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
Accepted plans include Aetna, Cigna, United Healthcare, UMR, Horizon BCBS, Meritain, and Anthem Blue Cross Blue Shield.
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 & Chairman, PPSI
Wael Elkholy M.D.
Leadership in interventional pain management with a patient-centered clinical approach.
Dr. Ashraf Sakr
Pain management specialist
Ashraf Sakr M.D.
Experienced clinical evaluation and pain-focused medical support within multidisciplinary care.
Dr. Alexios Apazidis
Orthopedic Spine Surgeon
Alexios Apazidis M.D.
Specialized expertise in spine surgery and advanced structural treatment planning.
Dr. Tarek Alshafie, Vascular Surgeon
Vascular Surgeon
Dr. Tarek Alshafie
Advanced vascular expertise supporting coordinated surgical evaluation and specialty care planning.
Dr. Douglas Pitchford, Pain Management Specialist
Pain Management Specialist
Dr. Douglas Pitchford
Pain-focused clinical evaluation and coordinated treatment support within multidisciplinary PPSI care plans.
Monica Johnson, Nurse Practitioner
Nurse Practitioner
Dr. Monica Johnson
Advanced practice support focused on coordinated evaluation, follow-up care, and treatment continuity across PPSI care plans.
Patient Stories

What patients say about their care.

Real experiences from patients we’ve had the privilege to care for across New Jersey.

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
Clifton New Jersey • Full Services Edison New Jersey • Main Campus Elizabeth New Jersey • Full Services Hamilton New Jersey • Full Services Jersey City New Jersey • Full Services North Brunswick New Jersey • Full Services Passaic New Jersey • Full Services Somerset 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.
We currently accept Aetna, Cigna, United Healthcare, UMR, Horizon BCBS, Meritain, and Anthem Blue Cross Blue Shield. Call us to verify your coverage before booking.
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.
Accepted Plans

Insurance Plans We Accept

Insurance & Coverage

We currently accept Aetna, Cigna, United Healthcare, UMR, Horizon BCBS, Meritain, and Anthem Blue Cross Blue Shield. Verify coverage with our team before your visit.

Verify your coverage
Accepted Plans
  • Aetna
  • Anthem Blue Cross Blue Shield
  • Cigna
  • Horizon BCBS
  • Meritain
  • UMR
  • United Healthcare
Before Your Visit
  • Bring your insurance card
  • Bring a photo ID
  • Have your member ID ready
  • Call us if your plan is not listed

Coverage varies by plan and service. Please verify your benefits with our office before your visit.