Essentials
$24,000 per year
Your performance baseline, supported all year.
- 12 chiropractic and neuromuscular massage sessions
- 12 Biowavez™ red light sessions
- 2 functional nutrition sessions
- Personalized supplement protocol
- Hormonal evaluation
Performance Medicine · Southlake, Texas
Measured like an athlete. Cared for by physicians who know you.
Every result is reviewed by both a Board Certified Orthopedic Surgeon and a Board Certified Primary Care Physician. Together they build one plan around how you want to live, train and compete.
- Primary Care
- Whole Body Baseline
- Orthopedics
- Joints and Movement
- Chiropractic
- Spine and Alignment
- Neuromuscular
- Muscle and Recovery
More power, longer life
5.9× / 6.9×
Adults with the lowest relative muscle power had 5.9 times (men) and 6.9 times (women) the risk of death of those with the highest, across 3,889 adults aged 46 to 75 followed for a median of 10.8 years.
Araújo et al., Mayo Clinic Proceedings, 2025
More fitness, more years
122,007 people · No ceiling
Mortality fell with every step up in cardiorespiratory fitness, and the fittest group had the lowest risk of all.
Mandsager et al., JAMA Network Open, 2018
A sharper mind, every day
2.4× · Crash risk with sleep apnea
Across 10 pooled studies, drivers with obstructive sleep apnea had 2.4 times the crash risk of drivers without it. The home sleep study in your physical looks for it, so it can be treated.
Tregear et al., Journal of Clinical Sleep Medicine, 2009
Select Brain, Body or Biology to see everything included.
How clearly you think and how well you recover.
- 01
Cognivue®. A short touchscreen test measures your memory, reaction speed and executive function. Cognitive change can begin years before you notice it, so a baseline now lets your physicians spot any shift early and help you protect your memory and focus.
- 02
Brain mapping. An EEG records your brain's activity while you work through cognitive tasks, showing how it handles focus, processing and stress. It turns how sharp you feel into something your physicians can measure, track and improve.
- 03
Autonomic nervous system test. Measures the balance between fight or flight and rest and recover, and how readily you shift between them, so your plan can lower your stress load and speed your recovery.
- 04
Home sleep study. Tracks your breathing and oxygen overnight, in your own bed. Most moderate to severe sleep apnea is never diagnosed, and finding it can lead to lower blood pressure, a protected heart and deep, restorative sleep.
- 05
Neuromuscular assessment. Tests how your nerves and muscles work together: reflexes, strength and coordination. Finding small losses early lets you rebuild strength and coordination before they lead to a fall or an injury.
- 06
Hearing and vision screening. Hearing, distance vision and color vision, plus a retinal scan of the back of your eye. Treating hearing loss in midlife addresses one of the largest modifiable risk factors for dementia, and the retina can reveal early signs of disease elsewhere in the body so they are treated sooner.
How clearly you think and how well you recover.
- 01
Cognivue®. A short touchscreen test measures your memory, reaction speed and executive function. Cognitive change can begin years before you notice it, so a baseline now lets your physicians spot any shift early and help you protect your memory and focus.
- 02
Brain mapping. An EEG records your brain's activity while you work through cognitive tasks, showing how it handles focus, processing and stress. It turns how sharp you feel into something your physicians can measure, track and improve.
- 03
Autonomic nervous system test. Measures the balance between fight or flight and rest and recover, and how readily you shift between them, so your plan can lower your stress load and speed your recovery.
- 04
Home sleep study. Tracks your breathing and oxygen overnight, in your own bed. Most moderate to severe sleep apnea is never diagnosed, and finding it can lead to lower blood pressure, a protected heart and deep, restorative sleep.
- 05
Neuromuscular assessment. Tests how your nerves and muscles work together: reflexes, strength and coordination. Finding small losses early lets you rebuild strength and coordination before they lead to a fall or an injury.
- 06
Hearing and vision screening. Hearing, distance vision and color vision, plus a retinal scan of the back of your eye. Treating hearing loss in midlife addresses one of the largest modifiable risk factors for dementia, and the retina can reveal early signs of disease elsewhere in the body so they are treated sooner.
A chest X-ray is added when your provider indicates it. Your visit includes breakfast or lunch and a follow-up appointment to review your results and recommendations.
The Performance Medicine Physical
A complete baseline across every system, in one visit.
Every result is reviewed by both a Board Certified Orthopedic Surgeon and a Board Certified Primary Care Physician. No program is required. The physical stands on its own, and it shapes your supplements, nutrition, medications, training protocols and peptides.
Flagship technology
Strength tells you how much you can lift. Power tells you how fast you can use it.
Proteus® measures the power, speed and acceleration you produce in every plane you move in.
See how Proteus worksVO2 max
One of the strongest predictorsof how long you live.
0%
lower risk of death from any cause for every 1 MET of fitness gained
0%
lower risk of heart and vascular disease for every 1 MET gained
VO2 max is the most oxygen your body can use during hard exercise. It is highly trainable. One MET is 3.5 mL/kg/min.
We measure it directly, on a treadmill or a stationary bike, during your graded stress test. Not estimated from a watch.
The bike is there for members with knee or joint concerns, including joint replacements.
Kodama et al., JAMA, 2009 (102,980 adults)
The Performance Medicine team
The people behind your plan.
Edwin E. Spencer, MD
Board Certified Orthopedic Surgeon, Leads Performance Medicine
Christopher Tupper, DC
Board Certified Chiropractor
Trey Calhoun, NMT
Neuromuscular Massage Therapist
What happens next
Start with the physical. From there, the path is yours.
Step 1
The physical
One comprehensive visit.
Step 2
The full picture
We review every result with you at a follow-up appointment.
Step 3
Your path
A targeted plan for your supplements, nutrition, medications, training protocols and peptides, built from your results. No further commitment is required.
It starts with knowing exactly where you stand.
$8,500
Performance Medicine Executive Physical
One visit. Every Brain, Body and Biology assessment, reviewed by both physicians, with breakfast or lunch, a follow-up appointment to walk through your results, and a plan built from them. No membership required.
Book your Performance Physical, then build the plan that keeps you performing for decades.
817.552.4300Southlake, Texas · By appointment.
After the Physical
Performance Concierge
Keep the momentum all year.
Each program includes the Performance Medicine Physical and year-round concierge access to your primary care and orthopedic physicians.
Elite
$37,000 per year
More recovery, repair and fine tuning.
- 24 chiropractic and neuromuscular massage sessions
- 24 red light sessions
- 4 IV therapy infusions
- 6 StemWave® and 12 neurofeedback sessions
- Prescribed peptide protocol
- Year-round bioidentical hormone therapy
- TruAge and Alcat® testing
Pro
$58,000 per year
Unlimited support, reviewed every quarter.
- Unlimited chiropractic, neuromuscular massage, IV and red light
- PRP injections, 2 sites
- Advanced imaging as needed
- Genomics testing
- Performance psychology sessions
- Quarterly progress reviews with your full care team