Psoriatic Arthritis

Psoriatic Arthritis Specialist

Joint pain with a history of psoriasis deserves more than reassurance.

Psoriatic arthritis can be subtle, and it can also be aggressive. A careful evaluation helps clarify what’s actually happening so the plan can match it.

Understanding the Condition

What Psoriatic Arthritis Is

Psoriatic arthritis is an inflammatory autoimmune condition that causes joint pain, swelling, and stiffness in people who have – or have a family history of – psoriasis. It’s a condition where the skin and joints are connected, even when the skin involvement is mild or hard to see.

It can affect peripheral joints, the spine, fingers and toes (sometimes producing the characteristic ‘sausage digit’ swelling), tendons, and the spots where tendons attach to bone. The pattern varies a lot from one person to the next.

How It May Feel

Common Symptoms
& Patient Experience

Patients with scleroderma may experience:

Joint pain and swelling, sometimes asymmetric

Morning stiffness in joints or the lower back

Swelling of an entire finger or toe (dactylitis)

Heel pain or pain where tendons attach to bone

Nail changes - pitting, ridging, or separation

Fatigue and overall reduced function

Why It Can Be Complex

Variability, Overlap
& Diagnostic Nuance

PsA can mimic other forms of arthritis and may appear before, alongside, or even without obvious skin psoriasis. There's no single definitive test - reaching clarity comes from a careful clinical picture combined with imaging and labs as needed, and an understanding of how PsA tends to behave.

Our Approach

Thoughtful, Not Rushed

Complex autoimmune disease deserves time, attention, and persistence. Here’s how that shows up in practice.

Careful Listening

Pattern matters in PsA - where it hurts, when, and how it relates to skin or nail changes. We take the time to map it.

Thorough Evaluation

A focused joint and entheseal exam, targeted labs, and imaging when it adds clarity to the picture.

Joint + Skin Thinking

PsA is one disease showing up in two places. We coordinate with dermatology when it makes sense and treat the whole condition.

Persistence in Complex Cases

Scleroderma evolves. We continue to refine the picture and the plan as new findings emerge.

What to Expect

A Structured Path Forward

A clear evaluation process designed to reduce uncertainty and build a plan that actually fits.

A Comprehensive Evaluation

An extended visit to map your symptoms, review prior records, and identify what needs immediate attention versus close monitoring.

A Personalized Plan

Targeted treatment for active symptoms - Raynaud's, GI symptoms, skin, pulmonary - matched to your specific subtype and goals.

Structured Monitoring

Regular reassessment of organ involvement and coordination with pulmonary, cardiology, or GI colleagues when needed.

Outcomes

What Patients
Often Experience

Every case is different, and care is never about guarantees. These are the kinds of outcomes we work toward together.

A clear sense of which form of scleroderma is present

Structured monitoring for lung, heart, and kidney involvement

Targeted treatment for active symptoms (Raynaud’s, GI, skin, pulmonary)

Coordinated care with other specialists when needed

Is This The Right Time?

When to Seek Specialty Care

Start With a Conversation

A free 15-minute consultation is a low-pressure way to see whether working together feels like the right fit. No commitment – just a chance to be heard and explore next steps.

We serve patients across the Colorado Front Range, including Denver, Colorado Springs, Aurora, Fort Collins, Lakewood, Thornton, Arvada, Westminster, Pueblo, Greeley, Boulder, and Centennial.

How It Works

A Clear Path Forward

Every patient journey begins with a simple, no-cost conversation. From there, you choose the path that fits where you are right now.

Step 1 - Start Here

Free Consultation

15-minute conversation

$0

A brief, focused conversation to understand your situation and determine the best next step.

Choose Your Path

Path A

Comprehensive Onboarding

$1,500

A structured process designed to fully understand your condition and establish a clear path forward.

Deep medical history review
In-depth diagnostic evaluation
Targeted labs and imaging (as appropriate)
In-office assessment when needed
Personalized care plan
Ongoing communication during onboarding

Path B

Second Opinion Evaluation

$950

A standalone option for patients seeking clarity and expert guidance without committing to ongoing care.

Path A

Upgrade to Full Onboarding

Additional $550

If you choose to continue after your second opinion, your initial investment is applied toward onboarding. You only pay the difference to complete the full process.

Continue With

Ongoing Care

Ongoing Membership Care

$450/month

Long-term, relationship-based care focused on managing your condition and improving your quality of life.

You’re not locked into anything. Start with a free conversation and move forward at your own pace.

We provide expert autoimmune care to patients across the Colorado Front Range region.

Serving patients across: Denver, Colorado Springs, Aurora, Fort Collins, Lakewood, Thornton, Arvada, Westminster, Pueblo, Greeley, Boulder, Centennial, Englewood, Littleton, Evergreen, Grand Junction, Aspen, Glenwood Springs.

(720)262-2462

info@stcharbelrheumatology.com