Specialty Services
Advanced Care, Personalized for You
Point-of-Care Ultrasound
Included with membership
At Highpoint Direct Care, we bring advanced diagnostic imaging directly to your visit with point-of-care ultrasound (POCUS). This allows us to deliver rapid, accurate, and objective assessments without relying on outside imaging centers. Our ultrasound skills enable:
Ultrasound-guided injections for precise treatment of joints, tendons, and soft tissue injuries
Musculoskeletal diagnostics for sprains, strains, tendon injuries, and joint abnormalities
Soft tissue and cyst evaluation for lumps, bumps, or abnormal growths
Vascular assessments such as evaluation for deep vein thrombosis (DVT) or peripheral blood flow
Abdominal and organ screening for rapid evaluation of gallbladder, kidney, liver, and bladder concerns
Real-time monitoring of healing, rehabilitation progress, and post-procedure outcomes
Objective in-office findings so your physician can make evidence-based decisions immediately
With POCUS, your physician can diagnose, guide treatment, and monitor results—all in a single visit. This technology allows us to provide faster, more accurate care, reduce uncertainty, and help you get back to the activities you love sooner.
Advanced Skin Procedures
May have additional fees
Skin cancer is one of the most common cancers, affecting millions of people each year. At Highpoint Direct Care, we are trained in advanced dermatology procedures that allow for timely diagnosis and treatment, including:
Cryotherapy for warts, skin tags, and other minor lesions
Skin biopsies for accurate evaluation of suspicious spots (+pathology fee via Quest)
Skin lesion excisions for early-stage cancerous tissue and benign lesions ($100 per procedure + pathology fee via Quest)
Having a physician skilled in these procedures ensures that you receive efficient, evidence-based care when it matters most. More advanced skin cancers, including melanomas, are promptly referred to qualified dermatologists to ensure you receive the most appropriate specialized care.
By combining preventive evaluation, advanced in-office procedures, and expert judgment, we help you detect, treat, and monitor skin concerns early, improving outcomes and giving you peace of mind.
Learn More About Us and Our Practice
If our specialty services make you curious about Highpoint Direct Care, visit our About Us page to discover our philosophy of patient-centered, evidence-based care.
Shockwave Therapy
Additional fees apply
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At High Point Direct Care, we offer radial shockwave therapy (RSWT) using the Chattanooga Intelect RPW 2 — a non-invasive treatment designed to stimulate healing in chronic musculoskeletal conditions. Shockwave therapy delivers controlled acoustic pulses to injured soft tissue, helping improve blood flow, cellular signaling, and tissue remodeling. It is commonly used for conditions such as plantar fasciitis, lateral epicondylitis, Achilles tendinopathy, patellar tendinopathy, and other tendon or soft-tissue pain, particularly when symptoms have not improved with rest, physical therapy, or medications.
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Unlike many clinics where shockwave is applied using preset protocols, treatment at Highpoint Direct Care is physician-directed and individualized. When appropriate, we incorporate musculoskeletal ultrasound to better understand the underlying source of pain — such as tendon degeneration, calcifications, thickening, or focal inflammation — allowing treatment to be more precisely targeted. This approach helps ensure that shockwave therapy is applied to the tissue most likely to benefit, rather than broadly or generically.
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Our model emphasizes accuracy, clinical judgment, and integration with a broader treatment plan. Musculoskeletal ultrasound may be used to confirm the diagnosis and guide treatment zones, while clinical expertise informs energy settings, session frequency, and progression. Shockwave therapy is often combined with education, activity modification, and progressive loading strategies to support durable recovery — not just temporary symptom relief.
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High-quality clinical research supports the use of extracorporeal shockwave therapy for certain chronic musculoskeletal conditions. A 2023 systematic review and meta-analysis of randomized controlled trials published in Pain Physician found that shockwave therapy significantly reduced pain and improved function in patients with plantar fasciopathy, with consistent benefit and a favorable safety profile. The authors noted that outcomes are influenced by treatment parameters and appropriate clinical application, reinforcing the importance of physician oversight.
Reference: Li H, Lv H, Lin T, et al. Effectiveness of Extracorporeal Shockwave Therapy for Plantar Fasciitis: A Systematic Review and Meta-Analysis. Pain Physician. 2023. PMID: 39257331
PRP Injection Therapy
Additional fees apply
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Platelet-Rich Plasma (PRP) therapy is a regenerative treatment that uses your body’s own platelets and growth factors to support healing in injured tendons, ligaments, and joints. A small sample of blood is drawn and processed to concentrate the platelets, which are then injected into the injured tissue to help stimulate repair and recovery.
PRP often shows similar short-term outcomes to steroid injections, but
superior medium- and long-term improvement (3–12 months), particularly for chronic tendinopathy where steroids may worsen tendon quality over time.
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At High Point Direct Care, we use the Arthrex Double Syringe System to prepare high-quality PRP in a sterile, closed system that produces a consistent platelet concentration for optimal results. All injections are performed using point-of-care ultrasound (POCUS) to guide precise placement of the PRP into the targeted tissue.
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PRP can be helpful for conditions such as chronic tendinopathy, ligament injuries, and certain cases of osteoarthritis or persistent overuse injuries.
Conditions with the strongest evidence for PRP include:
Lateral epicondylitis (tennis elbow)
Patellar tendinopathy (jumper’s knee)
Chronic plantar fasciitis
Mild to moderate knee osteoarthritis
Gluteal tendinopathy / greater trochanteric pain syndrome
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This service is available exclusively to members for an additional $250 per injection, significantly less than typical PRP pricing in the surrounding area.
Join Highpoint Direct Care
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Explore Membership Benefits
Want to understand how our practice works and what’s included? Check out our Member services page for details on services, pricing, and how Highpoint Direct Care gives you personalized, accessible healthcare.