Psoriatic Arthritis Treatment in San Francisco
Personalized, expert-led care for joint pain, skin flares, and everything in between.
Psoriatic arthritis is a chronic inflammatory condition that affects up to 30% of people living with psoriasis. It attacks the joints, tendons, and entheses — causing pain, swelling, stiffness, and fatigue that can change day to day. Because Psoriatic Arthritis affects both the skin and the musculoskeletal system, it demands a rheumatologist who can address the full picture
Why Concierge Rheumatology for Psoriatic Arthritis?
Traditional rheumatology visits for psoriatic arthritis often feel rushed. You wait weeks for an appointment, spend ten minutes with your doctor, and leave with a prescription but no real plan. Our concierge model is built differently. As a member, you receive extended, unrushed appointments, direct physician communication between visits, and a treatment strategy that accounts for every domain of your disease — peripheral joints, axial involvement, enthesitis, dactylitis, skin and nail psoriasis and even your cardiovascular health. We monitor you proactively
Conditions & Symptoms We Treat
- Joint pain and swelling in fingers, toes, wrists, knees, and ankles
- Enthesitis (inflammation where tendons attach to bone)
- Dactylitis (swelling of entire fingers or toes)
- Axial psoriatic arthritis affecting the spine and sacroiliac joints
- Nail changes including pitting, ridging, and onycholysis
- Skin plaques and flares that accompany joint symptoms
- Fatigue and systemic inflammation
Our Approach
Comprehensive Assessment
We evaluate every domain of Psoriatic Arthritis in the context of your overall healthand build an individualized care plan.
Advanced Therapeutics
From methotrexate and apremilast to TNF inhibitors, IL-17 and IL-23 blockers, and JAK inhibitors — we match your biologic or targeted therapy to your specific disease profile.
Coordinated Dermatology Care
Psoriatic Arthritis requires rheumatology and dermatology to work in sync. We collaborate directly with your dermatologist to ensure your skin and joint treatments complement each other.
Ongoing Monitoring
Regular labs, imaging when indicated, and proactive check-ins help us catch disease progression early and adjust treatment before damage occurs.
What Patients Ask Us
Answers to the most common questions about psoriatic arthritis diagnosis, treatment, and care.
Q: What is psoriatic arthritis?
Psoriatic arthritis is a form of inflammatory arthritis associated with psoriasis. It causes joint pain, swelling, and stiffness, and can also affect tendons, the spine, and the nails. It is an autoimmune condition, meaning the body’s immune system mistakenly attacks healthy tissue.
Q: What are the early signs of psoriatic arthritis?
Early signs often include morning stiffness lasting more than 30 minutes, swelling in one or more joints (especially fingers and toes), tenderness at the back of the heel or sole of the foot, and changes to fingernails like pitting or separation from the nail bed. Many people notice joint symptoms years after psoriasis first appears, but in some cases arthritis develops first.
Q: How is psoriatic arthritis different from rheumatoid arthritis?
While both are inflammatory forms of arthritis, Psoriatic Arthritis is associated with psoriasis and tends to affect joints asymmetrically. Psoriatic Arthritis also causes enthesitis and dactylitis, and can cause uveitis which are less common in RA.
Q: Can a concierge rheumatologist help with psoriatic arthritis?
Absolutely. Concierge rheumatology provides longer appointments, direct access to your physician, proactive monitoring, and coordinated care with dermatologists — all of which are especially valuable for a multi-system disease like Psoriatic Arthritis that requires ongoing, personalized management.
Q: Does psoriatic arthritis cause permanent joint damage?
Yes, if left untreated or undertreated, Psoriatic Arthritis can cause irreversible joint erosion and deformity. Early diagnosis and aggressive treatment are critical to preventing structural damage, which is why timely access to a rheumatologist matters.
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