Precision Pain & Spine Institute

Focused care, built around precision and long-term relief.

From image-guided interventions to spine surgery and rehabilitation, PPSI provides coordinated care that is structured to diagnose clearly and treat confidently.

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Pain Management
Chronic pain evaluation, injections, nerve blocks, and non-surgical relief strategies tailored to the source of your symptoms.
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Spine Surgery
Advanced surgical solutions for disc pathology, stenosis, structural instability, and complex spinal conditions.
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Chiropractic Care
Targeted musculoskeletal care designed to support alignment, mobility, and day-to-day functional improvement.
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Orthopedics
Joint-focused orthopedic treatment for sports injuries, overuse conditions, mobility limitations, and recovery planning.
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Podiatry
Foot and ankle care for structural, inflammatory, and movement-related conditions across a wide range of ages.
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Physical Therapy
Rehabilitation programs designed to restore movement, build strength, and reduce the risk of reinjury over time.
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Interventional Procedures
Fluoroscopy and ultrasound-guided care pathways for targeted diagnosis and carefully placed treatment delivery.
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Auto Injury Care
Structured care for accident-related neck, back, soft-tissue, and musculoskeletal pain following motor vehicle injuries.
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Why Patients Choose PPSI

Clinical depth, modern technology, and a more thoughtful patient experience.

Clear diagnosis, coordinated care, and a team that puts your goals first.

01
Advanced Technology
Precision imaging and modern diagnostic workflows support clearer decision-making and more targeted treatment planning.
02
Minimally Invasive Focus
Whenever appropriate, PPSI prioritizes non-surgical or lower-impact options designed to reduce downtime and support recovery.
03
Experienced Providers
Board-certified specialists and multidisciplinary coordination help patients move from uncertainty to a clearer care path.
04
Faster Clinical Clarity
With imaging, treatment planning, and follow-up support structured efficiently, many patients move more quickly toward answers.
05
Personalized Treatment Plans
Care is shaped around condition severity, activity level, goals, and the practical realities of day-to-day life.
06
Insurance-Friendly Access
Most major insurance plans are accepted, helping patients access care with fewer avoidable administrative barriers.
07
Statewide Reach
Patients are seen from all over New Jersey, with multiple offices and broader accessibility to care planning.
08
Transportation Support
Transportation support can be available in appropriate situations, helping reduce access barriers for qualifying patients.
Meet Our Specialists

Board-certified care from a team built around spine, pain, and recovery.

Board-certified specialists who work together to deliver coordinated pain and spine care—from diagnosis through treatment and recovery.

Meet All Doctors
Dr. Wael Elkholy
Founder & Chief of Pain Management
Wael Elkholy M.D.
Leadership in interventional pain management with a patient-centered clinical approach.
Dr. Alexios Apazidis
Orthopedic Spine Surgeon
Alexios Apazidis M.D.
Specialized expertise in spine surgery and advanced structural treatment planning.
Dr. Ashraf Sakr
Anesthesiologist
Ashraf Sakr M.D.
Experienced clinical evaluation and pain-focused medical support within multidisciplinary care.
Dr. Fouad Karam
Doctor of Chiropractic
Dr. Fouad Karam
Conservative care planning to improve movement, comfort, and functional recovery.
Dr. Edward Sofo
Chiropractic Sports Physician
Dr. Edward Sofo
Athletic and movement-focused support for injury recovery and performance-related care.
Dr. Patrick Nierva
Chiropractor
Dr. Patrick Nierva
Hands-on care and spinal support designed for long-term mobility and comfort goals.
Patient Stories

What patients say about their care.

The testimonial section stays credible and visually quiet, with stronger hierarchy and less marketing noise.

5.0 / 5.0 Average Rating
“I have known Dr. Karam for years, and he is hands down the best chiropractor I have ever been treated by. He has always been able to treat my pain successfully.”
Jess Rizk
Patient
“I feel so good after the cervical epidural done by Dr. Elkholy. Almost no neck pain. You are the best doctor I have ever gone to.”
Susan Shuke
Patient
“Dr. Elkholy’s team and staff were wonderful. He really cared and knew my case off the top of his head. It meant a lot.”
Mary J.
Patient
“Precision Pain Institute took the time to find out what the real problem was. He talks to you in detail and makes you feel comfortable.”
Doug H.
Patient
“He and his staff are just amazing. He changed my life. I can now do things I could not do for years. The team genuinely cares.”
Kathy C.
Patient
“The office is beautiful, very clean, and the staff are extremely friendly and accommodating. I always look forward to coming in.”
Maria S.
Patient
Find Us Near You

Eight centers, one consistent standard of care.

Patients come from all over New Jersey, with multiple office locations and broader accessibility to ongoing care.

Find My Nearest Clinic
Passaic New Jersey • Full Services Clifton New Jersey • Full Services Jersey City New Jersey • Full Services Somerset New Jersey • Full Services Elizabeth New Jersey • Full Services Edison New Jersey • Main Campus North Brunswick New Jersey • Full Services Hamilton New Jersey • Full Services
Newark Coming Soon We are actively working on finding a place in Newark.
Ready to Take the Next Step?

Start your recovery journey with a clearer plan.

Schedule an appointment with Precision Pain & Spine Institute and connect with specialists who focus on diagnosis, treatment precision, and long-term patient confidence.

Call to Schedule
(732) 444-8888
Find a location near you
For a medical emergency, do not wait for an appointment request. Call 911 immediately.
Make Appointment
Frequently Asked Questions

Clear answers for common patient questions.

Doctor consultation
It depends on your insurance. Some plans require a referral from your primary care doctor; others let you schedule directly. Call (732) 444-8888 to confirm before booking.
Bring your insurance card, photo ID, current medication list, and any prior X-rays, MRIs, or spine-related records. This helps avoid repeat tests and speeds your evaluation.
Go to the ER or call 911 for sudden leg weakness, numbness, loss of bowel/bladder control, or severe trauma. For ongoing back or neck pain, schedule an appointment with us.
Same-day and same-week appointments may be available depending on location and schedule. Call us to find the soonest opening near you.
Yes. We accept Horizon BCBS, Aetna, Cigna, UnitedHealthcare, and other major plans, plus workers' comp and personal injury (including car accidents). Call us to verify your coverage.
We offer physical therapy, chiropractic care, pain-relief injections (epidurals, facet blocks, nerve blocks), and spine surgery when needed. Your doctor will recommend the best option after evaluating you.
Payment Options

Insurance Plans We Accept

Insurance & Coverage

We work with major carriers, out-of-network benefits, PIP, workers’ comp, and personal injury claims. Self-pay and payment plans available.

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Major Plans Accepted
  • Horizon BCBS
  • Empire BCBS
  • Cigna
  • Aetna
  • United Health Care
  • Emblem Health
  • Humana
  • AmeriHealth NJ
  • Medicare
  • UMR
  • MagnaCare
  • QualCare
  • Oxford
  • NJ FamilyCare
Other Options
  • Workers’ Comp
  • Personal Injury Claims
  • Self-Pay
  • Payment Plans
Auto / PIP
  • GEICO
  • State Farm
  • Allstate
  • Progressive
  • NJM
  • Plymouth Rock
  • Liberty Mutual

Coverage varies by plan. Please verify your benefits with your carrier or our office before your visit. This list is not exhaustive—contact us to confirm your specific plan.