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.
Patients with Psoriatic Arthritis 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
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.
Pattern matters in PsA - where it hurts, when, and how it relates to skin or nail changes. We take the time to map it.
A focused joint and entheseal exam, targeted labs, and imaging when it adds clarity to the picture.
PsA is one disease showing up in two places. We coordinate with dermatology when it makes sense and treat the whole condition.
Psoriatic Arthritis evolves. We continue to refine the picture and the plan as new findings emerge.
An extended visit to map your symptoms, review prior records, and identify what needs immediate attention versus close monitoring.
Targeted treatment for active symptoms - Raynaud's, GI symptoms, skin, pulmonary - matched to your specific subtype and goals.
Regular reassessment of organ involvement and coordination with pulmonary, cardiology, or GI colleagues when needed.
A clear sense of which form of Psoriatic Arthritis is present
A complimentary 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.
Every patient journey begins with a simple, no-cost conversation. From there, you choose the path that fits where you are right now.
A brief introductory conversation to discuss your concerns and answer questions about this practice. No diagnosis, treatment, or medical advice is provided during this call.
Step 2
A two-visit structured process designed to fully understand your condition and establish a clear path forward.
Ongoing Membership Care
$450/month
Long-term, relationship-based care focused on managing your condition and improving your quality of life.
Every patient journey begins with a simple, no-cost conversation. From there, you choose the path that fits where you are right now.
Path A
Path B
Path A
Ongoing Membership Care
$450/month
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.
Rheumatology & Autoimmune Specialist
© 2026 Dr. Susan Boackle, MD. All rights reserved.
St. Charbel Rheumatology is located at 3601 S. Pennsylvania St. Suite B, Englewood, CO 80113. This website is for informational purposes only and does not constitute medical advice. Please consult with a qualified healthcare provider for medical advice, diagnosis, or treatment.