We specialize in treating a wide range of conditions, from chronic pain and headaches to work and auto injuries. We offer chiropractic care, massage, spinal decompression, and other services to help you achieve optimal health and mobility. We wanted to review some of the conditions and pain areas that we may be able to help with – keep reading for more info! Conditions and Pain Types Treated SCHEDULE NOW Find Relief at Prairie Grove Chiropractic: Addressing Your Pain and Improving Your Well-Being Prairie Grove Chiropractic offers chiropractic care and massage services focused on patient well-being. Led by Dr. Spencer, an experienced chiropractor, we use various techniques to help patients achieve pain relief, improved mobility, and better overall health. We are excited to open a new location to serve more people in West Washington County and are grateful to be active in the local community. We specialize in treating a wide range of conditions, from chronic pain and headaches to work and auto injuries. We offer chiropractic care, massage, spinal decompression, and other services to help you achieve optimal health and mobility. We wanted to review some of the conditions and pain areas that we may be able to help with – keep reading for more info! About Us: We believe in quality patient care, exceptional service, and total wellness. Dr. Spencer is the head Chiropractor at Prairie Grove Chiropractic – he has 8 years of experience in helping patients achieve greater mobility, feel better, and reduce or eliminate pain. ABOUT US Chronic pain is a widespread health issue and a leading reason for seeking medical attention. In the United States alone, an estimated 25% of adults experience chronic pain . SCHEDULE The Silent Struggle: Unveiling Pain We care about your wellness! We are going to review some common areas of pain from chronic pain to headaches. Many of us experience pain and it may restrict mobility, cause inflammation, referring pain, among other things! Prairie Grove Chiro and Massage works with you on your pain, and we develop a plan to help you get back to living! Understanding Chronic Pain: Beyond the Ache Chronic pain is a persistent discomfort that lingers for more than three months. It can be constant or come and go, affecting any part of your body. This ongoing pain can significantly disrupt daily life, impacting work, social activities, and self-care. It can also lead to emotional struggles like depression, anxiety, and sleep disturbances, creating a difficult cycle to break free from. Chronic Pain vs. Acute Pain Chronic pain differs from acute pain, which typically arises from a clear cause like a cut or broken bone. Acute pain is temporary, resolving as the body heals. Chronic pain, on the other hand, persists even after an injury or illness has healed, sometimes appearing for no apparent reason. Where Does Chronic Pain Strike? Chronic pain manifests in various ways and can affect any part of the body. Some of the most common types include: Arthritis (joint pain) Back pain Neck pain Cancer pain near tumors Headaches, including migraines Testicular pain Pain in scar tissue Widespread muscle pain (fibromyalgia) Nerve damage pain (neurogenic pain) CONTACT US Overall, 58.9% of adults experienced pain of any kind in the past 3 months. Back Pain: A Widespread and Costly Problem in America Back pain is a significant issue in the United States, affecting millions of adults. Here are some key statistics to highlight its impact: Prevalence: Nearly 65 million Americans experience back pain at some point. Chronic Pain: Around 16 million adults (8%) suffer from persistent or chronic back pain, limiting their daily activities. Economic Burden: Back pain is the sixth most expensive health condition in the US, costing over $12 billion annually in healthcare and lost productivity. Work Disruptions: Back pain is a leading cause of missed workdays, with an estimated 83 million workdays lost each year. This number has seen an increase in recent years. Impact on Daily Life: Adults with back pain are more likely to use healthcare services and experience limitations in daily activities. They may also spend significantly more days confined to bed due to pain. This data underscores the widespread nature of back pain and its significant cost burden on individuals and the healthcare system. Low Back Pain: A Global Challenge Low back pain (LBP) is a widespread health concern, affecting an estimated 619 million people globally in 2020. This number is projected to rise to 843 million by 2050, largely due to population growth and aging. Key Points: Leading Cause of Disability: Lower back is the single biggest cause of disability worldwide, highlighting the significant impact it has on daily life and function. Affects All Ages: While prevalence increases with age, LBP can strike anyone, and most people will experience it at some point in their lives. Women More Affected: Women are more likely to experience LBP compared to men. Non-Specific LBP Most Common: Around 90% of LBP cases are classified as non-specific, meaning no underlying disease or structural problem can be identified as the cause. Rehabilitation is Key: Regardless of the type or stage of LBP, rehabilitation plays a crucial role in managing pain, improving function, and promoting recovery. LBP's Impact: Low back pain can make movement difficult, affecting overall well-being, mental health, and social interactions. It can also limit work productivity, leading to economic burdens for individuals and societies. While low back pain (LBP) is a common issue, there are a variety of approaches to manage pain, improve function, and promote healing. Consulting a healthcare professional can help you determine the most suitable course of treatment for your specific needs. Back pain can be a debilitating issue, but you don't have to face it alone. Here at Prairie Grove Chiro and Massage, we understand the impact back pain can have on your daily life and work. We offer a comprehensive approach to back pain management, focusing on pain relief, improved function, and preventing future episodes. Our team of experienced professionals can help you: Find the cause of your pain: Through a thorough evaluation, we'll identify the underlying source of your back pain, allowing for a targeted treatment plan. Develop a personalized treatment plan: We offer a variety of evidence-based treatment options, including rehab, pain management strategies, an d lifestyle modifications, to best suit your individual needs. Get you back to living an active life: Our goal is to help you manage your pain effectively and regain optimal function so you can return to the activities you love. Don't let back pain hold you back. Contact us today to schedule an appointment and discuss how we can help you achieve long-lasting pain relief and improved quality of life. “Really helping with my lower back pain.” -- Anna C. READ REVIEWS Joints: The Foundation of Movement Joints are the amazing connections between your bones, allowing you to move with flexibility and ease. When these joints become damaged from disease or injury, however, pain and movement limitations can arise. Joint Pain: A Common Challenge Joint pain is a frequent experience, especially as we age. Studies show that around one-third of adults report experiencing joint pain within a single month, with knee pain being the most common culprit, followed by shoulder and hip pain. But joint pain can affect any joint in your body, from your ankles and feet to your shoulders and hands. Causes of Joint Pain: A Spectrum of Possibilities - A variety of conditions can contribute to joint pain: Arthritis: a common condition causing joint inflammation, which can limit mobility. Osteoarthritis: This "wear-and-tear" arthritis is the most prevalent type. Rheumatoid Arthritis: An autoimmune disorder where the body attacks its own tissues, causing inflammation. Bursitis: Inflammation of the fluid-filled sacs cushioning your joints. Gout: A form of arthritis often affecting the big toe joint. Injuries: Strains, sprains, and other injuries can also lead to joint pain. Joint pain can often be accompanied by swelling, stiffness, and reduced mobility. Joint pain can range from a minor annoyance to a debilitating condition. It may be short-term (acute) or long-lasting (chronic). Even short-term pain and inflammation can significantly impact your quality of life. The good news is that joint pain can often be managed effectively with various approaches. Your chiropractor will work to diagnose the underlying cause of your pain and develop a personalized treatment plan to reduce pain, inflammation, and preserve joint function. Headaches: A Widespread and Disabling Condition Headaches are a common experience, causing pain or discomfort anywhere in your head, face, scalp, or neck. This pain can manifest in various ways, including a throbbing sensation, constant ache, sharp stabs, or dull pressure. Headaches can affect one or both sides of your head and may be concentrated in a specific area. Headaches are a common problem, affecting a significant portion of the global population. In fact, they rank as one of the top three most frequent neurological conditions across most age groups. Here's a closer look at the impact of headaches: Prevalence: An estimated 40% of the population, or 3.1 billion people worldwide, experience headaches in 2021. Women are more likely to be affected than men. Impact: Headaches not only cause pain but also significantly impact quality of life and contribute to disability. They are the third highest cause of disability-adjusted life years (DALYs) globally. Economic Burden: Headaches cause substantial economic losses for individuals and society due to decreased work productivity and healthcare costs. Underdiagnosis and Treatment: Despite their prevalence, many people with headaches don't receive proper diagnosis and treatment. Types of Headaches There are various types of headaches , each with its own characteristics: Migraine: This is a primary headache disorder causing moderate to severe pain, often on one side of the head. It can be accompanied by nausea, vomiting, sensitivity to light and sound. Migraines can be triggered by various factors, including hormones and certain foods. Tension-Type Headaches: These headaches are described as pressure or tightness in the head or neck. They are often stress-related and can be episodic (occurring less than 15 days per month) or chronic (persistent). Cluster Headaches: These are less common but extremely severe headaches, occurring frequently (up to several times a day) and typically focused around one eye. They are more prevalent in men. Medication-Overuse Headaches: These headaches arise from the overuse of medication to treat other headaches, creating a cycle of dependence and worsening pain. Headaches are a prevalent issue, but with proper diagnosis and management, individuals can experience significant improvement in their quality of life. At Prairie Grove Chiropractic, we can develop a care plan to get your life back and remove headaches from everyday living! Neck Pain: A Widespread Issue with Significant Costs Neck pain is a common problem in modern society, affecting millions of people globally. While it may not be the most frequent musculoskeletal disorder, its impact is significant. The Economic Burden of Neck Pain: Healthcare Costs: Neck pain is a leading contributor to healthcare spending. In the US alone, neck pain and low back pain combined were responsible for the highest healthcare expenditures among 154 conditions in 2016, with an estimated cost of $134.5 billion. Workplace Impact: Neck pain also disrupts work productivity. In 2012, an estimated 25.5 million Americans missed an average of 11.4 workdays due to neck pain. Global Prevalence: Studies show that neck pain is a widespread issue, with a global prevalence of approximately 3551.1 cases per 100,000 people in 2017. These statistics highlight the significant impact of neck pain on individuals and healthcare systems worldwide. Fortunately, there are a number of treatment options available for neck pain, allowing for a personalized approach to managing discomfort and regaining function. Manual Therapy or Techniques like massage therapy and chiropractic adjustments can sometimes help ease muscle tension and improve joint mobility in the neck. Early intervention is crucial for optimal treatment outcomes. A chiropractor at Prairie Grove Chiro and Message can assess your individual situation and recommend the most appropriate course of treatment to effectively manage your neck pain and promote long-term relief. Beyond the Ball and Socket: Why Shoulders Are Prone to Pain Shoulder pain is a frequent issue, affecting 18-26% of adults at any given time, making it a leading cause of regional pain. This pain can be persistent and significantly impact daily activities, both at home and work. The economic burden is also substantial, with increased healthcare costs, reduced work performance, and higher rates of absenteeism and job loss. Shoulder Complexity and Vulnerability Unlike a simple ball-and-socket joint, the shoulder is a complex structure with four interconnected joints and a network of muscles, ligaments, and bones inside and outside the joint capsule. This intricate design allows for a wide range of motion but also makes it susceptible to various injuries and conditions). Causes of Shoulder Pain Shoulder pain can originate from various sources: Local Shoulder Problems: These are issues within the shoulder joint itself. Neck Pain Referred to the Shoulder: Sometimes, pain originating in the neck can be felt in the shoulder, making diagnosis tricky. Referred Pain from Abdominal Organs: In rare cases, pain from organs in the abdomen, like the liver or diaphragm, can be misinterpreted as shoulder pain. If you are experiencing shoulder pain, it's important to consult a chiropractor or doctor for proper diagnosis and treatment. Early intervention can help ensure faster recovery and prevent complications. Your doctor can assess your specific situation and recommend the most appropriate course of treatment for managing your shoulder pain and regaining optimal function. Our Locations: Prairie Grove Chiropractic 114 N Pittman Street Prairie Grove, AR 72753 Phone: (479) 846-4110 Hours: Monday through Wednesday 9:00 am to 12:00 pm 2:00 pm to 6:00 pm Thursday 9:00 am to 12:00 pm BOOK NOW Expert Care for Your Musculoskeletal System At Prairie Grove Chiropractic and Massage, we care about your well-being. We understand the musculoskeletal system and all the conditions that can impact areas within it. We wanted to walk through common conditions, ailments, and injuries that we can help with including arthritis, slipped discs, sciatica, neuropathy, and others. Keep reading to learn more! We can help with other areas of concerns and pain types - but we wanted to provide some info on some of the most common. Looking for a specific topic? Click the link below. Torn Annulus Arthritis Carpal Tunnel Degenerative Disc Disease Facet Arthrosis and Facet Joint Syndrome Muscle Strain or Sprain Nerve Compression Syndrome Neuropathy Pinched Nerve Sciatica Scoliosis Pain Slipped Disc, Herniated Disc, or Bulging disc Spinal Injuries Spinal Stenosis Spondylolisthesis TMJ or Temporomandibular Joint Syndrome Vertigo Whiplash / Auto Accident Injury Workplace Injury The Anxious Annulus: Cracks and Tears in Your Spinal Cushion Your spine has discs between the vertebrae that act like shock absorbers. These discs have a tough outer shell called the annulus fibrosus . Sometimes, the annulus can develop cracks or tears, known as annular fissures. The good news is that many annular fissures don't cause any pain. You might have one and not even know it! However, some annular fissures can be uncomfortable. This pain can be caused by: Granulation tissue: This is scar tissue that forms around the tear. Nerve involvement: If nerves grow near the tear, they can become irritated and cause pain. Annular tears are tiny cracks or tears in the outer ring of your spinal discs. While they're common, they often go unnoticed. However, in some cases, they can develop into a more serious condition called a herniated disc. Herniated discs occur when the soft inner material of the disc pushes through the tear in the outer ring. This can irritate nearby nerves, leading to: Back pain Neck pain And potentially other symptoms depending on the location of the herniated disc Early Detection is Key: While not all annular tears progress to herniated discs, it's important to be aware of the potential consequences. If you experience persistent back or neck pain, it's wise to consult a healthcare professional for proper diagnosis and treatment. Early intervention can help prevent further complications. We are experienced and certified in disc pain treatment. We can help with painful annulus tears! Facet Arthrosis: Understanding Back Pain in Older Adults Back pain is a common experience, especially as we age. Facet arthrosis is a condition that can cause significant discomfort in the lower back, particularly for older adults or those with previous back injuries. What are Facet Joints? Imagine your spine as a stack of blocks (vertebrae) connected by small joints called facets. These joints help keep your spine stable and allow for movement like twisting and bending. Facet joints have smooth cartilage and fluid-filled sacs for cushioning and lubrication. What Happens in Facet Arthrosis? Over time, wear-and-tear, injury, or conditions like arthritis can damage the cartilage in the facet joints. This can cause the bones to rub together, leading to pain and stiffness. Common Causes of Facet Arthrosis: Age : Cartilage naturally wears down with age. Injury: Back injuries or repetitive stress can damage the facet joints. Arthritis: Osteoarthritis can affect the facet joints like any other joint. Obesity: Excess weight puts extra strain on the spine, including the facet joints. Poor posture: Improper lifting techniques or bad posture can accelerate wear and tear. Symptoms to Watch For: Facet arthrosis pain often differs from other types of back pain. Here are some key signs: Lower back pain that worsens in the morning or with inactivity. Pain that increases with twisting or bending motions. Pain that typically stays in one location but may radiate elsewhere. Living with Facet Arthrosis: While facet arthrosis is a chronic condition, there are ways to manage it and improve your quality of life. Treatment options include: Potential Complications: Left untreated, facet arthrosis can worsen. This can lead to: Bone spurs: When bones rub together due to cartilage loss, they may develop bony growths (spurs). Joint enlargement: The affected facet joints and surrounding ligaments might become enlarged and cause discomfort. Remember: Don't ignore persistent back pain. Consult a healthcare professional for diagnosis and a personalized management plan to keep you active and pain-free. A Widespread Challenge: Arthritis and Joint Pain in Older Adults Arthritis and joint pain are prevalent issues among older adults, affecting millions. Arthritis is a term that describes inflammation of one or more joints, which are places where two or more bones meet. This condition can lead to reduced physical activity, increased disability, and even sleep problems, depression, anxiety, and falls. A National Poll Reveals Key Statistics: A University of Michigan poll conducted in early 2022 surveyed adults aged 50-80 about their experiences with arthritis and joint pain. Here are some key findings: Prevalence: A significant portion (60%) of respondents reported a doctor's diagnosis of arthritis, with osteoarthritis being the most common type (30%). Gender and Age: Women and adults aged 65-80 were more likely to experience joint pain compared to men and those aged 50-64. Severity: While 30% reported no arthritis symptoms, the remaining 70% experienced joint pain. Of those with pain, 31% rated it as mild, 31% as moderate, and 8% as severe. Women and individuals with the characteristics mentioned above were more likely to report moderate or severe pain. These statistics highlight the significant impact of arthritis and joint pain on the lives of older adults. Understanding Degenerative Disc Disease: Wear and Tear on Your Spinal Cushions Degenerative disc disease is a common culprit behind back pain. As we age and use our spines, the discs between our vertebrae naturally wear down. By age 65, around 20% of adults in the US show some degree of disc degeneration, increasing to 35% by 80. It's important to remember that everyone experiences some level of degeneration over time, and it may not always cause pain or worsen. The progression can vary from stagnant to slow or rapid. What are Spinal Discs? Think of your spinal discs as fluid-filled cushions stacked between the bones (vertebrae) in your spine. These flexible discs allow your spine to bend and twist freely without pain. They act like shock absorbers, preventing your vertebrae from grinding against each other. What Causes Degenerative Disc Disease? Several factors contribute to degenerative disc disease , some controllable and others not. Age is a major risk factor, as time takes its toll on the discs. Women are also more prone to it than men. Here are some other contributors: Excess weight puts strain on your spine. Repetitive strain from manual labor or poor posture can accelerate degeneration. Heavy lifting can also increase your risk. Symptoms: From Mild to Severe The type and severity of your symptoms depend on the progression of the disease. In the early stages, discs lose some of their fluid content, becoming dehydrated and less flexible. This can lead to: Shrinking and loss of disc height (often starting in the lower back) As the condition worsens, discs dry out further and may bulge or rupture, potentially pressing on nerves. This can cause: Bulging disc: The outer disc wall (annulus fibrosis) protrudes into the spinal canal. Ruptured disc (herniated or slipped disc): The inner disc material (nucleus pulposus) leaks out through a tear in the outer wall. While some people with bulging or ruptured discs experience no symptoms, others may have pain, numbness, or weakness radiating into one or both legs. In the most severe cases, complete disc degeneration can occur, leaving an air-filled space or even bone-on-bone contact between vertebrae. This typically results in significant pain, stiffness, and possible nerve compression. Treatment Options: Addressing the Issue Fortunately, there are various treatment options for degenerative disc disease. Nonsurgical approaches are usually the first line of defense, including: Weight loss to reduce stress on the spine. Activity modification to minimize strain on the discs. Rehab to strengthen core muscles and improve spinal flexibility. Consulting a spine specialist is crucial for exploring the most suitable treatment plan. We have the experience and training to help you with degenerative disc disease. Understanding Nerve Compression Syndromes: Pinched Nerves and Their Effects Nerve Compression: The Basics Nerve compression syndromes occur when pressure builds up on nerves in the body's peripheral nervous system. These nerves connect your brain and spinal cord to distant areas like your hands and feet. When compressed, they can cause pain, numbness, and weakness. Common Culprits: Carpal tunnel syndrome, affecting the wrist, is the most well-known example. However, various nerves throughout the body are susceptible to compression. Upper Body Examples: Carpal tunnel syndrome: Median nerve compressed in the wrist. Pronator teres syndrome: Median nerve compressed in the elbow. Radial tunnel syndrome: Pressure on the radial nerve in the elbow. Suprascapular nerve entrapment: Damage to the suprascapular nerve in the shoulder. Thoracic outlet syndrome: Compressed nerves in the lower neck and upper chest. Ulnar nerve entrapment: Compressed ulnar nerve in the elbow or wrist. Lower Body Examples: Meralgia paresthetica: Pressure on a nerve in the thigh. Peroneal nerve compression: Pressure on the peroneal nerve in the lower leg. Pudendal nerve entrapment syndrome: Compressed pudendal nerve in the pelvic area. Sciatica: Damage to the sciatic nerve in the lower back, buttocks, and leg. Tarsal tunnel syndrome: Damage to the tibial nerve in the heel or sole of the foot. Understanding Pinched Nerves: Causes, Symptoms, and Treatment A pinched nerve, also known as compressed nerve, occurs when surrounding tissues put pressure on a nerve. This pressure can irritate the nerve, leading to pain, numbness, and tingling sensations in various parts of your body. Common Culprits: The most frequent sites for pinched nerves are: Neck (Cervical Radiculopathy): This can cause pain and stiffness in the neck, radiating to the shoulder and arm. Lower Back (Lumbar Radiculopathy): This can lead to pain in your back, hips, buttocks, and legs. Wrist (Carpal Tunnel Syndrome): This is a common type of pinched nerve affecting the hand and wrist. Other Potential Causes: Several conditions can contribute to pinched nerves, including: Herniated Disc: This occurs when the soft cushion between your vertebrae bulges or breaks, pressing on a nerve. Arthritis: Inflammation in the joints can put pressure on nearby nerves. Aging: Wear and tear on the spine can lead to bone spurs that compress nerves. Repetitive Movements: Activities like prolonged typing can strain your wrists and hands, potentially leading to carpal tunnel syndrome. Injuries: Sudden trauma from accidents or awkward movements can cause a pinched nerve. Signs and Symptoms: Pinched nerves can manifest in various ways, including: Pain: This can range from a sharp ache to a dull throbbing sensation. Numbness: You may experience a loss of feeling in the affected area. Muscle Weakness: The muscles controlled by the pinched nerve may feel weak or difficult to move. Tingling: A "pins and needles" sensation is a common symptom. Numbness in the extremities: You may feel like your hand or foot has "fallen asleep." Finding Relief: The good news is that pinched nerves are often treatable. We will work with you to develop a chiropractic care plan to treat your pain and the pinched nerve. Meet Dr. Spencer Meet Your Chiropractor Sciatica: Understanding the Pain and Its Causes Sciatica is a condition that causes pain or tingling along the path of the sciatic nerve, which runs from your lower back down your leg. It's important to distinguish sciatica from general low back pain. Sciatica specifically refers to pain arising from irritation or compression of the sciatic nerve itself. The Sciatic Nerve: A Vital Highway The sciatic nerve is the largest nerve in your body. It branches out from several nerves in your lower spine (L4 to S3) and plays a crucial role in: Moving your hamstrings and some leg muscles Providing feeling in the back and side of your lower leg and the sole of your foot What Triggers Sciatica Pain? Many different conditions can affect the sciatic nerve and cause sciatica pain. The most frequent culprit is a herniated or bulging disc in your lower back. Other potential causes include: Narrowing of the spinal canal (lumbar spinal stenosis) Misalignment of vertebrae (spondylolisthesis) Muscle spasms or inflammation in your lower back or pelvis Tumors or abscesses in the spine Who Gets Sciatica? While sciatica can affect anyone, some factors increase your risk: Age: Peak incidence occurs between 30 and 50 years old. Occupation: Jobs involving heavy lifting, awkward postures, or driving for extended periods can increase risk. Activity level: Prior sciatica can make you more susceptible, while regular exercise may offer some protection. Treatment: Sciatica can be a debilitating condition. If you experience radiating pain or tingling down your leg, Prairie Grove Chiropractic can work with you to develop a care plan that meets your needs. Sciatica can be managed with a mix of services to reduce pain and increase mobility. Understanding Scoliosis: A Curvature of the Spine Scoliosis is a condition where the spine curves abnormally to the side, creating a C or S shape. While the natural curvature of the spine bends slightly forward and backward, scoliosis causes an additional sideways bend. Types of Scoliosis: Idiopathic: The most common type, with unknown cause but likely a genetic link. Congenital: A rare abnormality present at birth due to improper vertebrae formation. Neuromuscular: Caused by issues with muscles or nerves affecting the spine, often accompanying neurological conditions. Adult-Onset: Can be undiagnosed mild scoliosis that worsens with age due to weakening joints and discs, or a new development. Frequency: Scoliosis affects about 2% of the population globally. Symptoms (May Not Be Present): Back pain Difficulty standing straight Core muscle weakness Leg pain, numbness, or weakness Signs to Watch For: Uneven shoulders or shoulder blades Head not centered over the pelvis Uneven waist or hips Constant leaning to one side Uneven leg length Dimples, hair patches, or skin discoloration along the spine Considering Treatment: In collaboration with your primary care doctor, we can explore treatment options to address your scoliosis symptoms and how to improve those with a care plan developed for your unique needs. Understanding Slipped Discs (Herniated Discs): Causes, Symptoms, and Treatment A slipped disc , also known as a herniated disc, occurs when the soft inner part of a spinal disc bulges or breaks through a tear in the outer wall. This can irritate or compress nearby nerves, leading to pain. Imagine your spine as a stack of bones (vertebrae) separated by squishy cushions (discs). These discs have a tough outer shell (annulus) and a soft inner core (nucleus). A herniated disc (also called bulged, slipped, or ruptured ) happens when part of the soft inner core pushes through a tear in the tough outer shell. This can cause the disc to bulge or even rupture (completely break through). The problem arises when this bulge or tear presses on a nearby spinal nerve. Common Locations: Lower Back: This is the most frequent area for slipped discs, often causing sciatica (pain radiating down the leg). Neck: Herniation in the neck can cause pain in the neck, shoulder, and arm. Symptoms: Sudden and severe pain, often described as shooting Pain in the lower back Numbness or tingling in the buttocks, legs, or arms Weakness in the affected area Signs of paralysis (rare) Who's Most at Risk? People over 30 years old Men are more likely than women Treatment Options: Slipped discs are a common cause of back and leg pain. Early diagnosis and treatment can improve recovery and reduce the risk of complications. Talk to your doctor about the best course of action for managing your specific situation. At Prairie Grove Chiropractic and Massage with have experience helping patients with slipped discs and can help develop the best plan of action for your unique needs! Schedule a consultation so you can start getting back on your journey to wellness. 15 million+ people worldwide live with Spinal Cord Injury (SCI), a life-altering condition. Causes and Consequences of Spinal Cord Injuries : Trauma (falls, accidents, violence) is the leading cause, making most SCIs preventable. Damage to the spinal cord can cause complete or partial loss of movement and sensation below the injury level. This can lead to challenges with daily activities like walking, using hands, and self-care. Complications like pain, infections, and pressure sores can further impact health and well-being. Males are more commonly affected than females. Life expectancy for people with SCI is lower due to both the injury itself and limited access to quality healthcare. This condition disproportionately affects low- and middle-income countries, with higher in-hospital mortality rates. Beyond the Injury: Social and economic barriers like inaccessible environments and negative attitudes limit participation in life. Children with SCI face challenges with education and adults may struggle to find employment. The financial burden of ongoing care and lost income can be significant. Hope for Improvement: Effective prevention strategies can reduce the number of new SCIs. Early access to quality healthcare, rehabilitation, and assistive technology can significantly improve outcomes. Removing physical, social, and economic barriers is crucial for full participation in society. SCI can be a devastating condition, but with proper care and support, individuals can lead fulfilling lives. Investing in prevention and comprehensive care programs is essential to address this global challenge. Prairie Grove Chiro will work with your primary care physician to develop the best plan for your injuries. Spinal Stenosis: A Narrowing of the Spinal Canal What is Spinal Stenosis? Spinal stenosis occurs when the space within the spinal canal narrows. This narrowing can compress the spinal cord and nerves, potentially causing pain, numbness, and weakness. The lower back and neck are the most common areas affected. Spinal stenosis is common in the US, affecting approximately 11% of older adults. Studies estimate that 1 in 1,000 people over 65 and 5 in 1,000 people over 50 are likely to develop spinal stenosis. The disease is expected to increase in prevalence to about 18 million people in the next decade. Symptoms (Not Always Present): Common symptoms of spinal stenosis include pain and achiness in the lower back, buttocks, and sometimes one or both legs. The pain may also be accompanied by numbness or tingling in the lower legs or feet. However, more than 80% of people with spinal stenosis don't experience symptoms and don't need treatment. Pain, cramping, or weakness in the legs (often worsens with standing or walking, improves with bending forward or sitting) - in lower back stenosis Neck pain Numbness, tingling, or weakness in an arm, hand, leg, or foot - in neck stenosis Difficulty with walking and balance (in severe cases) Problems with bowel or bladder control (in severe cases) Treatment The good news is that many cases of spinal stenosis can be managed effectively without surgery. Talk to your chiropractor at Prairie Grove Chiro to discuss your personalized care needs to help alleviate the pain and symptoms associated with spinal stenosis. Understanding Spondylolisthesis: A Slipped Vertebra Spondylolisthesis is a condition where one vertebra slips forward relative to the one below it. This slippage can cause various symptoms, including pain and nerve irritation. Causes: There are five main causes of spondylolisthesis: Degenerative: Wear-and-tear changes in the spine lead to instability and slippage. This is more common in adults and females. Isthmic: A defect in a specific part of the vertebra (pars interarticularis) allows for slippage. This may be linked to sports or repetitive movements in adolescents and young adults and is more frequent in males. Traumatic: A fracture due to an accident causes the slippage. Dysplastic: A congenital condition where the facet joints are abnormally oriented, leading to slippage. This is more common in children and affects females more than males. Pathologic: Underlying diseases like bone disorders or infections weaken the spine, causing slippage. Risk Factors: Family history of spondylolisthesis Scoliosis (curvature of the spine) Spina bifida (birth defect affecting the spine) Obesity (for degenerative spondylolisthesis) Location and Prevalence: The lower back (lumbar spine) is the most common area affected. It can also occur in the neck (cervical spine) and very rarely in the chest (thoracic spine). Degenerative spondylolisthesis is more prevalent in adults. Isthmic spondylolisthesis affects adolescents and young adults but may not cause symptoms until later. Dysplastic spondylolisthesis is seen in children, with a higher prevalence in females. Estimates suggest 6-7% of people have isthmic spondylolisthesis by age 18. Grade 1 (slight slippage) is the most common type. The slippage most often occurs between the L5 and S1 vertebrae in the lower back. Treatment It's important to discuss the best course of treatment with your doctor to determine the approach that best suits your individual needs and circumstances. Prairie Grove Chiropractic - Feel the difference. BOOK NOW Sprained or Strained? Understanding Common Soft Tissue Injuries Sprains and strains are common injuries that happen when soft tissues in your body get overstretched or torn. These tissues include: Ligaments: These connect bones at joints, providing stability. Sprains often affect ankles, wrists, thumbs, and knees. Muscles: These contract to move your body. Tendons: These connect muscles to bones, transmitting the force of muscle contractions. Strains are common in the back, hamstrings (back of the thigh), and areas used heavily in sports. Causes: Sprains: Caused by falls, twists, or blows that force a joint beyond its normal range of motion. Strains: Caused by sudden twists or repetitive movements that overwork a muscle or tendon. Symptoms (Both Sprains and Strains): Pain Swelling Bruising Limited movement in the affected area Treatment: We can help sprains or strains heal and get you back to living. Depending on the injury, the treatment plan will vary. We will develop a plan to meet your unique patient needs! Understanding Ligaments and Tendons: While both sprains and strains are soft tissue injuries, they affect different parts of your body's connective tissues. Ligaments: These are tough, fibrous bands that connect bones to other bones or cartilage, providing stability to your joints. Your ankles, wrists, thumbs, and knees are common areas for ligament sprains. Tendons: These are also fibrous cords, but they connect muscles to bones, allowing muscles to generate movement. Legs, knees, feet, and the back are frequently affected by muscle or tendon strains. Sprain Symptoms: Typically occur around a joint, often following a sudden movement. Severity depends on the extent of ligament damage. Symptoms can include: Pain Swelling Bruising Limited joint movement Difficulty putting weight on the joint A popping sound at the time of injury Strain Symptoms: May occur suddenly or develop gradually over time. Symptoms include: Pain or tenderness in the affected muscle Swelling Bruising Muscle spasms or cramping Muscle weakness Limited movement in the affected area Feeling a Pop: You might feel a popping sensation during a sprain or strain, especially if the ligament or tendon tears significantly. Remember: Both sprains and strains can often be treated at home with rest, ice, compression, and elevation (RICE). However, if you experience severe pain, significant swelling, or difficulty using the injured area, consult a healthcare professional for proper diagnosis and treatment. We can work on a care plan to help heal your strain or sprain. Understanding TMJ Disorders: Causes, Symptoms, and Treatment Your TMJ (temporomandibular joint) is a hinge-like joint on each side of your jaw, connecting it to your skull. TMJ disorders (TMD) can cause pain in the jaw joint and surrounding muscles. Possible Causes (The culprit can be a mystery): Genetics, arthritis, or jaw injury may play a role. Teeth grinding (bruxism) can be a factor, but it doesn't always lead to TMD. Relief is Possible (Often without surgery): Fortunately, most TMJ pain is temporary and responds well to self-care or non-surgical treatments. Surgery is usually considered a last resort. Symptoms to Watch For: Jaw pain or tenderness Pain in one or both TMJs Earache Chewing difficulty or pain Facial pain Difficulty opening or closing your mouth completely Clicking or grating sounds in the jaw (not necessarily a cause for concern unless accompanied by pain or limited movement) Treatment Prairie Grove Chiropractic can help with TMJ pain. Schedule a consultation so we can develop a care plan to reduce the effects of the pain and discomfort associated with TMJ. Understanding Vertigo and Balance Issues Vertigo, dizziness, and trouble balancing are surprisingly common, affecting nearly 40% of adults in the US at some point. Women are slightly more likely to experience these issues than men. Inner Ear's Role in Balance: The culprit behind these problems often lies in the vestibular system. This complex system, located in the inner ear, brain stem, and cerebellum (a brain region involved in coordination), plays a critical role in: Maintaining balance Regulating posture Helping us sense our orientation in space Causes of Vertigo and Dizziness: While the cause can be unclear in some cases, several conditions can trigger vertigo, dizziness, and imbalance: Benign Paroxysmal Positional Vertigo (BPPV): This is the most common cause. Tiny calcium deposits get lodged in the inner ear canals, leading to brief vertigo spells triggered by head movements. Fortunately, BPPV is treatable. Meniere's Disease: This involves an inner ear fluid imbalance causing vertigo episodes lasting minutes to hours, often accompanied by hearing fluctuations, tinnitus (ringing in the ears), and ear fullness. Viral or Bacterial Labyrinthitis: Inner ear inflammation due to viruses or bacteria can trigger vertigo attacks lasting from hours to days. Neurological Conditions: These include brain tumors, migraines, strokes, multiple sclerosis, and others. Non-neurological Causes: Diabetes, heart arrhythmias, hyperventilation, sudden blood pressure drops upon standing (orthostatic hypotension), anxiety, panic attacks, and certain medications can also contribute. Remember: If you experience persistent dizziness or vertigo, consult a healthcare professional to determine the cause and get appropriate treatment. Prairie Grove Chiropractic can work with you to develop a care plan that reduces vertigo. Understanding Whiplash: More Than Just a Neck Sprain Whiplash is a neck injury caused by a sudden, forceful back-and-forth movement of the head and neck. This motion is often likened to the cracking of a whip, hence the name. Whiplash stands as the most frequent injury following car accidents, affecting a staggering 83% of people involved in collisions. Unfortunately, it can also lead to chronic disability for some individuals. The economic burden of whiplash in the US is significant. Medical care, disability payments, and lost work due to sick leave are estimated to cost $3.9 billion annually. When legal battles are factored in, the cost climbs to over $29 billion. While estimates of whiplash cases (Whiplash Associated Disorders or WAD) vary across studies, the US sees an estimated rate of 4 cases per 1,000 people. “Medically consulted injuries in motor-vehicle incidents totaled 5.2 million in 2022, and total motor-vehicle injury costs were estimated at $481.2 billion. Costs include wage and productivity losses, medical expenses, administrative expenses, motor-vehicle property damage, and employer costs.” Common Causes: Rear-end car crashes: This is the most frequent cause of whiplash. Sports accidents: Collisions or sudden stops during sports can trigger whiplash. Physical abuse: Trauma to the neck can cause whiplash injuries. Falls: A fall with a forceful impact on the head or neck can also lead to whiplash. While sometimes used interchangeably, whiplash is a more specific term compared to "neck sprain" or "neck strain," which can encompass other types of neck injuries. In some cases, whiplash can lead to longer-lasting neck pain and other issues, such as: Headaches Shoulder and upper back pain Arm numbness or tingling Fatigue Dizziness Difficulty concentrating Blurred vision Tinnitus (ringing in ears) Sleep problems Irritability Memory issues Depression Seeking Medical Attention: If you experience neck pain or other whiplash symptoms following an accident or injury, it's crucial to see a healthcare professional promptly. Early diagnosis helps rule out more serious injuries that can worsen if left untreated. At Prairie Grove Chiropractic and Massage, we have the expertise to help patients treat whiplash. Target Your Workplace Pain: How Chiropractic Care Can Help Work-related injuries can be a real drag, affecting your productivity and overall well-being. Back pain, neck strain, and carpal tunnel syndrome are just a few of the common issues that can arise from repetitive motions, poor posture, or lifting heavy objects. According the U.S. Bureau of Labor, “Private industry employers reported 2.8 million nonfatal workplace injuries and illnesses in 2022, up 7.5 percent from 2021, the U.S. Bureau of Labor Statistics reported today. This increase is driven by the rise in both injuries, up 4.5 percent to 2.3 million cases, and illnesses up 26.1 percent to 460,700 cases. (See chart 1). The increase in illnesses is driven by the rise in respiratory illness cases, up 35.4 percent to 365,000 cases in 2022. This comes after a decrease in respiratory illnesses in 2021 compared to 2020. These estimates are from the Survey of Occupational Injuries and illnesses (SOII).” Chiropractic care can be a valuable option for managing these work-related musculoskeletal problems. Here's why: Addresses the Root Cause: Chiropractors focus on identifying the underlying cause of your pain, not just masking symptoms with medication. This can lead to longer-lasting relief and prevent future flare-ups. Drug-Free and Non-Invasive: Unlike some traditional medical approaches, chiropractic care avoids invasive procedures and relies on manual adjustments to improve musculoskeletal function. This can be especially appealing for those who prefer a more natural approach to healing. Effective Treatment for Common Injuries: Chiropractic care is demonstrably effective in treating back pain, neck pain, and carpal tunnel syndrome, some of the most frequent work-related complaints. Here's a look at some specific work-related injuries chiropractors can address: Back Pain: A leading cause of workplace disability, back pain can be effectively managed through chiropractic adjustments and targeted exercises. Neck Pain: Poor posture while using computers or lifting heavy objects can lead to neck strain. Chiropractic care can improve flexibility and reduce pain. Carpal Tunnel Syndrome: Repetitive typing or hand movements can compress nerves in the wrist, causing pain and numbness. Chiropractic adjustments can help alleviate these symptoms. Treatment While chiropractic care offers a valuable approach to pain management and mobility, it's crucial to consult a healthcare professional for a proper diagnosis and treatment plan. We will work with your primary care physician to develop the proper treatment plan for you. Why Prairie Grove Chiro? Top Rated Chiropractic Team with 400+ 5-star review at our primary clinic. Exclusive Network of Doctors for Spinal Decompression through the Disc Centers of America Superior Spinal Decompression through Targeted IDD Therapy Experienced Doctors on Staff who are Passionate about Quality Care Member of the International Medical Advisory Board for Spinal Decompression National Certification in Spinal Decompression – specializing in acute and chronic disc Pain Treatment Award Actively Volunteer and Support Non-Profits Across Our Community in Northwest Arkansas Local Small Business and Member of the Fayetteville Chamber of Commerce BOOK NOW Time to relax. MEET ANNETTE Looking for new patient information? Here are the pages related to new patients. If you have any questions, please call or contact us . Information for New Patients What to Expect - Initial Consultation Payment Options New Patient Forms Prairie Grove Chiropractic and Massage: Your Path to Pain Relief and Optimal Health At Prairie Grove Chiropractic and Massage, we offer services to help our patients get back to living! We work with our patients to reduce pain, improve mobility, and address underlying conditions. We are committed to quality care and service. We are a top-rated chiropractor and care about our patients’ health and wellness. Every patient has unique needs, so the care plan and services will vary by patient. We offer personalized care plans featuring chiropractic adjustments, massage, and other therapies to help you move better, feel better, and live a more active life. Here is a list of our services: Chiropractic care focuses on manual spinal adjustments to improve overall health based on the belief that the body can naturally heal itself. Spinal adjustments , a technique used by various healthcare professionals to relieve pain and improve spinal flexibility, involve applying controlled force or rhythmic movements to specific joints. Massage therapy or applying pressure and movements to soft tissues has a long history and encompasses various techniques. Non-surgical spinal decompression uses motorized traction to gently stretch the spine, potentially relieving back pain by creating negative pressure to retract bulging discs and promote healing. The Activator Method is a chiropractic technique using a handheld instrument for precise, low-force adjustments to the spine, which are often combined with manual techniques. The diversified technique , the most common chiropractic method, uses quick thrusts to realign the spine and improve joint mobility, addressing pain, and dysfunction. Cold laser therapy , using low-powered lasers to deliver light and potentially stimulate cellular changes, is a treatment option for pain management. Custom orthotics are specially designed shoe inserts created by a chiropractor to address your specific foot and alignment needs. Electronic stimulation , using electrical currents to induce muscle contractions, is a chiropractic technique targeting specific areas for pain relief or muscle strengthening. Kinesio tape , applied by chiropractors, offers support, improves movement, and aids injury prevention or recovery for various aches and pains. Chiropractors use corrective exercises , combining physical therapy and fitness elements, to address muscle and bone imbalances contributing to pain and improve overall function. Prairie Grove Chiropractic goes beyond adjustments, we also offer nutritional guidance and supplements for a holistic approach to well-being. And other services or tools to help patients get back to living life to the fullest! VIEW SERVICES

Our team is experienced in a wide range of modalities, techniques, and tools to help patients achieve total wellness. We are committed to quality care at affordable rates! To book an appointment, we offer a convenient online booking tool for initial consultations, chiropractic adjustments, and massage therapy sessions.  Registration and online booking are easy! If you have general questions or need information, please call us at 479-846-4110 or use our contact form. Book Now SCHEDULE NOW Convenient, Online Scheduling Prairie Grove Chiropractic is a top-rated chiropractor and massage therapist in West Washington County, we help patients in Prairie Grove, Fayetteville, Lincoln, Farmington, and surrounding cities. Our team is experienced in a wide range of modalities, techniques, and tools to help patients achieve total wellness. We are committed to quality care at affordable rates! To book an appointment, we offer a convenient online booking tool for initial consultations, chiropractic adjustments, and massage therapy sessions. Registration and online booking are easy! If you have general questions or need information, please call us at 479-846-4110 or use our contact form . Select Your Service Select Your Date and Time Enter your Name, Address, Email, Phone Number, and Basic information Confirm your appointment and create an account with to easily schedule appointments in the future. To Modify or Cancel Appointments – Please call us at 479-846-4110 to change or cancel your appointment. SCHEDULE APPOINTMENT Meet Dr. Spencer MEET YOUR CHIROPRACTOR Our Locations: Prairie Grove Chiropractic 114 N Pittman Street Prairie Grove, AR 72753 Phone: (479) 846-4110 Hours: Monday through Wednesday 9:00 am to 12:00 pm 2:00 pm to 6:00 pm Thursday 9:00 am to 12:00 pm BOOK NOW OUR MISSION Prairie Grove Chiro empowers individuals to achieve optimal well-being by alleviating pain and enhancing mobility. We go beyond symptom relief, focusing on proactive strategies to help you move freely and live life to the fullest. OUR VISION Prairie Grove Chiro aspires to be a pillar of health and wellness in our community. We envision a future where people feel empowered to move freely and live life to the fullest. OUR VALUES Quality Care Exceptional Patient Service Integrity Health and Wellness God and Family Information for New Patients We believe in making chiropractic care accessible to everyone. That's why we offer a new patient consultation package at a competitive price. This comprehensive package includes: X-rays: To get a clear picture of your spinal health. Chiropractic Adjustment: To improve your body's alignment and function. Orthotic Assessment: To evaluate if custom orthotics could benefit you. Personalized Exercise Recommendations: To help you regain strength and flexibility. We Prioritize Your Needs: We understand that every patient has unique needs. We don't push one-size-fits-all treatment plans. Whether you have insurance or not, we offer options to fit your budget. We accept most major insurance carriers and can verify your benefits during your initial consultation. Transparency and Choice: Our goal is to empower you to make informed decisions about your health. We won't pressure you into expensive upfront packages. You choose what works best for you and your family. Your Well-Being Matters: At our practice, your wellness is our top priority. We've included some helpful resources for new patients below. If you have any questions, please don't hesitate to contact us ! Information for New Patients What to Expect Payment Options New Patient Forms CALL NOW Time to relax. Meet Annette. MEET YOUR MASSAGE THERAPIST Here are what are patients have to say about us: Dr. Spencer is an amazing chiropractor, I came into his office and had been struggling with pain for years, I had a lot of injuries growing up from competitive cheerleading that has followed me into my adult life, Dr. Spencer listened to all of my issues and decided on an action plan to get the pain to reduce if not go away completely. Morgan R. A very welcoming place! Great staff, great doctors, and great massage therapist! Highly recommend! Even being pregnant these doctors have helped relieve so much pain to allow me to function every day! Abbi W. Been going here for years, they always work with me to meet my needs. Chiropractic care and massage keeps me going in my daily life. Good people and good care. Jason M. READ MORE REVIEWS We Are Passionate About Your Wellness At Prairie Grove Chiropractic, we're passionate about helping you move better, feel better, and live a more active life. Led by the experienced Dr. Spencer, our dedicated team utilizes a variety of evidence-based chiropractic techniques to address a wide range of conditions and promote overall well-being. Conditions We Treat: Our team specializes in treating a wide range of conditions, including: Chronic pain (back pain, neck pain, headaches, etc.) Work and auto injuries Sports injuries Joint pain and stiffness Sciatica And many more! READ ABOUT CONDITIONS & PAIN Chiropractic Care Spinal Adjustments Massage Therapy Spinal Decompression Activator Method Diversified Technique Cold Laser Therapy Orthotics Electronic Stimulation Kinesio Taping Corrective Exercises & Stretching Supplement and Nutritional Guidance View Services OUR SERVICES

Thank you for contacting Prairie Grove Chiropractic and Massage. Thank you for contacting Prairie Grove Chiropractic and Massage. We will respond to your contact form within 24 business hours. If you need something before then, please call us at 479-846-4110 .

Declaration of partial compliance with the standard due to third-party content - ENTER ONCE HAVE SCHEDULER The accessibility of certain pages on the site depend on contents that do not belong to the organization, and instead belong to [enter relevant third-party name] . The following pages are affected by this: [list the URLs of the pages] . We therefore declare partial compliance with the standard for these pages. Accessibility Overview At Prairie Grove Chiropractic and Massage, we respect the dignity and independence of our guests, and we are committed to providing full and equal access to everyone who visits our facility and website. Here is what you can expect from us: Communication We are committed to effectively communicating with our guests. We provide, at no charge, auxiliary aids and services which are reasonably necessary to achieve effective communication. We accept Operator Relay Service calls, and Teletypewriter (TTY/TDD) calls through 711, in the same manner as traditional telephonic channels. Website Access We endeavor to develop and update website content using current technologies that effectively communicate with and afford full and equal access to persons with disabilities. We make every effort necessary to meet online usability and design requirements, including those recommended by the World Wide Web Consortium (W3C) in its Web Content Accessibility Guidelines 2.1 as well as requirements under the Twenty-First Century Communications and Video Accessibility Act of 2010. Assistive Devices Our customers and guests are welcome to use their own personal assistive devices to access our merchandise and services. If an assistive device or technology is incompatible with our facilities, we will work with our customers and guests to provide full and equal access through alternative measures. Companions and Service Animals Companions, guide dogs or other service animals are welcome to accompany guests with disabilities while visiting our facility. We will also sensitively, respectfully and discretely provide personal assistance when requested. Interruption of Services If we are temporarily unable to offer any special facilities or services that assist customers and guests with disabilities, we will immediately provide notice of this interruption and the anticipated time when these services will be resumed. Training Our entire staff receives ongoing and documented training in order to properly communicate with and provide sensitive, helpful and respectful assistance to our customers and guests with disabilities. Modification of Policies or Procedures We will make reasonable modifications to our policies or procedures when it is necessary to provide our customers and guests with full and equal access to our facility, website or communications channels. We are continuously working to improve the accessibility of content on our website. Below, you’ll find a few recommendations to help make your browsing experience more accessible: If you have trouble seeing web pages, the US Social Security Administration offers these tips for optimizing your computer and browser to improve your online experience. Use the keyboard to navigate screens Increase text size Magnify your screen Change background and text colors Make your mouse pointer more visible (Windows only) If you are looking for mouse and keyboard alternatives, speech recognition software such as Dragon NaturallySpeaking may help you navigate web pages and online services. This software allows the user to move focus around a web page or application screen through voice controls. Customer Feedback We actively encourage the participation of all customers and guests in our feedback process. In addition to sharing your comments in person, you may also contact us by: Mail: 114 N Pittman Street Prairie Grove, AR 72753 If you feel that these standards have not been maintained in your situation, please let us know by calling: 479-846-4110 we gladly accept TRS calls.

Privacy Policy July 2024 Effective Date of this Policy: July 18, 2024 Introduction Prairie Grove Chiropractic and Massage (“We” or “Us”) (“we,” “us,” or “our”) offer services and products (collectively, “Services”) to our customers, website visitors, and users (“you”). We also own this website, (the “Site”), to help us provide these Services to you. We sometimes collect Personal Information to provide information and Services that you request, and to better understand our customers’ wants and needs. Personal Information is information that specifically identifies an individual. Personal Information can include, but is not limited to, your name, address, e-mail address, phone number, and birthdate. Personal Information also includes the specific types of information defined under locally applicable law. This Policy applies only to Personal Information collected through the Site and does not apply to any other data or information collected by us online or offline except to the extent this Policy is expressly referenced or incorporated into such other Services, such as by internet link on a website or presentation or display to Users. We are committed to protecting the privacy of your information. Please take a moment to read this Privacy Policy (“Policy”) to understand how we collect, use, store, and delete Personal Information about you when you visit and/or use the Site or use any of our Services. Policy Integration This Privacy Policy incorporates our Cookie Notice, which is accessible from a notice presented to users of the Site and/or Services, What Types of Information Do We Collect? Information You Voluntarily Provide We collect Personal Information you and others voluntarily provide when you use the Site and the Services. This could include information when you create an account, sign up for news alerts or newsletters, or contact us with questions. There may also be optional functions of the Site that you must provide Personal Information to use. The ways we will use such information will be provided on the page where you provide that information. Such optional services may include: • You are opting in to location-based services• Use of integrated services with third parties (e.g., logging using credentials from a different platform, linking accounts from different platforms) • Forum subscriptions after you create a forum registration • Submitting general contact forms and • Submitting inquiries in any form (e.g., e-mail, phone, mail, etc.). When you provide us with Personal Information, you agree to provide accurate, complete and true information. You agree to not use a false or misleading name that you are not authorized to use. In order to provide our Services and deliver products, we may need to collect and store Personal Information. The types of information we may collect from you may include name, physical address, email address, telephone number, date of birth, gender, geographic area, geolocation information (using your IP address, GPS, or sensors in nearby equipment, such as WiFi access points and cell towers), and any other information you choose to provide in connection with the Services. Information Your Web Browser Provides When you visit the Site, we automatically collect information provided by your web browser. This information includes, but is not limited to, your device’s unique identifiers and IP address, the pages within the Site that you visit, the number of visits you make to the Site and pages that you visit, any referring websites/URLs, the number of clicks you make while at the Site, the time that your device visited, the identity of your service provider, and the name and version of your operating system. This passively collected data is used to administer, operate, and improve the Site and Services, and to provide individualized advertising to you. We may use IP addresses and device data to identify a user who is non-compliant with our Terms of Use, or to protect the site or other users. We may also use information in the aggregate that has no personal identifying characteristics to understand aggregate user and customer behavior. Non-personally identifiable information is not treated the same as Personal Information and we may use and disclose such information for various purposes. Cookies and Similar Technology We use cookies and other technology to collect information, provide Services, and support features of the Site. Please see our Cookie Notice below, which is fully incorporated with this Privacy Policy. Information from Other Sources We may receive information about you, including Personal Information, from third parties. We may combine this information with other Personal Information we maintain about you and such information will be handled under the terms of this Privacy Policy. How Do We Use and Share Personal Information? Use We use collected Personal Information to authenticate your access and use of the Site to respond to your e-mail inquiries (when we deem such response to be appropriate) to respond to your submission of “Contact Me,” “Register Now,” “Get Started,” “Message Provider,” or other forms which involve your requests for information from us to send you notices about changes to the Site to send you notices about our services (including service-related announcements): to send you marketing information through our CRM system and to manage and improve the Site to optimize our products and services. To prevent fraudulent use of our systems to enforce our Terms of Use or comply with laws to maintain a record of how you use our platforms for administrative purposes and for any other purposes that we may disclose to you when we request Personal Information and your consent to use it. We may use Personal Information to send you marketing materials that we believe might match your interests. You are able to opt-out of these marketing materials by using a link within the materials themselves. We may use location or other information that you provide to better deliver personalized content to you. We may also use your Personal Information (such as search terms) to optimize our exposure and availability on external web search engines such as Google. More on this use may be found below. Sharing There may be times when we need to share your Personal Information with third parties to provide you Services, for the proper functioning of website features, to comply with the law, and for other lawful bases consistent with locally controlling laws and regulations. The occasions when we will share your Personal Information because of these reasons are explained below. Service Providers We may use third party data analytics services to maintain databases, distribute information, process transactions, and for hosting services. When we engage a Service Provider to provide such business-related functions, we limit the amount and types of Personal Information we share and insist upon reasonable measures on behalf of the Service Provider to safeguard such information. We utilize a scheduling tool and other software to enable convenience for patients. The tools we use have their own policies for personal information. Please see below. Full Slate - https://www.fullslate.com/hipaa HIPPA Compliance We utilize tools or software to operate our clinic – all programs are HIPAA compliant. The Health Insurance Portability and Accountability Act (“HIPAA”) sets forth privacy and security standards for any entity that uses or discloses protected health information. For information on HIPAA, visit the U.S. Department of Health and Human Services website. SMS Mobile information is used in our scheduling software for appointment reminders and occasional promotional messages. Patients can opt out at any time. No mobile information will be shared with other third parties/affiliates for marketing/promotional purposes all the above categories exclude text messaging originator opt-in data and consent this information will not be shared with any third parties. Business Transfers We may disclose and transfer Personal Information to a third party in the event that a merger, acquisition, debt financing transaction, sale of our assets, other similar transaction, bankruptcy, insolvency, or receivership occurs. The third party would thereafter be entitled to review and use such information (including Personal Information) in connection with its business activities, and in such case, the Privacy Policy of the third party may thereafter apply to such information, rather than this Privacy Policy. Legal Protection We may disclose Personal Information if we believe we must to comply with a law, or if disclosure is in our interest to protect property or other legal rights. This may include disclosing Personal Information to enforce contracts and agreements, to protect the rights or property of others, or to help protect the security of our Service and the information of other users. Integrated Services Our Services and Site may allow you to integrate accounts with a third-party service. When you elect to integrate your accounts, you are electing to share your Personal Information with the third party for this purpose. Any Personal Information disclosed to a third party providing an integrated service is outside of our control and is subject to that third party’s own terms and policies. Location Information We may share aggregate, non-personally identifiable location information with third parties to assist in understanding our user’s interests and usage of our Site and Services. Online Analytics We may use third party data analytics services to help us improve our services. These include Google Analytics, which helps us understand how you use our Services. Google Analytics collects data about your traffic via Google advertising cookies and anonymous identifiers, as well as data collected through standard Google Analytics implementation. We strive to adhere to Google Analytics Advertising policies. We will not facilitate the merger of personally identifiable information with non-personally identifiable information collected through any Google Advertising product or feature. We reserve the right to test, turn-on, or turn-off any of the Google Analytics features from time-to-time without notice to you. By utilizing certain Google Analytics Advertising features, we are required to disclose the following information: We use the following Google Analytics Advertising Features: The Site may employ Google® Analytics Display Advertising features. The Site and other third-party vendors may use first-party cookies (such as the Google® Analytics cookie) or other first-party identifiers, and third-party cookies (such as the Double Click cookie) or other third-party identifiers together. Visitors to the Site can opt-out of the Google® Analytics Advertising Features used, including through Ads Settings, Ad Settings for mobile apps, or any other available means (for example, the NAI's consumer opt-out). Our use of cookies is detailed in our Cookie Notice, which is available below. You may revoke your consent to the use of web analysis at any time, either by downloading and installing the Google Browser Plugin or by following your internet browser’s instructions to enable, disable, or clear cookies. Further information on Google Analytics is available in the Google Analytics Terms of Use, the Privacy and Data Protection Guidelines of Google Analytics and in the Google Privacy Policy. Data Retention We store the information we collect about you for as long as is necessary for the purpose(s) for which we collected it and in accordance with applicable law and legitimate business interests. When assessing the data retention period, we take into account the amount, nature, and sensitivity of the information, the potential risk of harm from unauthorized use or disclosure of the information, the purposes for which we process the data and whether we can achieve those purposes through other means, and the applicable legal requirements. Security of Information We have reasonable and appropriate security measures in place to protect against the loss, misuse, and alteration of any personal information we receive about you. We maintain appropriate security standards to protect the personal information that we maintain. Unfortunately, no data transmission or storage can be guaranteed to be completely secure. As a result, while we strive to protect your personal information, you acknowledge that: (a) we cannot control security and privacy indefinitely (b) the security, integrity, and privacy of information or data exchanged between you and us cannot always be guaranteed and (c) any such information and data may be viewed or compromised when in transit by a third party. Accuracy of Information We strive to keep our records accurate and will make appropriate corrections when you notify us. Please let us know if there is incorrect information in any statements or other communications that you receive from us. If you would like to correct or update your personal information, please contact us by email or call (479) 846-4110. Questions About Your Data If you have questions about this Policy, or how we handle your Personal Information, please contact us at (479) 846-4110. Special Disclosures “Do Not Track” Disclosures California and Delaware require websites accessible by users based in those states to indicate whether the website respects “Do Not Track” browser settings. We follow the standards explained in this Privacy Policy and do not interact with or implement “Do Not Track” requests. Children Our Services and Site are not directed at children under the age of 13, and we do not knowingly collect Personal Information from children under the age of 13 without obtaining parental consent. It is our procedure to promptly delete any Personal Information collected from a child under the age of 13 upon discovery of such a circumstance. If you believe that we may have collected Personal Information from a child under the age of 13, please contact us using the contact information at the end of this Policy and we will take appropriate steps to rectify this inadvertent collection. Your California Privacy Rights If you a consumer located in California and we collect your personal information, the California Consumer Privacy Act (CCPA) may apply to you. In such a case, our Supplemental CCPA Privacy Policy will apply and will control in the event of any conflict with this general Privacy Policy. Likewise, other California Privacy laws may apply to you in certain circumstances. Pursuant to California Business and Professions Code Section 1798.83 (or such successor provision), as amended and supplemented, residents of California have the right to request from a business with whom the California resident has an established business relationship certain information with respect to the types of Personal Information the business shares with third parties for those third parties’ direct marketing purposes and the identities of the third parties with whom the business has shared such information during the immediately preceding calendar year. In addition, an operator of a commercial website subject to California Business and Professions Code Section 22581 must allow California residents under age 18 who are registered users of online sites, services or applications to request and obtain removal of content or information they have publicly posted. If this applies to you and you wish to make such a request, your request should include a detailed description of the specific content or information to be removed. Please be aware that your request does not guarantee complete or comprehensive removal of content or information posted online and that the law may not permit or require removal in certain circumstances. If you are a California resident, believe that one of the above code provisions applies to you, and would like to make such a request, you may submit a written request using the contact information located at the end of this Privacy Policy. European Data Subjects The European Union (“EU”) General Data Protection Regulation (“GDPR”) provides certain regulations for the processing of personal data of users who are located within the EU. The GDPR applies when an entity offers goods or services to a person located within the EU or monitors the behavior of a person if the behavior takes place in the EU. We are an entity based in the Arkansas that provides personalized chiropractic care services. Although our Site may be accessible in some locations outside of the United States, it is not our intention to offer Services to individuals located outside of the United States. Any information we collect will be stored and processed in the United States and if you are located outside of the United States, the laws of the United States may offer less protection that the laws of your place of residence. We will collect and maintain any Personal Information only as long as we need it for the purposes outlined in this Privacy Policy. By providing your Personal Information to us through your use of the Services or Site, you agree to our transfer, storage, and processing procedures based in the United States. Please note that different regions and countries can have their own privacy and data security laws some of which may be less protective of your Personal Information than the laws of your own region or country. In the event that we offer Services subject to the GDPR, we will comply with the requests of European data subject requests to: (1) access Personal Information, (2) have inaccurate or unnecessary Personal Information rectified or deleted, or (3) stop using your Personal Information in a certain way. If your use of our Services or Site is subject to GDPR you would also have a right to lodge a complaint with your local EU regulator. Changes and Updates to this Policy We reserve the right to amend this privacy notice at our discretion and at any time. When we make changes to this privacy notice, we will post the updated notice on the Site and update the notice's effective date. Your continued use of our Site following the posting of changes constitutes your acceptance of such changes. Contact Information If you have any questions about this Privacy Policy, please contact us at: (479) 846-4110. Prairie Grove Chiropractic and Massage - Privacy Notice for California Consumers Effective Date: July 2024 Last Reviewed: July 2024 This Privacy Notice for California Consumers supplements the information contained in the Privacy Statement of Prairie Grove Chiropractic and Massage (“collectively, “we,” “us,” or “our) and applies solely to all visitors, users, and others who reside in the State of California ("consumers" or "you"). We also own this website (the “Site”), to help us provide our services to you. We adopt this notice to comply with the California Consumer Privacy Act of 2018 (CCPA) and any terms defined in the CCPA have the same meaning when used in this Notice. To the extent temporarily exempted from application of the CCPA, this Notice does not apply to employment-related personal information collected from California-based employees, job applicants, contractors, or similar individuals (“employment information”) or to personal information reflecting a written or verbal business-to-business communication ("B2B personal information"). For clarity, to the extent required by Cal. Civ. Code 1798.100, this Notice does apply to employment information in so far as the law requires disclosure at or before the point of collection of the categories of personal information to be collected and the purposes for which the categories of personal information shall be used. This Policy applies only to Personal Information collected through the Site and does not apply to any other data or information collected by us online or offline except to the extent this Policy is expressly incorporated in connection with such other Services, such as by internet link on a website, reference within a contract, or other presentation or display to Users. Information We Collect We collect information that identifies, relates to, describes, references, is reasonably capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular consumer, household, or device ("personal information"). Personal information does not include: • Publicly available information from government records. • Deidentified or aggregated consumer information. • Information excluded from the CCPA's scope, like: • personal information covered by certain sector-specific privacy laws, including the Fair Credit Reporting Act (FCRA), the Gramm-Leach-Bliley Act (GLBA) or California Financial Information Privacy Act (FIPA), and the Driver's Privacy Protection Act of 1994. In particular, we have collected the following categories of personal information from its consumers within the last twelve (12) months: Category Examples Collected - A. Identifiers - A real name, alias, postal address, unique personal identifier, online identifier, Internet Protocol address, email address, account name, Social Security number, driver's license number, passport number, or other similar identifiers - NO. B. Personal information categories listed in the California Customer Records statute (Cal. Civ. Code § 1798.80(e)).A name, signature, Social Security number, physical characteristics or description, address, telephone number, passport number, driver's license or state identification card number, insurance policy number, education, employment, employment history, bank account number, credit card number, debit card number, or any other financial information, medical information, or health insurance information. Some personal information included in this category may overlap with other categories – NO. C. Protected classification characteristics under California or federal law. Age (40 years or older), race, color, ancestry, national origin, citizenship, religion or creed, marital status, medical condition, physical or mental disability, sex (including gender, gender identity, gender expression, pregnancy or childbirth and related medical conditions), sexual orientation, veteran or military status, genetic information (including familial genetic information). NO D. Commercial Information Records of personal property, products or services purchased, obtained, or considered, or other purchasing or consuming histories or tendencies. YES E. Biometric Information Genetic, physiological, behavioral, and biological characteristics, or activity patterns used to extract a template or other identifier or identifying information, such as, fingerprints, faceprints, and voiceprints, iris or retina scans, keystroke, gait, or other physical patterns, and sleep, health, or exercise data. NO F. Internet or other similar network activity Browsing history, search history, information on a consumer's interaction with a website, application, or advertisement. YES G. Geolocation data Physical location or movements. YES H. Sensory data, Audio, electronic, visual, thermal, olfactory, or similar information. NO I. Professional or employment-related information. Current or past job history or performance evaluations. NO J. Non-public education information (per the Family Educational Rights and Privacy Act (20 U.S.C. Section 1232g, 34 C.F.R. Part 99)). Education records directly related to a student maintained by an educational institution or party acting on its behalf, such as grades, transcripts, class lists, student schedules, student identification codes, student financial information, or student disciplinary records. NO K. Inferences drawn from other personal information. Profile reflecting a person's preferences, characteristics, psychological trends, predispositions, behavior, attitudes, intelligence, abilities, and aptitudes. YES Use of Personal Information We may use or disclose the personal information we collect for one or more of the following purposes: • To fulfill or meet the reason you provided the information. For example, if you share your name and contact information to request a price quote or ask a question about our products or services, we will use that personal information to respond to your inquiry. If you provide your personal information to purchase a product or service, we will use that information to process your payment and facilitate delivery. • To provide, support, personalize, and develop our Site, products, and services. • To create, maintain, customize, and secure your account with us. • To process your requests, purchases, transactions, and payments and prevent transaction fraud. • To provide you with support and to respond to your inquiries, including to investigate and address your concerns and monitor and improve our responses. • To personalize your Site experience and to deliver content and product and service offerings relevant to your interests, including targeted offers and ads through our Site, third-party sites, and via email or text message (with your consent, where required by law). • To help maintain the safety, security, and integrity of our Site, products and services, databases and other technology assets, and business. • For testing, research, analysis, and product development, including to develop and improve our Site, products, and services. • To respond to law enforcement requests and as required by applicable law, court order, or governmental regulations.• As described to you when collecting your personal information or as otherwise set forth in the CCPA. • To evaluate or conduct a merger, divestiture, restructuring, reorganization, dissolution, or other sale or transfer of some or all of our assets, whether as a going concern or as part of bankruptcy, liquidation, or similar proceeding, in which personal information held by us about our [Website users/consumers] is among the assets transferred. We will not collect additional categories of personal information or use the personal information we collected for materially different, unrelated, or incompatible purposes without providing you notice. Sharing Personal Information We may disclose your personal information to a third party for a business purpose. When we disclose personal information for a business purpose, we enter a contract that describes the purpose and requires the recipient to both keep that personal information confidential and not use it for any purpose except performing the contract. Disclosures of Personal Information for a Business Purpose In the preceding twelve (12) months, we have disclosed the following categories of personal information for a business purpose: Category D: Commercial information. Category F: Internet or other similar network activity. Category G: Geolocation data. Categories of Disclosures We disclose your personal information for a business purpose to the following categories of third parties:• Our affiliates.• Service providers.• Third parties to whom you or your agents authorize us to disclose your personal information in connection with products or services we provide to you. Sales of Personal Information In the preceding twelve (12) months, we have not sold any personal information. Your Rights and Choices The CCPA provides consumers (California residents) with specific rights regarding their personal information. This section describes your CCPA rights and explains how to exercise those rights. Access to Specific Information and Data Portability Rights You have the right to request that we disclose certain information to you about our collection and use of your personal information over the past 12 months. Once we receive and confirm your verifiable consumer request, we will disclose to you: • The categories of personal information we collected about you. • The categories of sources for the personal information we collected about you. • Our business or commercial purpose for collecting or selling that personal information • The categories of third parties with whom we share that personal information. • The specific pieces of personal information we collected about you (also called a data portability request). • If we sold or disclosed your personal information for a business purpose, two separate lists disclosing: • sales, identifying the personal information categories that each category of recipient purchased and • disclosures for a business purpose, identifying the personal information categories that each category of recipient obtained. We do not provide these access and data portability rights for employment or B2B information. Deletion Request Rights You have the right to request that we delete any of your personal information that we collected from you and retained, subject to certain exceptions. Once we receive and confirm your verifiable consumer request, we will delete (and direct our service providers to delete) your personal information from our records, unless an exception applies. We may deny your deletion request if retaining the information is necessary for us or our service provider(s) to: • Complete the transaction for which we collected the personal information, provide a good or service that you requested, take actions reasonably anticipated within the context of our ongoing business relationship with you, fulfill the terms of a written warranty or product recall conducted in accordance with federal law, or otherwise perform our contract with you. • Detect security incidents, protect against malicious, deceptive, fraudulent, or illegal activity, or prosecute those responsible for such activities. • Debug products to identify and repair errors that impair existing intended functionality. • Exercise free speech, ensure the right of another consumer to exercise their free speech rights, or exercise another right provided for by law. • Comply with the California Electronic Communications Privacy Act (Cal. Penal Code § 1546 et. seq.).• Engage in public or peer-reviewed scientific, historical, or statistical research in the public interest that adheres to all other applicable ethics and privacy laws, when the information's deletion may likely render impossible or seriously impair the research's achievement, if you previously provided informed consent. • Enable solely internal uses that are reasonably aligned with consumer expectations based on your relationship with us. • Comply with a legal obligation. • Make other internal and lawful uses of that information that are compatible with the context in which you provided it. We do not provide these deletion rights for B2B personal information. Exercising Access, Data Portability, and Deletion Rights To exercise the access, data portability, and deletion rights described above, please submit a verifiable consumer request to us by either: • Visiting our Contact Request Web Form. • Calling us at (479) 846-4110 Only you, or someone legally authorized to act on your behalf, may make a verifiable consumer request related to your personal information. You may also make a verifiable consumer request on behalf of your minor child. You may only make a verifiable consumer request for access or data portability twice within a 12-month period. The verifiable consumer request must: • Provide sufficient information that allows us to reasonably verify you are the person about whom we collected personal information or an authorized representative, which may include: • We will use the data we have to match against data provided. • Describe your request with sufficient detail that allows us to properly understand, evaluate, and respond to it. We cannot respond to your request or provide you with personal information if we cannot verify your identity or authority to make the request and confirm the personal information relates to you. Making a verifiable consumer request does not require you to create an account with us. We will only use personal information provided in a verifiable consumer request to verify the requestor's identity or authority to make the request. Response Timing and Format We endeavor to respond to a verifiable consumer request within forty-five (45) days of its receipt. If we require more time (up to 90 days), we will inform you of the reason and extension period in writing. If you have an account with us, we will deliver our written response to that account. If you do not have an account with us, we will deliver our written response by mail or electronically, at your option. Any disclosures we provide will only cover the 12-month period preceding the verifiable consumer request's receipt. The response we provide will also explain the reasons we cannot comply with a request, if applicable. For data portability requests, we will select a format to provide your personal information that is readily usable and should allow you to transmit the information from one entity to another entity without hindrance. We do not charge a fee to process or respond to your verifiable consumer request unless it is excessive, repetitive, or manifestly unfounded. If we determine that the request warrants a fee, we will tell you why we made that decision and provide you with a cost estimate before completing your request. We will not discriminate against you for exercising any of your CCPA rights. Unless permitted by the CCPA, we will not: • Deny you goods or services. • Charge you different prices or rates for goods or services, including through granting discounts or other benefits, or imposing penalties. • Provide you a different level or quality of goods or services. • Suggest that you may receive a different price or rate for goods or services or a different level or quality of goods or services. Other California Privacy Rights California's "Shine the Light" law (Civil Code Section § 1798.83) permits users of our Site that are California residents to request certain information regarding our disclosure of personal information to third parties for their direct marketing purposes. To make such a request, please call us at (479) 846-4110 or write us at: Mailing Address: Prairie Grove Chiropractic and Massage 114 N Pittman Street Prairie Grove, AR 72753 Changes to Our Privacy Notice We reserve the right to amend this privacy notice at our discretion and at any time. When we make changes to this privacy notice, we will post the updated notice on the Website and update the notice's effective date. Your continued use of our Site following the posting of changes constitutes your acceptance of such changes. Contact Information If you have any questions or comments about this notice, the ways in which we collect and use your information described here and in the Privacy Policy, your choices and rights regarding such use, or wish to exercise your rights under California law, please do not hesitate to contact us at: Phone: (479) 846-4110 Website: Contact Request Web Form Mailing Address: 114 N Pittman Street Prairie Grove, AR 72753 COOKIE NOTICE 1. About this Cookie Notice This cookie notice applies when you use any of our Services that refer or link to this notice. This notice may be supplemented by additional cookie notices, or terms provided on certain areas of the Service or during our interactions with you. With the exception to the cookies that are set by third parties, the company that owns or administers the Service, as identified therein, is the primary controller of your personal information provide to, or collected by or for, the Service. This Cookie Notice is subject to our Privacy Policy and Terms of Use. 2. What are “Cookies” and Why Do we Use Them? Cookies are small text files that are placed on your computer by websites that you visit. Cookies are widely used in order to make websites and applications work, or work more efficiently, and help them remember certain information about you, either for the duration of your visit (using a "session" cookie) or for repeat visits (using a "persistent" cookie). The cookies used on this website are as follows: Strictly necessary cookies: These cookies are essential in order to enable you to move around the website. They are usually only set in response to actions made by you which amount to a request for service, such as setting your privacy preferences, logging in or filling in forms. For example, authentication and security cookies are used to identify and recognize registered users and to enable them to gain access to requested content or features. You can set your browser to block or alert you about these cookies, but without these cookies, services you have asked for cannot be provided. See below for more information on how to manage the collection of this information, or, refer to your email browser or device instructions. Functionality cookies: These cookies allow our websites to remember the choices you make and your account preferences and to provide enhanced, more personal features. These are set by us or by our third-party providers whose services we have added to our pages. For example, these cookies will remember your log-in details. You can set your browser to block or alert you about these cookies, but without these cookies, services you have asked for cannot be provided. Refer to your email browser or device instructions for instructions related to your carrier. Performance cookies: These are analytics and research cookies that allow us to count visits and measure traffic, so we can measure and improve the performance of our site. They also help us to know which pages are the most and least popular and see how visitors move around the site. This helps us to improve the way the website works and improve user experience. All information these cookies collect is aggregated and therefore anonymous. You can set your browser to block or alert you about these cookies. Blocking these cookies will not affect the service provided you. See below for more information on how to manage the collection of this information, or, refer to your email browser or device instructions. Targeting cookies: These cookies are set by us and our advertising partners to record your visit to the website, the pages you have visited and the links you have followed. We, and our advertising partners, will use this information to make the website, and, the advertising displayed to you more relevant to your interests. You can set your browser to block or alert you about these cookies. Blocking these cookies will not affect the service provided you but will limit the targeted advertising that you will see, or limit our ability to tailor the website experience to your needs. See below for more information on how to manage the collection of this information, or, refer to your email browser or device instructions. Third Party and Social Media Cookies: These cookies are set by a range of social media services that we have added to our websites that enable you to share our content with your colleagues, friends and networks. They are capable of tracking your browser across other sites and building up a profile of your interests. This may impact the content and messages that you see on other websites that you visit. If you do not allow these cookies you may not be able to use of see the social media sharing tools. Refer to your email browser or device for instructions. Tracking Technologies Including Pixels, Script, Web Beacons/Gifs, Page Tags: These files, or, code may be included in our emails and mobile apps to record how you interact with us, to help us better analyze and improve our services to you. Again, you can block the cookies either through your browser or device settings, and these settings will apply to all cookies whether included on websites or in emails. However, in some instances, depending on your email or browser settings, the files may be automatically accepted (for example, when you've added an email address to your address book or safe senders list). Please refer to your email browser or device instructions. 3. How to refuse the use of cookies You can prevent your browser from accepting certain cookies, have the browser require your consent before a new cookie is placed in your browser, or block cookies altogether by selecting the appropriate settings on your browser privacy. For help, visit www.allaboutcookies.org , or, via your device user manual, or, online help files. 4. Third Party Web Advertising Services Our Services may use Google Analytics, particularly within our marketing, for the purposes of analyzing visitor / customer site interactions including interactions with our online marketing campaigns. For information about how Google processes the data collected please refer to the Google Privacy Page. You may opt-out of third-party web advertising services that provide personalized advertising based on your online activity. You can also configure your web browser to delete and / or block the use of cookies for any third party. We also use third party services to run our ad campaigns. 5. Changes We reserve the right to amend this notice at our discretion and at any time. When we make changes to this privacy notice, we will post the updated notice on the Site and update the notice's effective date. Your continued use of our Site following the posting of changes constitutes your acceptance of such changes. 6. Contact If you have any questions, comments, complaints or requests regarding this cookie notice, or our processing of your information, you can contact us at (479) 846-4110 or email us. You may also lodge a complaint with the data protection authority in the applicable jurisdiction. For more information on our site, review our terms of service .

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