Medically reviewed by Derek Wimmer, PA
Wimmer provides supportive, joint-level care for people with autoimmune conditions such as rheumatoid arthritis, psoriatic arthritis, and lupus — alongside, never instead of, your rheumatologist's disease-modifying treatment. That means image-guided injections for painful joints, care for tendon involvement, and honest, individualized review of regenerative options.
| Disease care | Led by your rheumatologist |
|---|---|
| Our role | Joint-level, supportive care |
| Common issues | Painful joints, tendon involvement |
| Goal | Comfort and function, joint by joint |
Common causes & symptoms
- Rheumatoid or psoriatic arthritis joint pain and swelling
- Morning stiffness and flares in specific joints
- Tendon and enthesis pain that comes with autoimmune arthritis
- Joint damage that still hurts even when the disease is controlled
- Lupus-related joint and soft-tissue pain
When to seek care
If one or two joints keep hurting even though your rheumatologist says the disease is under control — or a flare has left a joint or tendon that won't settle — that specific joint deserves its own targeted look and treatment.
How we evaluate it
Your visit is unhurried. Derek examines the painful joints and tendons, uses in-office imaging — ultrasound or fluoroscopy — when it adds clarity, and builds a joint-by-joint plan that fits around your rheumatologist's treatment, with coordination whenever it helps.
Non-surgical options we may consider
- Image-guided injections — precise relief for individual painful joints
- Focused shockwave therapy — for tendon and enthesis pain, where appropriate
- Hyaluronic acid — comfort for joints with established damage
- Regenerative options — assessed honestly and individually, coordinated with your rheumatologist
Keeping you active
An autoimmune diagnosis doesn't have to mean surrendering the active life — the golf, the garden, the grandkids. Joint-by-joint care aims to keep individual problem areas from deciding what your whole body can do.
Frequently asked questions
No — disease-modifying treatment stays with your rheumatologist. We add joint-level care for the specific joints and tendons that hurt, and we coordinate with their plan.
We don't treat the underlying disease, but we do treat its local consequences — painful joints, tendon involvement, and damage-related pain — with targeted, image-guided, non-surgical care.
Wimmer is a private-pay practice with transparent pricing discussed before care begins. CareCredit is accepted.
