Rheumatology Care in Massachusetts
Living with joint pain, back pain, stiffness, or an undiagnosed autoimmune condition can affect every part of your day. Axis Rheum provides expert virtual rheumatology care for adults across Massachusetts with psoriatic arthritis, ankylosing spondylitis (axial spondyloarthritis), gout, rheumatoid arthritis, lupus, and other autoimmune and inflammatory conditions.
Dr. Abhijeet Danve sees Massachusetts patients by secure video, from the comfort of home. Appointments are usually available within two weeks, including evenings and weekends.
Dr. Danve is a board-certified rheumatologist, trained at OHSU in Portland, with 15+ years of experience caring for patients with arthritis and autoimmune rheumatic diseases.
Looking for a Rheumatologist in Massachusetts?
Rheumatology is the medical specialty that diagnoses and treats inflammatory arthritis and autoimmune diseases affecting the joints, spine, muscles and connective tissue. A rheumatologist is the specialist to see when joint pain, back pain or swelling doesn’t go away, or when blood tests point to an autoimmune condition.
Many people in Massachusetts search for a “rheumatologist near me” only to find months-long waitlists. With Axis Rheum, you see a board-certified rheumatologist by video from the comfort of your home, usually within two weeks, and you stay with the same doctor for every visit.
Whether you need a first diagnosis, a second opinion, or a better plan for a condition you already have, we focus on getting inflammation under control early, before it causes lasting joint damage.
When to see a rheumatologist
- Joint pain or swelling lasting more than six weeks
- Morning stiffness lasting 30 minutes or longer
- Back pain that improves with movement, not rest
- Swollen fingers or toes, or nail changes with psoriasis
- Fatigue or unexplained fevers along with joint pain
- A positive rheumatoid factor, anti-CCP, ANA or HLA-B27 test
Conditions we treat in Massachusetts
Complex inflammatory diseases that need expertise for diagnosis and treatment
Psoriatic Arthritis
An inflammatory arthritis that shows up alongside psoriasis — swollen fingers and toes, nail pitting, and stiffness that eases as you move through the day. It can also begin before any skin rash appears.
What we watch for
- Swelling in fingers, toes, knees or hips
- Nail pitting or separation from the nail bed
- Morning stiffness that improves with movement
- Skin and joint symptoms appearing together
How we treat it
Treatment is personalized depending on your individual situation and includes:
- Conventional and biologic DMARDs and small molecules
- dvanced therapies based on current clinical guidelines
- Oral options like Otezla, with side-effect monitoring
- Holistic care, including advice on diet and lifestyle
Ankylosing Spondylitis
The new name “Axial Spondyloarthritis” includes Ankylosing Spondylitis as well as non-radiographic axSpA.
A chronic inflammatory disease of the spine and sacroiliac joints — low-back and hip pain that’s worse after rest, and better once you’re moving. There’s no definitive blood test for diagnosis, and it can also affect the eyes, intestines, and skin.
What we watch for
- Low-back or hip pain lasting more than 3 months
- Pain that's worse in the morning, better with activity
- Gradual loss of spinal flexibility
- Fatigue tied to ongoing inflammation
How we treat it
Treatment is personalized depending on your individual situation and includes:
- NSAIDs, biologics and small molecules
- Physical therapy and regular exercises
- Holistic care, including advice on diet and lifestyle
Gout
A painful inflammatory arthritis caused by uric acid crystals building up in a joint — most often the big toe, foot, ankle or knee. Treating only the flare isn’t enough; long-term care lowers uric acid and prevents future attacks.
What we watch for
- Sudden, severe pain and swelling in the big toe or foot
- A red, hot joint that's painful to touch
- Repeated flares in the ankle, knee, hand or elbow
- Tophi (lumps under the skin) or high uric acid levels
How we treat it
Treatment is personalized depending on your individual situation and includes:
- Fast relief for gout flares
- Uric acid lowering therapy with target-level monitoring
- Guidance on a low-purine gout diet and flare triggers
Rheumatoid Arthritis
An autoimmune disease in which the immune system attacks the lining of the joints, usually the small joints of the hands and feet. Early treatment gives the best chance of remission and protects joints from damage.
What we watch for
- Pain and swelling in the hands, wrists or feet
- Symptoms on both sides of the body
- Morning stiffness lasting more than 30 minutes
- Positive rheumatoid factor or anti-CCP test, and fatigue
How we treat it
Treatment is personalized depending on your individual situation and includes:
- DMARDs such as methotrexate
- Biologics and small molecules when needed
- Holistic care, including advice on diet and lifestyle
Lupus
Systemic lupus erythematosus (SLE) is an autoimmune disease that can affect the joints, skin, kidneys, blood and other organs. Symptoms often come and go in flares, which makes early, expert evaluation important.
What we watch for
- Joint pain and swelling with fatigue
- Facial or sun-sensitive skin rashes
- Mouth sores, hair loss or unexplained fevers
- A positive ANA or other autoimmune blood tests
How we treat it
Treatment is personalized depending on your individual situation and includes:
- Hydroxychloroquine and immune-modulating medications
- Regular lab monitoring to track disease activity
- Holistic care, including advice on diet and lifestyle
Other Autoimmune & Inflammatory Conditions
Not every case fits neatly into one diagnosis. We also evaluate and manage a range of other autoimmune and inflammatory rheumatic conditions, including unexplained chronic joint pain where the cause hasn’t been found yet.
What we watch for
- Sjögren's syndrome
- Polymyalgia rheumatica
- Pseudogout (CPPD)
- Inflammatory arthritis linked to Crohn's disease or ulcerative colitis
- Undiagnosed inflammatory or chronic joint pain
Not sure if we can help? Schedule a free phone call and we’ll guide you on next steps.
Rheumatoid arthritis care in Massachusetts
Rheumatoid arthritis (RA) is a chronic autoimmune disease in which the immune system attacks the lining of the joints. Without treatment, RA inflammation can damage cartilage and bone and can also affect the eyes, lungs and heart. The good news is that today’s RA treatments allow many patients to reach low disease activity or remission.
Signs and symptoms of rheumatoid arthritis
- Pain, warmth and swelling in the small joints of the hands, wrists and feet
- Arthritis in the fingers and knuckles on both sides of the body
- Morning stiffness lasting longer than 30 minutes
- Fatigue, low-grade fever and feeling generally unwell
- Dry, irritated eyes (RA can affect the eyes)
Diagnosing RA and RA treatment
- Blood tests for rheumatoid arthritis: rheumatoid factor (RF), anti-CCP antibodies, ESR and CRP
- Seronegative rheumatoid arthritis: some patients have normal blood tests, so diagnosis relies on clinical expertise and imaging
- DMARDs for rheumatoid arthritis: methotrexate is usually the first-line therapy
- Advanced RA therapies: biologics and JAK inhibitors when DMARDs alone aren't enough
- Regular lab monitoring for medication safety
Psoriatic arthritis care in Massachusetts
Psoriatic arthritis (PsA) is an inflammatory arthritis that develops in up to 30% of people with psoriasis. In most people the skin rash comes first, but joint symptoms can appear before psoriasis is ever noticed. Because PsA can affect the joints, spine, tendons, nails and skin, it needs a rheumatologist who looks at the whole picture.
Early signs of psoriatic arthritis
- "Sausage" fingers or toes (dactylitis)
- Psoriatic arthritis nail changes: pitting, ridges or lifting of the nail
- Heel, Achilles tendon or bottom-of-foot pain
- Lower back or neck stiffness
Psoriatic arthritis treatment
- DMARDs for psoriatic arthritis, such as methotrexate
- Biologics targeting TNF, IL-17 or IL-23
- Oral medications such as Otezla (apremilast) and JAK inhibitors
- Treatment chosen to help both skin and joints
There is no cure for psoriatic arthritis yet, but the right medication can control inflammation and protect your joints long term.
Ankylosing spondylitis treatment in Massachusetts
Ankylosing spondylitis is a type of axial spondyloarthritis, a chronic inflammatory disease that mainly affects the spine and sacroiliac (SI) joints. It usually begins before age 45 and is often mistaken for ordinary back pain, which can delay diagnosis by years. Axial spondyloarthritis is Dr. Danve’s area of special expertise.
Ankylosing spondylitis symptoms
- Inflammatory back pain lasting more than three months
- Stiffness that is worse after rest and better with exercise
- Pain in the buttocks, hips, heels or chest
- Eye inflammation (uveitis), psoriasis or inflammatory bowel disease
- A positive HLA-B27 test in many, but not all, patients
Ankylosing spondylitis treatment
- NSAIDs as first-line anti-inflammatory therapy
- Biologic therapies (TNF and IL-17 inhibitors) and JAK inhibitors
- Ankylosing spondylitis physical therapy and daily exercise to keep the spine flexible
- Posture and lifestyle guidance
Gout treatment in Massachusetts
Gout is the most common inflammatory arthritis in adults. It happens when high uric acid levels in the blood form sharp gout crystals inside a joint, triggering sudden, intense pain. Common reasons for gout include genetics, kidney function, certain medications (such as some diuretics), alcohol, sugary drinks and foods high in purines.
Gout symptoms
- Sudden, severe pain, often starting at night
- Gout in the big toe, foot, ankle or knee is most common
- Gout in the hands, fingers, wrists or elbows can also occur
- A red, hot, swollen joint that's painful to touch
- Tophi (chalky lumps under the skin) in long-standing gout
Gout treatment and therapy
- Gout pain relief during a flare: anti-inflammatory medicines such as colchicine, NSAIDs or steroids
- Long-term gout therapy: uric acid lowering medication, adjusted to keep uric acid below a target level
- Review of medications and health conditions that raise uric acid
- A practical gout diet plan
Repeated gout flares can damage joints and the kidneys, so frequent attacks are a sign to see a gout specialist.
Gout diet: foods to eat and foods to avoid
Diet alone rarely controls gout, but a low-purine diet can reduce flares and support your medication.
Gout-friendly foods to eat
- Vegetables, fruits and whole grains
- Low-fat dairy such as milk and yogurt
- Eggs, beans, lentils and nuts
- Plenty of water throughout the day
- Cherries, which some studies link to fewer flares
Foods that trigger gout (limit or avoid)
- Organ meats such as liver and kidney
- Red meat and high purine foods like anchovies, sardines and shellfish
- Beer and liquor
- Sugary sodas and drinks sweetened with high-fructose corn syrup
- Large portions of processed and fried foods
Home remedies such as rest, ice and elevation can ease a gout flare, but they don’t lower uric acid. Talk with your rheumatologist before changing medications.
Tests we use to diagnose arthritis and autoimmune disease
We order lab work and imaging at convenient locations near you in Massachusetts and review every result with you.
Rheumatoid factor & anti-CCP
Blood tests for rheumatoid arthritis that help confirm the diagnosis and predict disease course.
ESR & CRP
Inflammation markers used to diagnose inflammatory arthritis and track how well treatment is working.
Uric acid level
Measures uric acid in the blood to diagnose gout and guide uric acid lowering therapy.
HLA-B27
A genetic marker linked to ankylosing spondylitis and axial spondyloarthritis.
ANA & autoimmune panels
Screening for lupus, Sjögren’s syndrome and other autoimmune diseases.
X-ray, MRI & ultrasound
Imaging to look for joint inflammation, gout crystals, sacroiliitis and joint damage.
Why Massachusetts patients choose us
See a rheumatology expert from the comfort of your home
Access
Experienced Rheumatologist
Every visit happens by secure video, so you can see an expert rheumatologist whether you live in Boston, Worcester, Springfield or on Cape Cod.
Speed
Early appointment
Most new patients are seen within two weeks, much sooner than typical specialist wait times.
Continuity
One plan, ongoing care
Your treatment plan starts early and is followed and adjusted over time by a rheumatologist with national expertise.
Coordination
Connected local care
We coordinate with primary care providers and specialists in Massachusetts when hands-on care is needed.
The Process
Simple, structured, and designed around you!
Provide your medical information and relevant records.
Meet Dr. Danve via a comprehensive zoom video visit.
Receive a clear plan for work up, management and follow up.
About Axis Rheum
Board-Certified Rheumatologist · Licensed in Massachusetts
Axis Arthritis and Rheumatology is a Direct Specialty Care practice offering personalized, compassionate care to adults with rheumatic diseases. Dr. Danve has particular expertise in axial spondyloarthritis, ankylosing spondylitis, psoriatic arthritis and gout, and also treats rheumatoid arthritis, lupus, Sjögren’s, scleroderma, PMR and other autoimmune conditions.
We keep care simple: quick access to a specialist, convenient hours, ongoing management and transparent pricing. With fewer patients and more time, Dr. Danve listens carefully, explains every option and works with you on a plan that fits your symptoms, goals and lifestyle.
Transparent pricing, no surprises
Initial Consultation / Second Opinion
$425
- Initial virtual consultation with
Dr. Danve (1 hour) - A detailed review of your medical records and test results prior to the appointment (up to 1 hour)
- Guidance on next steps including ordering of additional lab & imaging tests as deemed necessary.
- Development of detailed and personalized treatment plan
- Prescribing medications as necessary
- Communication and care coordination with other physicians as appropriate.
Follow up Appointment
$225
- One on one follow-up appointment with Dr. Danve after an initial consultation
(30 – 45 minutes) - Subsequent ordering and monitoring of labs, imaging, and other testing as necessary.
- Prescribing medications as necessary
- Communication and care coordination with other physicians as appropriate.
Memberships
- Membership will be offered to selected patients after initial consultation.
We will use your insurance only for laboratory and imaging tests as well as medications.
Frequently Asked Questions
Yes, most of the time a patient's rheumatic disease can be managed with the help of telemedicine. There are, however, times when a physical examination or a procedure is needed, and we will guide you accordingly.
Yes. Every visit is virtual, so you can see us from the comfort of your home anywhere in Massachusetts, from Boston and Worcester to Springfield and Cape Cod. We can see you for an initial consultation and ongoing care.
A rheumatologist diagnoses and treats inflammatory arthritis and autoimmune diseases, including rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, axial spondyloarthritis, gout, lupus and other conditions affecting the joints, spine and connective tissue.
Early signs of rheumatoid arthritis include pain and swelling in the small joints of the hands and feet, symptoms on both sides of the body, morning stiffness lasting more than 30 minutes, and fatigue.
Appointments are usually available within 2 weeks, with evening and weekend options for busy schedules.
The main blood tests for rheumatoid arthritis are rheumatoid factor (RF) and anti-CCP antibodies, along with ESR and CRP to measure inflammation. Some people have seronegative rheumatoid arthritis, where these tests are normal, so a rheumatologist's evaluation is important.
DMARDs (disease-modifying antirheumatic drugs) slow or stop the immune attack on the joints. Methotrexate is the most common first-line DMARD. Biologic DMARDs and JAK inhibitors are added when needed.
Psoriatic arthritis is a chronic inflammatory disorder that develops in about 30% of people who have psoriasis, causing joint pain, stiffness, swelling, and many other symptoms.
Psoriatic arthritis treatment typically starts with conventional agents called DMARDs and moves to biologic therapy when needed. Options including Humira, Cosentyx, Sotyktu, Tremfya or Otezla are prescribed based on disease activity and how your symptoms respond.
There's currently no cure for psoriatic arthritis, but early diagnosis and the right medications can control inflammation, protect your joints, and keep symptoms manageable long-term.
Signs include lower back or hip pain lasting more than three months, stiffness that's worse with rest and better with activity, prolonged morning stiffness in the low back and hips, and gradually reduced spinal flexibility. It can also cause inflammation in the joints, eyes, skin and intestines.
Yes. Physical therapy is a core part of ankylosing spondylitis treatment. Regular movement and posture exercises help slow stiffness and preserve flexibility over time.
Gout is caused by high uric acid levels that form crystals in a joint. Causes and risk factors include genetics, reduced kidney function, certain medications, alcohol, sugary drinks and foods high in purines.
Gout treatment has two parts. Flares are relieved quickly with medicines such as colchicine, NSAIDs or steroids. People with frequent flares, tophi or kidney stones also take long-term uric acid lowering therapy to prevent future attacks.
Limit organ meats, red meat, shellfish and other high purine foods, beer and liquor, and drinks sweetened with high-fructose corn syrup. Vegetables, low-fat dairy, whole grains and plenty of water are good choices.
Resting and elevating the joint and applying ice can help, and starting anti-inflammatory treatment early in a flare works best. If you have repeated gout attacks, see a rheumatologist to discuss long-term treatment.
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