Precision Pain & Spine Institute

Pain and spine care focused on clear next steps.

PPSI coordinates diagnosis, treatment, and follow-up for pain, spine, and recovery care.

View All Services
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
Surgical consultations for herniated discs, spinal stenosis, instability, and complex spine 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
Image-guided injections to help identify pain sources and deliver treatment precisely.
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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

Specialists, diagnostics, and follow-up in one coordinated care 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
Imaging, treatment planning, and follow-up are organized to reduce delays between evaluation and next steps.
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
Our team verifies benefits before treatment so patients understand coverage requirements.
07
Statewide Reach
Multiple New Jersey offices make evaluation and follow-up easier to access.
08
Transportation Support
Transportation assistance may be available for qualifying patients. Call to confirm eligibility.
Meet Our Specialists

Meet the specialists coordinating diagnosis, treatment, and recovery care.

Pain management, spine, orthopedic, chiropractic, therapy, podiatry, and diagnostic care are coordinated across the PPSI team.

Meet the Care Team
Dr. Wael Elkholy
Founder, Chairman & Board-Certified Pain Specialist
Dr. Wael Elkholy, M.D.
Board-certified in pain management, anesthesiology, and acupuncture; former Yale Assistant Professor guiding coordinated PPSI care.
Dr. Ashraf Sakr
Interventional Pain Management
Dr. Ashraf Sakr, M.D.
Double board-certified pain management and anesthesiology physician focused on minimally invasive procedures.
Dr. Alexios Apazidis
Orthopedic Spine Surgeon
Dr. Alexios Apazidis, M.D.
Board-certified, fellowship-trained orthopedic spine surgeon specializing in advanced spine surgery and structural treatment planning.
Dr. Jeffrey Thompson
Orthopedic Spine Surgeon
Dr. Jeffrey Thompson, D.O.
Fellowship-trained spine surgeon focused on motion preservation, deformity care, and minimally invasive surgery.
Dr. Douglas Pitchford, M.D., Pain Management Specialist
Pain Management Specialist
Dr. Douglas Pitchford, M.D.
Board-certified pain management and acupuncture physician with anesthesiology training and coordinated, patient-centered care.
Dr. Tamer Elbaz
Pain Medicine & Anesthesiology
Dr. Tamer Elbaz, M.D.
Board-certified interventional pain medicine and anesthesiology specialist for complex pain care.
Patient Stories

What patients say about their care.

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

Patient Reviews
“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.

Choose the PPSI office that is most convenient for evaluation, treatment, and follow-up.

Find My Nearest Clinic
Clifton New Jersey • Services vary by provider Edison New Jersey • Main Campus Elizabeth New Jersey • Services vary by provider Hamilton New Jersey • Services vary by provider Jersey City New Jersey • Services vary by provider North Brunswick New Jersey • Services vary by provider Passaic New Jersey • Services vary by provider Somerset New Jersey • Services vary by provider
Newark Coming Soon Newark office details will be announced when available.
Ready to Take the Next Step?

Get a clear plan for your next step.

Schedule with a PPSI specialist for diagnosis, treatment options, and follow-up guidance.

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.
Appointment availability varies by provider, location, and clinical need. Call us to review the first available opening near you.
We work with several major insurers. Call to verify benefits, authorization requirements, and patient responsibility before scheduling.
We offer physical therapy, chiropractic care, pain-relief injections (epidurals, facet blocks, nerve blocks), and spine surgery when needed. Your doctor will discuss appropriate options 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.