Carolina Rheumatology and Neurology Associates, our team of board-certified medical providers, advanced practice providers, nurses, and allied health professionals work together to deliver personalized treatment plans with a patient-centered approach. From complex autoimmune disorders like lupus and rheumatoid arthritis to chronic headaches and migraines, we are committed to helping each patient understand their condition and offer personalized goals and outcomes.
Carolina Rheumatology and Neurology Associates, our team of board-certified medical providers, advanced practice providers, nurses, and allied health professionals work together to deliver personalized treatment plans with a patient-centered approach. From complex autoimmune disorders like lupus and rheumatoid arthritis to chronic headaches and migraines, we are committed to helping each patient understand their condition and offer personalized goals and outcomes.
Providing rheumatology and neurology care to the Grand Strand area since 2000. Carolina Rheumatology and Neurology Associates has now grown to include one board-certified neurologist, three board-certified rheumatologists, and two advanced practice providers. Our offices offer convenient on-site access to a full range of comprehensive services including diagnostic imaging and infusion. We offer comprehensive, patient-focused, evidence-based care as well as following individualized plans of care tailored to your needs.
Rheumatologists are providers who specialize in diagnosing and treating musculoskeletal disease and systemic autoimmune conditions affecting connective tissues including the joints, muscles, and bones. Treatment modalities involve a combination of medication therapy, patient education, and intra-articular injections.
Neurologists are providers who specialize in diagnosing and treating disorders of the nervous system. At Carolina and Rheumatology Associates, we specialize in the management of headaches and migraines. Treatment options include both acute and preventative therapies.

Kristin Etzkorn, D.O.
Dr. Etzkorn takes the time to listen to my questions, problems and concerns and she’s always willing to do what it takes to help resolve them. The office has an inviting atmosphere and the employees are so nice! Thank you, Dr. Etzkorn for caring!
Jon Twining, M.D.
Dr. Twining is the best!! Always reviews my health issues at every appointment right from the very first time I went to him so that he can make sure we aren’t missing anything. Thank you Dr. Twining
Jon Twining, M.D.
I've been seeing Dr Twining since 2012. He is a wonderful, caring doctor and I would recommend him to anyone needing an excellent Reumatogist.
Sarah Ryan, PA-C
I am very pleased and comfortable with Sarah. She is very personable, takes time to listen, and asks me lots of questions regarding my issues. I appreciate the time she takes for me.
Kristin Etzkorn, D.O.
She was outstanding in every way. I was very impressed and will be switching to become a permanent patient of hers.
Jon Twining, M.D.
Dr. Twining is excellent and caring and very knowledgeable. I'm glad he is my doctor.
Sarah Ryan, PA-C
Was not rushed, given sufficient time to ask questions. Assured me if I needed to, I should call her back.
Wendy Lee, M.D.
Dr Lee was very thorough and very kind.
Sarah Ryan, PA-C
Dr. Sarah is a great Dr Very caring and listens to your problems.
Sarah Ryan, PA-C
Kind, knowledgeable and empathetic.