# Total Performance PT vs Fox River MedSpa

The clearest difference is update cadence: Fox River MedSpa at every 3 weeks against Total Performance PT's every 7 months. On price, ads, in-app purchases and device support there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

Total Performance PT ships an update every 7 months, Fox River MedSpa every 3 weeks. The most recent releases landed on October 6, 2026 and October 10, 2026 respectively.

## The numbers

| Metric | Total Performance PT | Fox River MedSpa |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[5.0 (1 ratings)](https://appshunter.io/ios/app/total-performance-pt/id1511535558/reviews)** | — |
| Number of ratings | **1** | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 7 months | **Every 3 weeks** |
| Monetization | Free | — |
| Size | 43 MB | 192 MB |
| Requires iOS | **15.1** | 16.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 12+ | 4+ |
| Developer | [Total Performance PT](https://appshunter.io/developer/1511535557) | [Fox River Spa & Salon](https://appshunter.io/developer/1618493942) |

## What reviewers say

### Total Performance PT

[App page](https://appshunter.io/ios/app/total-performance-pt/id1511535558)

Access your personalized home exercise program with HD instructional videos. Track your progress with awards and communicate securely with your provider. Integrates with iPhone's Health app for activity monitoring.

**Highlights:** Personalized Home Exercise Program, HD Instructional Videos, Secure Messaging with Provider, Progress Tracking with Awards, Health App Integration, Multi-language Support

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


### Fox River MedSpa

[App page](https://appshunter.io/ios/app/fox-river-medspa/id1618493940)

**Features:** macOS Compatibility, Apple Wallet, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is Total Performance PT free?

Total Performance PT is free to download, with no in-app purchases.

### Is Fox River MedSpa free?

Fox River MedSpa is free to download, with no in-app purchases.

### Do Total Performance PT or Fox River MedSpa have ads?

Neither Total Performance PT nor Fox River MedSpa shows ads.

### Which is updated more often, Total Performance PT or Fox River MedSpa?

Total Performance PT ships an update every 7 months, and Fox River MedSpa every 3 weeks. Most recently, Total Performance PT was updated on October 6, 2026 and Fox River MedSpa on October 10, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*