Whether you’re newly experiencing symptoms or have lived with rheumatoid arthritis for years, the focus here is understanding your specific case and building a plan that actually fits.
Rheumatoid arthritis is an autoimmune condition where the immune system targets the lining of the joints. That inflammation creates the pain, swelling, and stiffness people associate with RA – and, over time, it can lead to changes in the joints themselves if it isn’t well managed.
RA usually shows up symmetrically – often in the hands, wrists, and feet – but it’s a whole-body condition, not just a joint one. Inflammation can also affect energy, sleep, and other organ systems, which is why understanding the full picture matters.
RA tends to show up gradually. Patients often describe:
Morning stiffness that lasts an hour or more
Swollen, tender joints - often symmetric on both sides
Pain in the small joints of the hands, wrists, and feet
Fatigue that feels disproportionate to activity
Low-grade fevers or a general sense of being unwell
Symptoms that worsen with inactivity and improve with gentle movement
RA can be straightforward in some patients and quite subtle in others. Early disease may not show up clearly on labs, and seronegative RA - where the standard antibodies aren't present - requires careful clinical judgment. Treatment response also varies widely from person to person, which is why thoughtful, ongoing adjustment matters.
Understanding how your joint pain actually behaves - when it's worst, what helps, what doesn't - shapes everything that comes next.
A focused joint exam, targeted labs, and imaging when it adds clarity. We use what's needed and skip what isn't.
RA affects more than joints. We pay attention to fatigue, sleep, mood, and other systems that may be quietly involved.
When RA isn't behaving the way it 'should,' or when treatment hasn't landed, we keep working through it until the plan fits.
Time to map out your symptoms, prior treatments, and how RA is currently affecting your life.
Therapy choices made with your goals, lifestyle, and tolerance in mind - not a one-size-fits-all protocol.
Regular reassessment of how you're doing, with adjustments to keep inflammation controlled and protect long-term joint health.
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.
Our specialty rheumatology practice proudly serves patients throughout the Colorado Front Range.
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.