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Emergency Medicine
Karen launched her clinical career in the fast-paced Emergency Rooms of Christ Hospital and Hoboken University Medical Center, where she spent a decade refining her skills in acute and emergency care. This experience honed her ability to make critical, life-saving decisions and adapt swiftly to high-pressure situations.

Primary Care & Urgent Care
In 2020, Karen transitioned to urgent care settings in Central Jersey, broadening her expertise in Primary Care. This shift allowed her to cultivate meaningful patient relationships, manage chronic conditions, and address acute illnesses. Her adaptability and holistic approach became pivotal in delivering effective, compassionate care.

Specialization in Endocrinology
Currently, Karen’s focus is on Endocrinology, a field she finds deeply rewarding. She specializes in managing intricate conditions like diabetes, thyroid disorders, and metabolic challenges. Her patient-first approach ensures tailored, evidence-based solutions that empower individuals to achieve better health and well-being.

Commitment to Professional Growth
Karen actively engages in continuing education and professional development to remain at the forefront of advancements in medical science. She participates in seminars and workshops, ensuring her practice integrates the latest research and technologies.

Karen’s approach to healthcare is rooted in empathy, respect, and collaboration. She believes that every patient deserves a customized care plan, clear communication, and a trusted partnership to navigate their health journey. Her philosophy combines medical expertise with genuine compassion to ensure positive outcomes.

• Clinical Excellence: Recognized for her exceptional diagnostic skills and patient rapport in both emergency and primary care settings.
• Community Engagement: Participates in health awareness programs and local health fairs, promoting preventive care and wellness education.
• Mentorship: Serves as a mentor to aspiring healthcare professionals, sharing her insights and fostering a commitment to compassionate care.

Karen is a dedicated wife and mother of three young children who keep her energized and inspired. She is also the proud owner of a Yorkie who completes the family. In her downtime, she channels her creativity into crafting and baking and unwinds with her favorite Netflix series. She loves outdoor adventures with her family and is passionate about maintaining a balanced life, both personally and professionally.

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Garen Gajian, MD, is an experienced pain management physician practicing at Pain & Anesthesia Care, located in New Brunswick, New Jersey. 

Dr. Gajian earned his Doctor of Medicine from Kiev Medical School in Ukraine prior to completing his initial training in general surgery at New York Hospital Medical Center of Queens, an affiliate of Cornell Medical School. He also completed a primary residency in anesthesiology at St. Vincent Medical Center in New York City before completing a pain management fellowship at the University Hospital of Cleveland, an affiliate of Case Western Reserve University. While at the University Hospital of Cleveland, Dr. Gajian trained under Dr. Mark Bosewell, one of the leading experts in the field of pain management. 

At Pain & Anesthesia Care, Dr. Gajian provides an array of treatments for chronic pain, including epidural injections, ketamine infusions, PRP therapy, facet joint injections, and rehabilitation services. 

Dr. Gajian is board certified in pain management and anesthesiology. Over the years, he has also received several top physicians honors from various independent research groups. 

To schedule an appointment with Dr. Gajian, call Pain & Anesthesia Care, or request an appointment online today.

Halina Snowball, MD, is a Stanford University-trained physiatrist and acupuncturist serving patients at Integrated Pain Solutions in Stamford, Connecticut. She specializes in pain management and mobility so patients can move freely without pain.

Her philosophy is that the body is an integrated machine of moving parts. This view led her to utilize a non-surgical, integrated medical approach to solving her patients’ pain and mobility issues. At Integrated Pain Solutions, Dr. Snowball treats a variety of conditions, such as headaches, hip pain, knee pain, neck pain, and shoulder pain. She offers a wide range of medical treatments, including joint injections, regenerative medicine, platelet-rich plasma (PRP), and extracorporeal pulse activation technology (EPAT®), in conjunction with nontraditional medical practices, such as yoga, acupuncture, physical therapy, and massage. These treatments form the foundation for her practice and lead to long-term healing for her patients.

Dr. Snowball has been recognized as a leading provider and has won consecutive Top Doctor Awards in the Tri-state area for the past several years. She is also a Castle Connolly award winner. 

To schedule an appointment at Integrated Pain Solutions, call the office or book a consultation online today.

Island Interventional Pain Management

At Island Interventional Pain Management in Commack, New York, patients benefit from having their care delivered by experienced interventional pain management specialist Rajmani Krishnan, MD. Dr. Krishnan gives every patient the individual attention they deserve and devotes as much time as they need to deliver excellent diagnostics and treatment.

Dr. Krishnan earned his medical degree from Manipal Academy of Higher Education (MAHE) in Manipal, India, graduating in 1998 with honors. He moved back to New York City for his anesthesiology residency at the Brookdale University Hospital and Medical Center in Brooklyn and stayed on as chief resident in anesthesiology.

In 2004, Dr. Krishnan completed his fellowship in pain medicine and regional anesthesia at the University of Iowa Hospitals and Clinics (UIHC) in Iowa City, Iowa.

At Island Interventional Pain Management, Dr. Krishnan treats patients with back and neck problems, including sciatica and spinal stenosis. He also specializes in managing challenging pain conditions like complex regional pain syndrome (CRPS). Treatments include innovative biologics such as platelet-rich plasma (PRP) injections.

Dr. Krishnan excels in advanced procedures and more complex invasive therapies, including spinal cord stimulation and dorsal root ganglion (DRG) stimulation, SI joint fusion, kyphoplasty for vertebral compression fractures, intrathecal pain pump implantation, Intracept® radiofrequency ablation, and minimally invasive lumbar decompression (MILD).

In addition to his impressive medical qualifications, Dr. Krishnan also has a Master of Business Administration (Finance) with distinction from Hofstra University on Long Island. He’s a member of the Beta Gamma Sigma business honor society (BGS) and a diplomate of the American Boards of Anesthesiology and Pain Medicine.

Dr. Krishnan enjoys traveling and playing chess during his free time and is a dedicated movie buff.

To benefit from Dr. Krishnan’s considerable expertise and experience, call Island Interventional Pain Management today or book an appointment online.

About The Practice

Ajay Kumar MD, DABPM, DABPM, is an interventional spine and pain physician at New Jersey Advanced Pain Management, which has locations in Hackettstown, New Jersey, Matamoras, Pennsylvania, and Warwick New York

Dr. Kumar earned his Doctor of Medicine from the prestigious All India Institute of Medical Sciences in New Delhi, India. He completed his residency in physical medicine and rehabilitation at Temple University Hospital in Philadelphia. He is fellowship-trained in interventional pain medicine, board certified in physical medicine, and a diplomate of the American Board of Pain Medicine.

In India, Dr. Kumar was an orthopedic surgeon with specialized training in doing fluoroscopic and ultrasound-guided minimally invasive pain procedures. He is one of the few physicians who have extensive training in prolotherapy. At New Jersey Advanced Pain Management Center, Dr. Kumar works with the patient to offer them various solutions for their problem. He routinely treats patients affected by musculoskeletal injuries that cause back pain, neck pain, knee pain, and shoulder pain. Dr. Kumar has extensive experience in NCV/EMG studies to diagnose the cause of the pain. He offers minimally invasive spine procedures and spinal cord stimulation trials as well as spinal cord stimulation permanent implants for various medical diagnoses. 

Dr. Kumar's strengths include diagnosing difficult cases and offering sensible treatments that are logical and safe. He understands the ability of the body to naturally heal itself as a basis for his treatment protocols. Dr. Kumar also embraces multidisciplinary care, including physical therapy, acupuncture, and chiropractic, to get well and stay healthy.

To schedule an appointment with Dr. Kumar and the team at New Jersey Advanced Pain Management Center, call the office or book an appointment online today.

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