Conditions We Treat
Early Intervention, Thoughtful Evaluation, Lasting Outcomes
Rheumatologic Expertise You Can Trust
We welcome referrals for a wide range of autoimmune and inflammatory conditions. Whether your patient presents with classic joint findings, systemic symptoms, or nonspecific inflammatory markers, we provide thoughtful evaluation, early intervention, and longitudinal care.
At PNW Arthritis & Rheumatology, we focus on long-term outcomes, multidisciplinary collaboration, and clear communication with our referring providers. We serve patients across Richland, Kennewick, Pasco, and surrounding communities.
Common Conditions We Evaluate and Manage
Inflammatory and Autoimmune Conditions
Rheumatoid Arthritis (RA)
Diagnosis and disease activity tracking using clinical scoring and principle care management where appropriate. Early DMARD initiation and long-term remission-focused management.
Osteoarthritis
While not an autoimmune disease, we offer evaluation for patients with severe OA who may benefit from intra-articular injections or referrals for surgical consultation.
Vasculitis
Evaluation of ANCA-associated vasculitis and other rare forms. Biopsy review, lab correlation, and initiation of immunosuppressive therapy where indicated.
Systemic Lupus Erythematosus (SLE)
Multisystem evaluation, including serologic workup, renal monitoring, and ongoing flare management. Early DMARD initiation and long-term remission-focused management.
Giant Cell Arteritis (GCA) and Polymyalgia Rheumatica (PMR)
Urgent referrals accepted for suspected GCA. Temporal artery biopsy coordination and prompt corticosteroid or biologic initiation. PMR managed with tapering plans or escalated treatment and relapse monitoring.
Myositis (Dermatomyositis, Polymyositis, Overlap Syndromes)
Coordination of muscle biopsy, EMG, and antibody testing. Collaborative care with neurology and physical therapy.
Psoriatic Arthritis
Diagnosis and management in collaboration with dermatology when needed. Careful evaluation of axial, peripheral, and entheseal involvement. Early DMARD initiation and long-term remission-focused management.
Ankylosing Spondylitis
Symptom assessment, imaging review, and initiation of disease-modifying therapy where appropriate.
Sjögren’s Syndrome
Workup and management of sicca symptoms and systemic involvement.
Symptom Patterns Often Referred for Evaluation
When to Consider Rheumatology Consultation
We frequently evaluate patients referred for the following:
- Persistent joint pain or swelling
- Morning stiffness lasting >30 minutes
- Positive ANA, RF, CCP, or inflammatory markers
- Rashes or photosensitivity with systemic symptoms
- Recurrent mouth ulcers
- Unexplained fatigue, weight loss, or fevers
- Elevated ESR or CRP with no clear infectious source
- Back pain with stiffness (suggestive of axial spondyloarthritis)
If your patient has features of systemic autoimmune disease or inflammatory arthritis, we welcome your referral—even if the diagnosis is uncertain.
Committed to Early Diagnosis and Collaborative Care
A Referral-First, Relationship-Driven Model
Our providers work closely with referring physicians and advanced practice providers throughout the Tri-Cities. We prioritize:
- Timely access for urgent cases (e.g., suspected GCA, severe SLE flares)
- Shared EMR notes and coordinated messaging when systems allow
- Detailed consult letters with diagnostic impressions and recommendations
- Open communication with PCPs and specialists for ongoing co-management
Our goal is not just diagnosis—it’s improving long-term outcomes through early, effective, and collaborative rheumatologic care.
Need to Refer a Patient?
Looking to refer a patient for infusion therapy, DMARD initiation, or rheumatologic evaluation? Visit our Providers page to access referral forms and documentation guidelines.