Stop Living Around Your Pain – Start Living Again
When Other Surgeons Can’t Fix It, Dr. Patel Can
Austin’s premier hand, wrist, elbow, and shoulder specialist with proven results since 2005
Take the First Step to Healing
Modern Treatment Approaches Tailored to You
Dr. Patel believes in matching the right treatment to each patient’s unique situation. Whether that’s innovative regenerative medicine, minimally invasive surgery, or advanced reconstruction – you’ll receive the most effective approach for your condition.
Our Treatment Philosophy
Conservative First
We start with the least invasive options that can achieve your goals – from PRP therapy and targeted injections to specialized physical therapy protocols.
Surgical Excellence When Needed
When surgery is the best path forward, Dr. Patel's fellowship-trained expertise and 20+ years of experience ensure optimal outcomes.
Innovation Meets Experience
Combining time-tested surgical techniques with cutting-edge regenerative therapies like PRP for comprehensive care.
Get Back to What You Love – Schedule Your Consultation Today
Why Austin Trusts Dr. Manish Patel for Upper Extremity Care
“THE Arm Guy in Austin” – that’s what patients call Dr. Patel, and for good reason. As a fellowship-trained orthopedic surgeon specializing exclusively in upper extremity conditions, Dr. Patel has successfully restored function for thousands of patients, including complex cases other surgeons couldn’t resolve.

What Sets Us Apart
Revision Surgery Expertise
We regularly fix problems from previous unsuccessful surgeries, giving you hope when others can't help.
Comprehensive Treatment Options
From cutting-edge PRP therapy to advanced surgical techniques – we offer the full spectrum of modern treatment.
Conservative Treatment First
Many conditions improve with injections, therapy, and regenerative medicine – surgery only when necessary.
Same-Day/Next-Day Appointments
When you're in pain, waiting weeks isn't an option. We prioritize urgent cases.
Clear Communication
Dr. Patel takes time to explain your condition, treatment options, and expected outcomes – no rushing, no confusion.
Comprehensive In-House Care
From diagnosis to surgery to rehabilitation, we coordinate your entire treatment journey.
Conditions We Treat
Many conditions can be treated with both surgical and non-surgical approaches including PRP therapy, injections, and physical therapy.
Hand
- Trigger finger
- Nerve damage and blood clots
- Dupuytren's contracture (Viking hand)
- Hand fractures and trauma
- Arthritis in finger joints
Wrist
- Carpal tunnel syndrome
- Wrist fractures and trauma
- Wrist arthritis and joint problems
- Tendon injuries
Shoulder
- Rotator cuff tears
- Sports injuries
- Arthritis and joint replacement
- Instability and dislocation
- Fractures
Elbow
- Tennis elbow and golfer's elbow (PRP therapy available)
- Bicep tendon ruptures
- Fractures and trauma
- Arthritis and stiffness
- Arthritis in finger joints
Real Patient Results
Victoria Ebli2025-09-03 I cannot say enough positive things about the staff in this office. They’re friendly, kind, considerate and beyond helpful. Everyone in the office takes a personal interest in your success and works hard to find a plan that will work for you. They’ve made time twice now to adjust my cast (due to user error, nothing on their part) with no fuss or fan fair. Just common in. I hope to never need to come back for any more surgeries but if I need them, this is where I’ll be. Carrie Brewer2025-09-03 Everyone here was amazing and I would highly recommend everyone on the staff. I recovered perfectly and appreciate all of their efforts and time. Ian Ellis2025-08-30 Fantastic experience in all aspects! I was treated for 2 severed tendons in my dominant hand in the infamous “no man’s land” of a Zone 2 injury. As an Architect, it was critically important that I be able to draw and return to working as quickly as possible. Dr. Patel and his staff acted quickly to see me and get surgery scheduled. I was impressed with the level of communication, ease of the process, and sense of urgency the team showed. The procedure was successful and aftercare was equally great, supplemented by the lovely team at The Hand Clinic of Austin working closely with Dr. Patel. This was a confidence-inspiring aspect that shows it was patient-focused team effort. Excellent experience, lovely service from friendly and knowledgeable staff and Dr. Patel! Great communication, insight, and individual care. They listened to my questions, concerns, and provided valuable feedback resulting in a calming experience that ultimately aided in the speed and quality of my recovery. Tim Richard2025-08-21 Love the staff and Dr Patel Scott Spann2025-08-01 This was truly the most amazing medical experience I’ve ever had.. Dr Patel was immediately responsive inside of a very tight window to repair my ruptured biceps tendon. He saw me virtually that day and, even though he was traveling to London the next day, arranged for my surgery on his non-surgical Friday morning after his Thursday return the very next week. I can’t say enough about him or his team!
Your Next Steps to Recovery
Don’t let pain limit your life another day. Dr. Patel will:
- Thoroughly evaluate your condition
- Explain all treatment options – from regenerative therapies to advanced surgery
- Recommend the most effective approach for your specific situation
- Create a personalized treatment plan
- Answer all your questions without rushing
Schedule Your Consultation
What to Expect
Fast Scheduling
Same-day or next-day appointments available
Comprehensive Evaluation
Advanced imaging and testing as needed
Clear Explanation
Understand your condition and options
Professional Staff
Efficient, caring team that supports your journey


Why Patients Choose Dr. Patel Again and Again
20+ Years of Excellence
Dr. Patel has been Austin's trusted upper extremity specialist since 2005, with thousands of successful outcomes.
Fellowship-Trained Expertise
Specialized training beyond orthopedic residency ensures you receive the highest level of care.
Patient-Centered Approach
"He always gets me in when I need to see him and takes all the time necessary to make sure I'm comfortable. I'm never rushed."
Proven Track Record
From simple procedures to complex revisions, Dr. Patel consistently delivers results that exceed expectations.
Don't Wait – Your Recovery Starts Today
Whether you’re dealing with sudden trauma, chronic pain, or a condition that’s been limiting your activities, relief is possible. Dr. Patel and his team are ready to help you get back to your active lifestyle.
Evening and weekend appointments available for urgent cases.
Austin Hand to Shoulder Center – Where expertise meets compassion for superior upper extremity care.