Pain on the top of your shoulder can make everyday activities uncomfortable, from lifting your arm to carrying a bag. If you are dealing with an AC joint injury, you want clear answers about what is going on with your shoulder and practical options to help you move with less pain.
At Upper Extremity ATX, we focus on conditions of the upper limb, including injuries affecting the acromioclavicular (AC) joint, where the collarbone meets the shoulder blade. We evaluate your symptoms, explain what may be causing your pain, and discuss appropriate treatment options that fit your activity level and goals.
AC joint injuries can occur after a fall directly onto the shoulder, a sports injury, or from gradual wear and tear over time. You might notice pain on the top of the shoulder, tenderness when you press on the joint, or discomfort when you reach across your body or lift overhead.
At Upper Extremity ATX, you are seen by a fellowship-trained orthopedic surgeon who focuses specifically on the upper extremity. During your visit, we look at how your shoulder moves, where you feel pain, and how the injury is affecting your daily life. Many shoulder problems are related to the joint or surrounding soft tissues, not the nerves, so the evaluation typically focuses on the shoulder itself and its mechanics rather than nerve-related causes.
We provide information about both non-surgical and surgical options so you can make informed decisions about your care. Treatment plans are tailored to your situation, whether your goal is to return to sports, stay active at work, or simply be more comfortable during routine tasks.
When your care is focused on the upper extremity, you receive attention to the details that matter for shoulder function and comfort. At Upper Extremity ATX, our goal is to help you understand what is happening with your AC joint and what can be done to address your symptoms.
You can expect:

This focused approach is designed to help you make sense of your shoulder pain and understand the potential next steps, rather than leaving you to sort through information on your own.
Your visit for an AC joint concern generally begins with a detailed conversation about your symptoms, how the injury occurred, and what makes the pain better or worse. This is followed by a physical examination of your shoulder, including checking your range of motion, strength, and areas of tenderness.
If imaging is appropriate, it may be recommended to better understand the condition of the AC joint and surrounding structures. After the evaluation, we review findings with you and discuss reasonable treatment paths, which may include activity modification, non-surgical measures, or, in some cases, surgical intervention. The goal is to give you clear information so you can decide what feels right for you.
AC joint issues can affect your ability to stay active, work comfortably, or enjoy sports and hobbies. Being seen in a practice that focuses specifically on the upper extremity means your shoulder is evaluated with an understanding of how it works together with the arm, elbow, and hand.
Upper Extremity ATX is led by Travis Doering, MD, a fellowship-trained orthopedic surgeon whose practice centers on conditions of the hand, wrist, elbow, and shoulder. This specialized focus allows for a detailed, thoughtful approach to shoulder and AC joint problems. Our aim is to provide straightforward explanations, discuss appropriate options, and help you find a path that supports your function and comfort over the long term.
If you are dealing with pain or instability from AC joint injuries, we are ready to help you understand your options and create a plan tailored to your goals at Upper Extremity ATX. Contact us today to schedule a consultation and start moving with confidence again.

Upper Extremity ATX — Fellowship-trained hand, upper extremity, and peripheral nerve surgery. Located at the Austin Surgical Plaza – 6818 Austin Center Blvd, Suite 207, Austin TX. Better care, by design.
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