The present disclosure relates to a microfracture pick having a shaft and a handle. The shall has a proximal end and a distal end, wherein the distal end includes an angled tip. The handle has a body with a first end portion, a second end portion, and an impact surface located therebetween. The handle is operatively coupled to the proximal end of the shaft at the first end portion. Methods of microfracture stimulation are also disclosed.