M. Elaine Husni, MD, MPH, Cleveland Clinic, Cleveland, Ohio, provides a perspective on treatment challenges and practice considerations from a rheumatologist, noting that there is a major challenge with recognizing joint symptoms in patients. Dr Husni explained the difficulty with treating patients, as the rheumatology treatment algorithms are not as established as in dermatology therapy. Dr Husni also discussed the importance of asking permission to discuss a patient’s weight and the importance of focusing on wellness in addition to medical therapy.