Hill Country Muscle and Nerve

Caring, Compassionate,

Well-trained Physicians

Dr. Mirelle’ Foster and Dr. Thomas Shaw are trained in Physical Medicine and Rehabilitation, a specialty centered around improving function and quality of life for patients after a variety of events, including orthopedic surgery, athletic injury, stroke, amputation, spinal cord injury and more.

Caring, Compassionate, Well-trained Physicians

Dr. Mirelle’ Foster and Dr. Thomas Shaw are trained in Physical Medicine and Rehabilitation, a specialty centered around improving function and quality of life for patients after a variety of events, including orthopedic surgery, athletic injury, stroke, amputation, spinal cord injury and more.

Dr. Foster and Dr. Shaw

We Provide Comprehensive Care

ensuring personalized solutions tailored to your needs. Our dedicated team delivers expert support, prioritizing your well-being and long-term success. Experience compassionate care that covers every aspect of your journey.

Electrophysiologic Testing

Hands-On Physical Diagnosis

Exercise Prescriptions

Rehabilitation Services - PT, OT, ST

Aquatic Therapy

Modalities: cryo, thermal, electrical, ultrasound

Non-Narcotic short term medication management

Injections: Spine, Joints, Nerve Blocks, Botox, PRP

Electrophysiologic Testing

Nerve studies to help diagnose carpal tunnel syndrome, sciatica, and other nerve and muscle disorders. Watch below as Dr. Grant, President of AANEM, performs a typical nerve study just like we do in our office everyday.

Non-Surgical Musculoskeletal Care

We specialize in non-surgical musculoskeletal care, offering personalized treatments to relieve pain, restore mobility, and enhance overall function. Our approach focuses on therapy, rehabilitation, and innovative techniques to support your recovery and long-term wellness.

  • Muscle/Joint Injuries

  • Arthritis

  • Functional Movement Screening

  • Exercise Prescriptions

  • Concussion Management

  • Joint Evaluation / Injection

  • Athletes and Weekend Warriors

Physiotherapist is doing physical therapy for a patient, the patient has body aches due to overwork and has undergone treatment and physiotherapy with a professional physiotherapist.

Back Pain

Comprehensive, Hands-On Care for Pain Relief & Recovery

Expert Diagnosis, Personalized Treatment, and Non-Narcotic Solutions for Lasting Relief

Nerve and Muscle Studies to check for Sciatica

Careful listening and Hands-On Physical Diagnosis

In Depth review of your imaging with you

Exercise Prescriptions and Rehabilitation

Injection Procedures

Non-Narcotic Short-Term Medication Management 

NEWS

Dr. Shaw Now Offering

Platelet Rich Plasma

HOW?
  • Platelets are cells in your blood stream that can be collected with a normal blood draw (similar to having blood drawn for lab work)
  • Then, the blood will be. placed in a centrifuge and spun at 3800 rpm to separate the cells based upon density.
  • Afterward, the platelets ad anti-inflammatory enriched plasma can be easily removed to create your own personalized regenerative remedy.
  • Using an Ultrasound, the platelets and plasma (Platelet Rich Plasma) is injected precisely and accurately into the problematic area.
  • Over a period of weeks to months, this biologic repair coupled with a rehabilitative process has the potential to improve pain, function, and quality of life greatly. 
WHY?
  • Platelets are amazing cells that rush to a site of injury to assist with blood clothing.
  • It turns out these cells also contain many signals and growth factors that facilitate the healing process and reduce pain.
  • Chronic tissue damage gets stuck in the unhealed phase, as if after time the body forgets that a tendon needs to be fixed or arthritic destruction needs to be reversed.
  • Restarting the healing cascade can remind the body of a chronic problem and rsult in a new tissue growth and repair of damaged structures. 
  • Harnessing your body’s own natural healing process avoids the risks of typical medications and injection procedures, because the therapy is your own tissue. 
COST

At present, PRP therapy is not an insurance covered procedure.  However, research studies are published and ongoing that demonstrate beneficial effects, often much superior to traditional treatments for musculoskeletal disorders.  Therefore, it is expected with time and as the body of evidence grows, that insurance companies will choose to cover this service

What does insurance cover?
  • Initial evaluation and consultation
  • Follow up visits with MD and physical therapist
What is included in our Fee?
  • PRP harvesting, centrifugation and preparation
  • Ultrasound assessment
  • Targeted and precise image guided injection(s)

Regenerative Medicine

  • Ultrasound Guided Precise Injection Therapy
  • A biologic repair of tissue injury
  • Avoid typical medication adverse effects
  • Supervisor long term results
Chemist scientist holding tablet analyzing samples conducting experiment in laboratory with equipment, science concept.

New Patient Paperwork

Patient Resources

Please download and fill out the above new patient paperwork and bring the packet with you to improve efficiency during your visit with us.  Filling this packet out prior to arriving for your appointment will reduce waiting time and will allow your physician to spend more face to face time with you. Thank you for your proactive participation in your care, and we look forward to seeing you.