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
- We are committed to providing healthcare service
- Really know the true needs and expectations of patients
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.
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Muscle/Joint Injuries
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Arthritis
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Functional Movement Screening
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Exercise Prescriptions
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Concussion Management
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Joint Evaluation / Injection
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Athletes and Weekend Warriors


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
Injections for Muscle, Tendon, and Joint
Call to Inquire!
Click Here for more information

Back Pain

Dr. Foster
Named Healthcare Industry
Leader of the Year
Dr. Mirelle' Foster received the honor of being named the Kerrville Chamber of Commerce Healthcare Industry Leader of the Year for 2014.

Dr. Shaw's
latest e-publication
on Cranial Nerve Deficits in Central Nervous System Disorders

Dr. Shaw's Latest Publication
A quick read on a rare bone abnormality in young athletes. Feel free to take a look by
Clicking Here
Dr. Shaw Now Offering
Platelet Rich Plasma

- 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.
- 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.
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
Initial evaluation and consultation
Follow up visits with MD and physical therapist
- 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

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.