients have heard of diabetic neuropathy, but did you know that sciatica is a neuropathy?  It is, in fact, a compressive neuropathy.  There are many other types of neuropathy, such as nutritional neuropathy, drug-induced neuropathy, toxic neuropathy, alcoholic neuropathy, etc.  Health 1st Wellness & Physical Medicine has a highly effective treatment program to help reduce or, in some cases, eliminate neuropathic symptoms.  Successful treatment requires careful discovery of the underlying causative agent along with advanced multimodal treatments.

Knee Pain

A specialty within our clinic, Dr. Randall Roth (along with Dr. Larry Roth and Dr. Richie Roth) pioneered a unique conservative knee pain treatment program.  Receiving national recognition on America Now, a show hosted by Leeza Gibbons, this knee treatment program has successfully treated hundreds of patients from a multi-state region and successfully prevented the necessity for knee replacement surgery in many patients.

Shoulder Pain

Shoulder pain is a very common complaint in our clinic.  The shoulder joint is the most mobile joint in the body.  Unfortunately, with great mobility comes less stability.  Thus, the shoulder joint is often injured.  In many cases, changes in the patient’s activity that led to the injury can be modified to help overcome the injury.  Along with a proper rehabilitation regimen, most shoulder injuries can be overcome.  Health 1st Wellness & Physical Medicine utilizes the latest in physiotherapy modalities, such as cold laser, ultrasound, interferential current, and Rapid Release Technology (RRT) to help speed along the recovery process.  Furthermore, our in-clinic massage therapist is utilized to provide specific medical massage to the shoulder joint to reduce scar tissue and restore proper joint mechanics.


There are many different types of headaches each with different causative agents.  Many headaches are caused by muscle tension, nerve compression, or spinal misalignments in the neck region.  These causes often take their source in postural abnormalities from our work, school, or home environments.  Other headaches are caused from hormonal imbalances or dietary sensitivities.  Resolution of headaches requires careful evaluation and elimination of the underlying causes of the headache.

Autoimmune Disorders

Autoimmune disorders are as numerous as the various tissues in the body and are on the rise in the United States.  Autoimmune disorders are incurable, but the symptoms associated with autoimmunity can be attenuated with proper identification of the underlying causative agents leading to the hyper-immune response and misrecognition of the body’s own tissues.  Our clinicians have advanced training in functional medicine protocols and access to highly sensitive blood chemistry labs to help diagnose the underlying condition and locate the agents that lead to a hyper-immune response.  With this information, our clinicians can guide patients in lifestyle, environment, or nutritional modifications that will help attenuate the symptoms experienced with autoimmunity.

Other Conditions

  • Carpal Tunnel
  • Arthritis
  • Tendinitis/Tendinopathy
  • Plantar Fasciitis
  • Hip Pain
  • Fibromyalgia
  • Weight Management


Health 1st Wellness & Physical Medicine

804 Higdon Ferry Road
Hot Springs, AR 71913

9307 Maumelle Boulevard
North Little Rock, AR 72113