Health 1st Wellness & Physical Medicine(501) 881-4407
Woman holding her temples with a headache

Still Suffering From Chronic Headaches or Migraines?

Discover an Advanced, Non-Surgical Headache Treatment Program in Hot Springs, Arkansas.

A targeted, multi-therapy approach designed to address the root causes of your headaches — not just mask the symptoms.

Schedule a Headache Consultation

(501) 881-4407
  • Non-Surgical
  • Drug-Free
  • Individualized Treatment
  • For Migraines and Other Recurring Headaches
Evidence-Informed Approach
36+ Years of Clinical Experience
Patients From Throughout Arkansas
Conveniently Located in Hot Springs

Our Advanced Headache Treatment Program

A comprehensive, multi-therapy approach that targets the relationship between the cervical spine, neurological structures, and recurring headaches.

Integrated Craniocervical Therapy

Integrated Craniocervical Therapy

An individualized approach addressing cervical joint dysfunction and neurological factors that may contribute to recurring headaches.

Craniocervical Decompression

Craniocervical Decompression

Targeted computerized craniocervical unloading designed to reduce mechanical stress on neural and biomechanical structures.

Transcutaneous Vagus Nerve Stimulation (tVNS)

Transcutaneous Vagus Nerve Stimulation (tVNS)

A noninvasive therapy that stimulates the vagus nerve, which plays an important role in nervous system regulation.

Neck anatomy illustration

The Connection Between Your Neck and Headaches

The upper cervical spine, its joints, muscles, and nerves—including the occipital nerves—can influence headache patterns. A thorough evaluation helps identify cervical and neurological factors that may be contributing to your symptoms.

Is This Program Right for You?

You may be a good candidate if you experience:

  • Recurring or chronic headaches
  • Migraines
  • Headaches that begin in the neck or base of the skull
  • Headaches that interfere with work, sleep, or daily activities
  • Headaches that have not improved with previous treatment

Schedule Your Headache Consultation

(501) 881-4407

Find out whether our approach may be appropriate for your specific type of headache.

Frequently Asked Questions

Do I need a referral to schedule a headache consultation?

No. You do not need a referral from another doctor. You can call Health 1st Wellness & Physical Medicine directly at (501) 881-4407 to schedule your headache consultation.

What types of headaches does this program help with?

The program is designed for people with migraines, tension headaches, chronic or recurring headaches, and headaches that begin in the neck or at the base of the skull. Your consultation helps determine whether our approach may be appropriate for your type of headache.

Is the treatment surgical or does it use medication?

No. Our Headache Treatment Program is non-surgical and drug-free. It combines Integrated Craniocervical Therapy, computerized Craniocervical Decompression, and Transcutaneous Vagus Nerve Stimulation (tVNS).

What happens at my first visit?

Your first visit starts with a conversation about your headache history, followed by a thorough evaluation of your cervical spine and the neurological factors that may be contributing to your symptoms. Dr. Roth, D.C. then explains what he found and what care may involve before you decide on any next step.

Is the treatment painful?

The therapies are gentle and noninvasive. Most patients find them comfortable, and you can ask questions at any point during care.

How long does treatment take?

Every plan is individualized. The number of visits depends on your evaluation findings and how your body responds, and Dr. Roth, D.C. will review the plan with you up front.

Where is the clinic located?

Health 1st Wellness & Physical Medicine is at 804 Higdon Ferry Road, Hot Springs, AR 71913. We see patients from Garland County and throughout Arkansas. Office hours are Monday through Thursday, 9:00 AM to 6:00 PM.

Dr. Randall Roth, D.C.

Health 1st Wellness & Physical Medicine

Meet Dr. Randall Roth, D.C.

Hi, my name is Dr. Randall Roth DC, founder of Health 1st Wellness & Physical Medicine in Hot Springs, Arkansas. Over three decades ago, when I started my first healthcare practice, I set out on a mission to help people in pain and make a real difference in their lives.

I knew that I needed to stay at the forefront of scientific breakthroughs in non-surgical pain treatments to provide the best possible outcomes for patients.

Looking back over the years, I have stayed true to that goal and have provided extraordinary results for thousands of patients who were looking for options other than drugs, shots, or surgery.