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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.

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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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.

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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.

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.

Mahmud Ibrahim, MD, practices at Ascension Spine Pain and Sports Medicine in East Brunswick, New Jersey. He holds dual board certification in sports medicine and physical medicine and rehabilitation and is fellowship trained in interventional pain management.

When treating patients at Ascension Spine Pain and Sports Medicine, 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 fluoroscopy-guided interventional pain management procedures, he 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. 

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.