Leading board-certified specialists
Most Major Insurance Accepted
Minimally-Invasive Techniques
Six NJ Locations
Live free from pain,
starting today.
Board-certified pain specialists combine advanced technology with true compassion, empowering you to move freely, lift your kids, and sleep pain-free every night.
The Science Behind
Our Services
PRECISION PAIN AND SPINE INSTITUTEPain is personal—your care should be, too. Our team uses everything from image‑guided injections to advanced spine surgery to pinpoint the cause and deliver lasting relief.
View all ServicesFind Your pain point
Headache
Frequent headaches often arise where tight neck muscles irritate occipital nerves. Targeted imaging pinpoints the trigger and gentle nerve blocks or muscle therapy bring lasting, pill‑free relief.
Read more01/09
Meet Our Professional Doctors
Meet our doctorsPRECISION PAIN AND SPINE INSTITUTE
From advanced spine treatments to specialized physical therapy, we deliver faster recovery and lasting results—so you can return to what matters most: living without pain.
Meet Our Professional Doctors
Wael Elkholy M.D.Chief of Pain Management
Dr. Elkholy commenced his Brooklyn/New York University Hospital residency in 1992. Subsequently, from 1993 to 1996, he was a resident at Albert Einstein College of Medicine. He is committed to delivering expert pain management care, emphasizing innovative and effective treatments to enhance patient outcomes. Following this, he undertook and completed his pain management fellowship at Albert Einstein College of Medicine from 1996 to 1997.
01/06
Chief of Pain ManagementWael Elkholy M.D.Dr. Elkholy commenced his Brooklyn/New York University Hospital residency in 1992. Subsequently, from 1993 to 1996, he was a resident at Albert Einstein College of Medicine. He is committed to delivering expert pain management care, emphasizing innovative and effective treatments to enhance patient outcomes. Following this, he undertook and completed his pain management fellowship at Albert Einstein College of Medicine from 1996 to 1997.
Orthopedic Spine SurgeonAlexios Apazidis, M.D.Dr. Alexios Apazidis, M.D., is an orthopedic spine surgeon who is board-certified and specializes in minimally invasive surgery for the neck and lower back. In 2004, Dr. Apazidis got his Doctorate of Medicine from Boston University School of Medicine. He is known for being good at diagnosis and dedicated to bettering the quality of life of his patients.
AnesthesiologistAshraf Sakr M.D.He began his professional journey as an Interventional Pain Management Specialist at Precision Pain & Spine Institute in Edison and Hamilton, NJ, in February 2019. He has been dedicated to providing expert care in pain management, focusing on innovative and effective treatment methods to improve patient outcomes.
Doctor of ChiropracticFouad KaramDr. Fouad Karam, a Doctor of Chiropractic, has been practicing in New Jersey for over twenty years and has treated patients, ranging in age from five to ninety-five.
Chiropractic Sports PhysicianEdward SofoDr. Edward Sofo pursued his undergraduate studies at the State University of New York at Stony Brook, culminating in a Bachelor of Science in Biological Sciences. Subsequently, in 1988, he enrolled at New York Chiropractic College, graduating with distinction and a Doctor of Chiropractic degree. In 1990, Dr. Sofo enhanced his professional qualifications by becoming a Certified Chiropractic Sports Physician®.
ChiropractorPatrick NiervaDr. Patrick Nierva is a board-certified chiropractor duly licensed to practice in New Jersey and New York. Additionally, he holds certification through Cornerstone Professional Education, qualifying him to perform Manipulation Under Anesthesia.
Why Choose Precision Pain & Spine Institute?
From advanced spine procedures to tailored physical therapy, we speed healing and ensure lasting relief—so you can move and work freely.
New TechnologyFluoro, ultrasound, 3‑T MRI for precision.
Minimally InvasiveMinimal trauma, accelerated recovery
Precision DiagnosticsSame‑day imaging and labs across the board.
Tailored TreatmentsCare synced to your lifestyle.Patient success stories
Hear firsthand how our care helped patients return to pain‑free living.
Jess Rizk
Patient
I have known Dr. Karam for years, and he is hands down the best chiropractor I have ever been treated by. I have suffered from back pain for quite some time, and he has always been able to treat my pain successfully. I have referred my family here as well, and they have also had very positive experiences. He and his staff are extremely friendly and very accommodating. His office is beautiful and very clean. This is a place that I always look forward to coming to. I highly recommend Dr. Karam. I assure you that you will leave his office as a happy patient after each visit.
5.0 / 5.0
Susan Shuke
Patient
I feel so GOOD today after the cervical epidural done by Dr. Elkholy! Almost NO neck pain. So far, I have taken my car for repairs, did some gardening, and cleaned my house. I feel GREAT about my job interview tomorrow. THANK YOU so much. You are the BEST doctor I have ever gone to and have made the most significant, most positive impact on my life. I appreciate you so much. Your knowledge and compassion make you #1!
5.0 / 5.0
Kathy C
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.
5.0 / 5.0
Mary J.
Patient
I was referred to Dr. Elkholy and it was the best thing that could have ever happened to me. He and his staff are just amazing. He changed my life.
4.0 / 5.0
Doug H.
Patient
Dr. Elkholy and Precision Pain Institute took the time to dig in and find out what the real problem was. He talks to you in detail and makes you feel comfortable.
5.0 / 5.0
Insights That Move You Forward
Frequently Asked Questions (FAQ)
