Surgery is sometimes the right answer at the first visit, and knowing when to act is as important as knowing when to wait. When the evidence is solid, it gets used. When it is thin, I will tell you directly.
The arm is a single mechanical and neurological system. The shoulder, elbow, forearm, wrist, and hand do not function in isolation. Training across the full limb means that when something is wrong at one level, I can evaluate what is happening at every other level before making a recommendation.
You deserve a real diagnosis, honest options, and enough time to get your questions answered. That is the standard I hold myself to at every visit.
The Training: My fellowship at the Campbell Clinic provided a deep foundation in everything from delicate microvascular work to complex shoulder reconstruction. Before that, I served as Chief Resident at Northwell Health.
The Perspective: A stretch of basic science research gave me a lasting habit that has carried through every clinical decision I have made since: reading evidence, from both medical and popular literature, as a scientist rather than a consumer. That habit allows me to evaluate new treatments with a critical eye while remaining open to innovations that can genuinely benefit patients.
The Practice: After years in a high-volume employed setting, I chose to return to an independent model. I believe that good medicine requires time — time to listen, and time to build a plan centered on your specific goals. I built this practice to take care of patients the way I would want to be taken care of myself.
Our Procedures

Expert care for shoulder and elbow injuries, arthritis, instability, tendon tears, fractures, and overuse conditions.

Comprehensive treatment for hand and wrist pain, nerve compression, fractures, arthritis, tendon injuries, and common overuse conditions.

Specialized care for complex injuries, nerve compression, nerve damage, soft tissue reconstruction, and functional restoration.
We want to try and help prospective patients any way we can, and it doesn’t make sense to waste your time. We offer free second option reviews of X-rays/CT scans/MRIs performed within the last year. Once reviewed by a fellowship-trained surgeon, we can let you know if you need to come see us to help best manage your injury.
Email images of your hand, wrist, elbow, or shoulder concern and receive a free expert review from a fellowship-trained surgeon.
FREQUENTLY ASKED QUESTIONS
Find answers to common questions about appointments, treatment options, insurance, forms, and what to expect at Upper Extremity ATX.
We see patients from across the greater Austin area, and telehealth second opinions/case reviews. Our office is located within the Northwest Hills Surgical Hospital building, and Dr. Doering operates both at NWH, and other Seton and HCA facilities in Austin.
We see and treat the full spectrum of recreational and competitive throwing athletes of all ages (baseball, softball, javelin, water polo, etc.)
We accept most major insurances, offer cash pay services, and provide concierge packages upon request.
We offer a full range of orthopedic procedures from the shoulder to the fingertip, including for chronic pain relief and management of the peripheral nervous system. This includes shoulder arthroscopy, shoulder replacement, elbow fractures, tennis elbow, carpal/cubital tunnel, nerve lacerations, tendon transfers, and much more.
Yes, we offer a full range of in-office as well as surgical procedures using biologic augmentation and regenerative medicine (PRP, BMAC, etc.)
Yes, we see all ages of patients, including those with congenital hand deformities and other limb differences
Yes, we offer a full range of ergonomic, therapeutic, and surgical management of repetitive use disorders.
We provide full-spectrum care of the upper extremity from shoulder to fingertip for both adult and pediatric patients. This includes sports medicine, joint replacements, hand and nerve procedures, regenerative medicine, and reconstructive surgery.
Have questions or ready to schedule? Our team is here to help you take the next step toward expert upper extremity care.

Upper Extremity ATX — Fellowship-trained hand, upper extremity, and peripheral nerve surgery.
Better care, by design.
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