As one of the Eugene-Springfield area’s resources for quality rheumatology healthcare, we offer a wide range of services to provide you the correct diagnosis and treatments to feel healthier than ever. We will partner together with you to decide on the best treatment choices.
We work hard to offer top-of-the-line rheumatology specific treatments that help you feel better and get better, and focus on proven strategies to ensure you stay better.
If your plan requires a 'referral from your Primary Care Provider', you should be certain we have received a 'referral' for the visit or procedure or you may not be seen. If you are seen without a referral, you may be charged for the visit.
Contact your health insurance plan for any questions and explanations as we are not qualified experts in insurance.
An Office Visit with Specialists
A Happier, Healthier You
Before we reach out to you for scheduling, our rheumatologists thoroughly review each new patient's chart notes from your physician. We may see you for one visit in some cases and will provide assessments and advice to your primary care provider and other specialists.
Our MDs may determine they are not the right specialist for you, and will inform your referring provider of this assessment.
A FIRST VISIT with us is simple.
Get in touch with your physician. We require a formal request from your physician.
Ask them to send us your recent medical history, and the reason for your FIRST VISIT with a rheumatologist. We can't accept various Insurance Plans (click here).
We require that our patients are under the care of a primary care provider.
Fill out the required 'Record Release' at your primary care office and they will send us your medical information. We have a Record Release you may also use.
Be certain your primary care office has requested an 'insurance referral' from your insurance to our office, if necessary per your insurance contract.
We will contact you with several appointment options. If your physician requests an urgent FIRST VISIT, we will fit you into our schedule quickly. We may decide a Telehealth or Telemedicine visit is appropriate for return visits.
To learn more go to
We are an opioid-free clinic.
Infusion Treatment Center
Experienced -- Here For You
Should you and your rheumatologist decide that a new targeted infusible biologic is beneficial for you, our friendly and experienced infusion staff will make sure you always feel comfortable and well-informed during your infusions. We schedule infusions at our clinic for rheumatic care, osteoporosis, and other conditions.
Our MD rheumatologists are always in the clinic for guidance and support during infusions.
We infuse medications from about 8:00 am to 4:00 pm several days a week. We may schedule you earlier or later if you have work or other conflicts.
Please bring a snack, a drink and reading material if you are scheduled for a longer infusion period.
The newer targeted drugs called biologics may be used in your treatment if DMARDs or first-line drugs do not adequately control your disease activity.
These medications include abatacept/Orencia, golimumab/Benlysta, infliximab/Remicade, tocilizumab/Actemra, rituximab/Rituxan, Simponi Aria, Stelara IV, inflectra, renflexis, krystexxa/pegloticase for gout.
Injectable medications administered in our office include Cimzia, Evenity, Stelara, methotrexate, Prolia, Nucala,
Bone Density Exams: in-office service is currently suspended and
we will refer you to imaging services.
Simple, safe, and non-invasive: a gold standard exam
A bone density test tells you if you have strong normal bone density, low bone density (osteopenia) or bones with osteoporosis in need of treatment. Bone densitometry is the gold standard test that can diagnose osteoporosis. A bone density test can help you and your rheumatologist do the following:
Learn if you have weak bones or osteoporosis before you break a bone.
Predict your chance of breaking a bone in the future.
Determine if your bone density is improving, getting worse or staying the same.
Discover how well an osteoporosis medicine is working.
Inform you if you do have osteoporosis after you fracture a bone.
Click HERE for a review of osteoporosis.
Before your visit:
Stop all calcium/vitamins with calcium/tums for 7 days before your bone density exam (calcium tablets may show up and interfere with a good exam result. Your normal diet is fine.)
You should reschedule your bone density exam if you have had an injection of dye within the last week; or a nuclear medicine exam within the last week; or a barium swallow for x-ray exam within the last 2-3 weeks. These will also interfere with a good exam result.
Postpone your DXA if you are pregnant or might have the possibility of being pregnant.
Wear clothing easy to remove. You will get into an exam gown unless you have absolutely no metal zippers, buttons, snaps or grommets.
Accurate diagnosis--at the time of your visit.
We are fortunate to have one of Oregon's few rheumatologists trained in ultrasound.
Diman R Lamichhane MD will perform the exam during an office visit. He will look for signs of inflammation in the tissues and joints common to rheumatic illnesses. He will determine if you are in remission, or need to stay on treatments; if you have fibromyalgia or a rheumatic illness, and be able to distinguish between several similar diseases.
This exam gives you a picture of your body's response to treatments, allowing for personalized recommendations if treatment must change, and other services based on the results. This test is not expensive, and does not have any radiation.
Dr. Lamichhane may also use ultrasound guidance to precisely inject joints with therapeutic agents to reduce pain and inflammation.
Click HERE for a description of ultrasound and uses of ultrasound in musculoskeletal diagnostics and treatments.