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Chad Metzger, DO, is a pain management physician at SEPA Pain & Spine in Horsham, Langhorne, Chalfont, and Meadowbrook, Pennsylvania.

Dr. Metzger is a graduate of Penn State University where he received his Bachelor of Science degree in kinesiology, the study of human movement. His passion for the musculoskeletal system and biomechanics led him initially to pursue a doctoral degree in chiropractic medicine where he developed a passion for spine care. He then went on to receive his medical degree from the Philadelphia College of Osteopathic Medicine. Dr. Metzger completed his residency training in physical medicine and rehabilitation (physiatry) at Temple University Hospital where he served as chief resident, followed by additional fellowship training in pain medicine at Penn State Hershey Medical Center. 

Dr. Metzger takes a holistic patient-centered approach to his care with a focus on palliating pain and restoring function. His goal is to use his knowledge and interventional skill set to give his patients their best shot at returning to a normal functional life, using all of the multi-modal disciplines, medications, modern technologies, and state of the art procedures available. He strives to encourage his patients to take an active role in their healthcare for ultimate long-term success and improved quality of life. 

When not at work, Dr. Metzger lives an active lifestyle and enjoys exploring local hiking and running trails with his family. He is a proud father and husband. His wife Dana is a successful chiropractor who also shares a passion for spine care. His favorite days are college football Saturdays cheering on his Penn State Nittany Lions with friends. He also enjoys cooking and exploring all of the unique cuisines and exquisite foods that Philadelphia has to offer. 

Soon Jung, MD, is a pain management physician at SEPA Pain & Spine in Horsham, Langhorne, Chalfont, and Meadowbrook, Pennsylvania. He joined the team in 2021.

Dr. Jung is originally from the New York metro area. He graduated from the State University of New York Binghamton University before completing his medical education at SUNY Upstate Medical University in Syracuse, New York, in 2010.

He began his medical career as a neurosurgical resident at Rutgers New Jersey Medical School in Newark, New Jersey. After completing multiple years of training, Dr. Jung realized that, unfortunately, many patients continued to have chronic pain despite surgery, and during his time there, he became exposed to chronic pain management under the tutelage of Dr. Andrew Kaufman.  

After seeing the positive and life-changing impact of helping someone alleviate chronic pain, he decided to pursue a career in pain management. Therefore, he made a career move and began his anesthesia training at the Westchester Medical Center. Upon completing his residency, he began his pain management fellowship training at the University of Pittsburgh Medical Center. After completing his fellowship in 2016, he became an attending physician at the Lehigh Valley Medical Center in Allentown, Pennsylvania. While there, he was in charge of the neuromodulation program and the intrathecal pump program. With the use of intrathecal drug delivery, Dr. Jung was able to get patients off oral opioids while continuing to treat patients who required opioids in a safe, controlled manner that was physician-controlled.

He is double board-certified in anesthesia and pain management. Because of his neurosurgical background, he brings a unique skill set not found in most pain management physicians to SEPA Pain & Spine.  He believes that every patient’s pain is unique and that treatment plans should be catered to the patient’s needs. He brings with him experience and knowledge in all areas of pain management, including medication management as well as minimally invasive procedures designed to treat chronic pain.

Dr. Jung now resides in the Blue Bell area and is married with three young children. He spends his free time combing the country for the newest and latest ways he can treat his patients. He feels blessed that he can truly say that for him, his work is his hobby.

Dr. Marcelo del Rio, PT, DPT has been a physical therapist for 5 years. Marcelo received my Doctorate Degree at Long Island University - Brooklyn. He has been in out-patient PT for 3 years is now doing in-home physical therapy with Reddy Care. His favorite condition to treat would include any neurological condition (Parkinoson's, MS etc.) as he is able to utilize his knowledge to help improve these patients' functional ability.

Dr. Marcelo del Rio, PT, DPT has been a physical therapist for 5 years. Marcelo received my Doctorate Degree at Long Island University - Brooklyn. He has been in out-patient PT for 3 years is now doing in-home physical therapy with Reddy Care. His favorite condition to treat would include any neurological condition (Parkinoson's, MS etc.) as he is able to utilize his knowledge to help improve these patients' functional ability.

Philip M. Rojo, MLP-NP, is a highly skilled nurse practitioner passionate about delivering customized care. Through his work at Union Spine and Pain Management, which has offices in Union, Scotch Plains, South Bound Brook, New Brunswick, Old Bridge, and Woodbridge, New Jersey, Philip helps patients feel more comfortable as they progress in treatment. 

A lifelong learner, Philip earned a Bachelor of Science in nursing from Rutgers, The State University of New Jersey, in New Brunswick. He remains at Rutgers to complete a Master of Science in nursing, focusing on adult and geriatric care. 

Philip is trained in basic life support and advanced cardiac life support. He is also certified as an adult/gerontology acute care nurse practitioner. 

Philip’s professional experience includes working in emergency room settings and managing patient care across various crisis and trauma needs. He also brings experience in managing patient care after surgical interventions, in addition to treating numerous acute and chronic musculoskeletal pain disorders. 

Philip enjoys working one-on-one with those in his care, getting to know them and their unique health needs. He finds his work deeply rewarding, especially when patients overcome significant challenges in pain management. 

Marlyn Alvarado, FNP-C, is a board-certified family nurse practitioner at Union Spine and Pain Management. The practice has locations in Union, Scotch Plains, South Bound Brook, New Brunswick, Old Bridge, and Woodbridge, New Jersey. Proficient in English and Spanish, Marlyn brings a wealth of experience delivering comprehensive care to diverse populations of all ages.

Marlyn embarked on her nursing journey at New Jersey City University in Jersey City, where she earned her nursing degree. During this time, she served as a surgical nurse at Jersey City Medical Center in Jersey City, New Jersey, where she cared for patients undergoing chemotherapy, dialysis, and surgery.

Continuing her work at Jersey City Medical Center, Marlyn served in pivotal roles as a transition discharge nurse and maternal child health nurse. Here, she managed patients with high-risk pregnancies, substance use disorder, and teen pregnancy, demonstrating her versatility in addressing complex healthcare needs.

She also served as a case manager at United Healthcare in West New York, New Jersey, and later as a wellness coach/chronic condition manager at Premise Health. These roles further developed her understanding of holistic healthcare management and patient support.

Passionate about advancing her nursing practice, Marlyn pursued her Master of Science in nursing at Spring Arbor University in Spring Arbor, Michigan. This led to her family nurse practitioner certification from the American Academy of Nurse Practitioners. 

Marlyn holds additional certifications in neonatal resuscitation from the American Academy of Pediatrics and advanced cardiac life support from the American Heart Association.

In her role at Union Spine and Pain Management, Marlyn enjoys collaborating with the team, ensuring that she meets the diverse needs of her patients. 

Professional Experience

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.

Philosophy of Care

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.

Achievements

• 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.

Personal Life

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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Philip M. Rojo, MLP-NP, is a highly skilled nurse practitioner passionate about delivering customized care. Through his work at Union Spine and Pain Management, which has offices in Union, Scotch Plains, South Bound Brook, New Brunswick, Old Bridge, and Woodbridge, New Jersey, Philip helps patients feel more comfortable as they progress in treatment. 

A lifelong learner, Philip earned a Bachelor of Science in nursing from Rutgers, The State University of New Jersey, in New Brunswick. He remains at Rutgers to complete a Master of Science in nursing, focusing on adult and geriatric care. 

Philip is trained in basic life support and advanced cardiac life support. He is also certified as an adult/gerontology acute care nurse practitioner. 

Philip’s professional experience includes working in emergency room settings and managing patient care across various crisis and trauma needs. He also brings experience in managing patient care after surgical interventions, in addition to treating numerous acute and chronic musculoskeletal pain disorders. 

Philip enjoys working one-on-one with those in his care, getting to know them and their unique health needs. He finds his work deeply rewarding, especially when patients overcome significant challenges in pain management. 

Marlyn Alvarado, FNP-C, is a board-certified family nurse practitioner at Union Spine and Pain Management. The practice has locations in Union, Scotch Plains, South Bound Brook, New Brunswick, Old Bridge, and Woodbridge, New Jersey. Proficient in English and Spanish, Marlyn brings a wealth of experience delivering comprehensive care to diverse populations of all ages.

Marlyn embarked on her nursing journey at New Jersey City University in Jersey City, where she earned her nursing degree. During this time, she served as a surgical nurse at Jersey City Medical Center in Jersey City, New Jersey, where she cared for patients undergoing chemotherapy, dialysis, and surgery.

Continuing her work at Jersey City Medical Center, Marlyn served in pivotal roles as a transition discharge nurse and maternal child health nurse. Here, she managed patients with high-risk pregnancies, substance use disorder, and teen pregnancy, demonstrating her versatility in addressing complex healthcare needs.

She also served as a case manager at United Healthcare in West New York, New Jersey, and later as a wellness coach/chronic condition manager at Premise Health. These roles further developed her understanding of holistic healthcare management and patient support.

Passionate about advancing her nursing practice, Marlyn pursued her Master of Science in nursing at Spring Arbor University in Spring Arbor, Michigan. This led to her family nurse practitioner certification from the American Academy of Nurse Practitioners. 

Marlyn holds additional certifications in neonatal resuscitation from the American Academy of Pediatrics and advanced cardiac life support from the American Heart Association.

In her role at Union Spine and Pain Management, Marlyn enjoys collaborating with the team, ensuring that she meets the diverse needs of her patients. 

Wayne Fleischhacker, DO, DABA, DABPM, DAAPM, is the director of Union Spine and Pain Management with offices in Union, Scotch Plains, South Bound Brook, New Brunswick, Old Bridge, and Woodbridge, New Jersey. He has vast experience in anesthesiology and pain management, including minimally invasive pain management procedures and surgery. 

Dr. Fleischhacker began his education at Rochester Institute of Technology in Rochester, New York, receiving his bachelor’s degree in biology. He later achieved his medical degree at the New York College of Osteopathic Medicine in Old Westbury.

Shortly after, he completed a rotating internship at Massapequa General Hospital in Seaford, New York, followed by anesthesiology and pain management training at Temple University Hospital in Philadelphia, Pennsylvania.

Dr. Fleischhacker is on staff at multiple hospitals and surgery centers in New Jersey.

He also served as the attending anesthesiologist and chairman of the anesthesiology and pain management department at Union Hospital in New Jersey and the Endo-Surgical Center as the director of anesthesiology and pain management.

Established in the medical field, Dr. Fleischhacker is a diplomate of the American Board of Anesthesiology, the American Board of Pain Medicine, the American Academy of Pain Management, and the National Board of Osteopathic Medical Examiners.

He is also a member of the American Society of Anesthesiologists, the New Jersey Society of Anesthesiologists, the American Board of Pain Management, the International Spine Intervention Society, the American Society of Interventional Pain Physicians, and Director of the New Jersey Society of Interventional Pain Physicians.

Dr. Fleischhacker's dedication to patient-centered care and his commitment to enhancing medical knowledge continue to make a profound impact on the lives of countless patients and his team at Union Spine and Pain Management.

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Mahmud Ibrahim, MD, at Revive Spine and Pain Center Marlton, Hamilton Township, East Brunswick and Northfield, New Jersey, holds dual board certification in sports medicine and physical medicine and rehabilitation and is fellowship trained in interventional pain management.

When treating patients at Revive Spine and Pain Center, his goal is to restore function, reduce pain, and promote an active, healthy lifestyle using conservative measures whenever possible.

Though Dr. Ibrahim treats pain from any cause, his special clinical interests include musculoskeletal medicine, non-operative spine procedures, orthopedics, sports medicine, electrodiagnostic medicine, and restorative therapy.

In addition to performing the full range of fluoroscopic-guided interventional pain-management procedures, he also uses diagnostic and therapeutic ultrasound. He has extensive skill in minimally invasive procedures such as discectomies and percutaneous tenotomies.

After graduating from the New York University Grossman School of Medicine in New York City, Dr. Ibrahim completed his residency training in physical medicine and rehabilitation at the Icahn School of Medicine at Mount Sinai School (also in New York City). After receiving an Accreditation Council for Graduate Medical Education (ACGME) fellowship, he stayed at Mount Sinai to subspecialize in sports and interventional spine medicine. 

Dr. Ibrahim has published several articles on musculoskeletal medicine. He’s also a contributing author in a textbook on how to perform ultrasound-guided injections and the author of a book exploring what causes pain, how to reduce it, and ways to live with persistent pain.

Dr. Ibrahim has provided sideline coverage at football games, captained the medical tents at the New York City marathon, and was a ringside physician for the Golden Gloves of America boxing tournament and professional wrestling. 

Dr. Selorm Takyi joined Revive Spine and Pain Center in 2020. He completed his physiatry residency at JFK Johnson Rehabilitation Institute, offered through the Department of Physical Medicine and Rehabilitation at Rutgers Robert Wood Johnson Medical School. With a passion for teaching, he served as an academic chief resident and graduated residency in 2019. He then completed his fellowship in regenerative orthopedics and musculoskeletal medicine.

Dr. Takyi practices compassionate medicine and was inducted into the Gold Humanism Honor Society in 2014 while attending Rutgers New Jersey Medical School. Specializing in both ultrasound-guided and fluoroscopic-guided techniques to treat pain and sports medicine injuries, he is excited to share his goal of using non-surgical procedures to help restore function and quality of life to his patients. With his training in physiatry, Dr. Takyi enjoys creating comprehensive treatment plans for his patients. In addition to offering interventional spine injections such as epidurals and nerve blocks, he performs platelet-rich plasma (PRP) and micro-fragmented adipose tissue (MFAT) injections to help treat a variety of neuromusculoskeletal conditions. His clinical interests include regenerative medicine, rotator cuff tears, osteoarthritis, ACL injuries, and meniscus tears.

He has co-authored the physical modalities, therapeutic exercise, extended bedrest, and aging effects chapter in the Physical Medicine and Rehabilitation Board Review 4th Edition and an upcoming publication, Atlas of Interventional Orthopedics Procedures chapter on autologous tissue harvesting techniques: bone marrow aspirate and adipose tissue. He is a member of the American Academy of Physical Medicine and Rehabilitation, Interventional Orthobiolgoics Foundation, Spine Intervention Society, and the American Medical Society for Sports Medicine. When not in the office, Dr. Takyi enjoys photography, exercising, and spending time with his family.

Michael Rizkalla, MD, a skilled physician with double-board certification in sports medicine and physical medicine and rehabilitation, founded Revive Spine and Pain Center in 2017. At the practice’s offices in Marlton, Hamilton Township, East Brunswick and Northfield, New Jersey, he provides a patient-centered approach to treating acute and chronic pain.

He begins each appointment by listening to patients who all too often say that they’ve been everywhere and no one listens to or helps them. After hearing and understanding each person’s unique story and completing a physical exam, Dr. Rizkalla creates a tailored treatment plan using evidence-based treatments drawn from traditional medicine, interventional medicine, physical therapy, and complementary and restorative practices.

Dr. Rizkalla received his medical degree from Ross University School of Medicine in Miramar, Florida, then finished an internship in internal medicine before completing a residency in physical medicine and rehabilitation at Harvard Medical School, Spaulding Rehabilitation Hospital in Cambridge, Massachusetts.

Dr. Rizkalla has a subspecialty in sports medicine, has fellowship training in interventional pain management, and is certified in contemporary medical acupuncture. In addition to diagnosing and treating pain, his clinical interests include spine and joint care, sports medicine, electrodiagnostic and neuromuscular medicine, and nonsurgical orthopedics.

He has extensive training in performing numerous interventional pain procedures and restorative injections, such as platelet-rich plasma (PRP) and bone marrow aspirate cells. Dr. Rizkalla is also proficient in using musculoskeletal ultrasound to diagnose and treat injuries.

Marlyn Alvarado, FNP-C, is a board-certified family nurse practitioner at Union Spine and Pain Management. The practice has locations in Union, Scotch Plains, South Bound Brook, New Brunswick, Old Bridge, and Woodbridge, New Jersey. Proficient in English and Spanish, Marlyn brings a wealth of experience delivering comprehensive care to diverse populations of all ages.

Marlyn embarked on her nursing journey at New Jersey City University in Jersey City, where she earned her nursing degree. During this time, she served as a surgical nurse at Jersey City Medical Center in Jersey City, New Jersey, where she cared for patients undergoing chemotherapy, dialysis, and surgery.

Continuing her work at Jersey City Medical Center, Marlyn served in pivotal roles as a transition discharge nurse and maternal child health nurse. Here, she managed patients with high-risk pregnancies, substance use disorder, and teen pregnancy, demonstrating her versatility in addressing complex healthcare needs.

She also served as a case manager at United Healthcare in West New York, New Jersey, and later as a wellness coach/chronic condition manager at Premise Health. These roles further developed her understanding of holistic healthcare management and patient support.

Passionate about advancing her nursing practice, Marlyn pursued her Master of Science in nursing at Spring Arbor University in Spring Arbor, Michigan. This led to her family nurse practitioner certification from the American Academy of Nurse Practitioners. 

Marlyn holds additional certifications in neonatal resuscitation from the American Academy of Pediatrics and advanced cardiac life support from the American Heart Association.

In her role at Union Spine and Pain Management, Marlyn enjoys collaborating with the team, ensuring that she meets the diverse needs of her patients. 

Philip M. Rojo, MLP-NP, is a highly skilled nurse practitioner passionate about delivering customized care. Through his work at Union Spine and Pain Management, which has offices in Union, Scotch Plains, South Bound Brook, New Brunswick, Old Bridge, and Woodbridge, New Jersey, Philip helps patients feel more comfortable as they progress in treatment. 

A lifelong learner, Philip earned a Bachelor of Science in nursing from Rutgers, The State University of New Jersey, in New Brunswick. He remains at Rutgers to complete a Master of Science in nursing, focusing on adult and geriatric care. 

Philip is trained in basic life support and advanced cardiac life support. He is also certified as an adult/gerontology acute care nurse practitioner. 

Philip’s professional experience includes working in emergency room settings and managing patient care across various crisis and trauma needs. He also brings experience in managing patient care after surgical interventions, in addition to treating numerous acute and chronic musculoskeletal pain disorders. 

Philip enjoys working one-on-one with those in his care, getting to know them and their unique health needs. He finds his work deeply rewarding, especially when patients overcome significant challenges in pain management.