Expert Back Pain Care Serving Middletown, NJ
A dull ache after mowing the lawn, a sharp twinge that shoots down the leg after a long shift on your feet, stiffness that won’t loosen up by mid-morning — these are the kinds of complaints Middletown residents bring to Dr. Alok Sharan, MD, MHCDS, at The Spine and Performance Institute in Edison. Dr. Sharan is a board-certified, fellowship-trained spine surgeon who built his practice around a simple principle: most back pain does not need an operation, and he takes the time to prove that out with every patient before surgery is ever discussed. For the many Middletown patients who drive in from along Route 35 and the Garden State Parkway corridor, that usually means starting with physical therapy, targeted injections, and activity modification — and reserving surgery for the cases where imaging and exam findings actually support it.

Years Experience

Why Middletown Patients Choose Dr. Sharan for Back Pain
Board-certified by the American Board of Orthopaedic Surgery
Fellowship-trained at NYU Hospital for Joint Diseases
Recognized as a Castle Connolly Top Doctor and NY Magazine Best Doctor
A pioneer of awake spinal fusion surgery in the United States
Published author of more than 100 peer-reviewed studies in spine care
Deputy Editor of Clinical Spine Surgery, a peer-reviewed medical journal
Rated 5.0 stars across 201 Google reviews from patients
Over 20 years of experience diagnosing and treating spine conditions
Dr. Alok Sharan — Back Pain Specialist Serving Middletown and Monmouth County
Middletown is one of the largest townships in Monmouth County, and patients from its many neighborhoods — Lincroft, Belford, Port Monmouth, Leonardo, and the areas around Route 35 and Route 36 — have historically had to travel into New York City or down to the Jersey Shore’s larger hospital systems to find a fellowship-trained spine surgeon. Dr. Sharan brings that level of expertise to Edison, a manageable drive from Middletown, without the added cost and hassle of a big-city practice. He completed his fellowship at NYU Hospital for Joint Diseases, is board-certified by the American Board of Orthopaedic Surgery, and has been named a Castle Connolly Top Doctor and NY Magazine Best Doctor — recognitions built on more than 20 years of clinical experience and over 100 published, peer-reviewed studies.
What sets Dr. Sharan apart for Middletown patients is his conservative-first philosophy paired with a surgical technique he helped pioneer nationally: awake spinal fusion. Rather than defaulting to general anesthesia and a multi-day hospital stay, Dr. Sharan uses regional anesthesia for appropriate candidates, which can mean a same-day discharge and a meaningfully shorter recovery. For a commuter town like Middletown, where getting back to work and daily routines matters, that difference can be significant — and it is only offered after conservative care has genuinely been tried first.
Common Causes of Back Pain Treated for Middletown Patients
Dr. Sharan sees a wide range of back and neck complaints from Middletown residents, from nerve-related leg pain that limits mobility to long-standing mechanical pain from years of wear. Middletown’s mix of daily commuters, weekend athletes, and longtime residents managing age-related wear all bring a similar set of underlying issues into the office. Among the conditions evaluated most often are the following.
Back Pain Conditions We Treat
Back Pain Treatment Options for Middletown Residents
Every Middletown patient starts with a thorough evaluation and, in most cases, a course of non-surgical treatment before surgery is ever on the table. Depending on the diagnosis, Dr. Sharan may recommend:
Physical therapy and guided core-strengthening programs
Image-guided epidural steroid injections for nerve-related pain
Minimally invasive spine surgery for well-selected candidates
Laminectomy and discectomy to relieve compressed nerves
Lumbar fusion for instability or advanced disc degeneration
Lumbar spine surgery for chronic, mechanical low back pain
Anterior cervical discectomy and fusion (ACDF) for neck-related nerve compression
When Is Back Surgery Necessary?
Surgery is never the starting point in Dr. Sharan’s practice. It becomes a reasonable option only when certain conditions are met, including:
Weeks to months of conservative treatment have not meaningfully improved symptoms
MRI or CT imaging shows a clear structural cause that matches the symptoms
Leg or arm weakness, numbness, or progressive nerve symptoms are present
Pain is significantly limiting work, sleep, or daily function despite treatment
Loss of bladder or bowel control or other signs of a surgical emergency are present
If you have reached this point, Dr. Sharan will walk you through your surgical options in detail, including whether you may be a candidate for awake spinal fusion. Learn more about what surgery involves on our spine surgery in Middletown, NJ page.
Awake vs Traditional Spine Surgery
| Traditional Spine Surgery | Awake Spinal Fusion — Dr. Sharan |
|---|---|
| General anesthesia | Regional anesthesia with sedation |
| 1–3 day hospital stay | Same-day discharge in most cases |
| 6–12 week recovery | 2–4 week recovery |
| Higher complication risk | Fewer complications, less blood loss |
| Greater reliance on opioid pain medication | Reduced need for opioid pain medication |
Getting to Our Edison Office from Middletown NJ
From most parts of Middletown, the drive to The Spine and Performance Institute takes roughly 35 to 40 minutes without heavy traffic. The typical route is to take Route 35 South (or the Garden State Parkway South, depending on your starting neighborhood) toward Route 18 South, following Route 18 through Marlboro and Old Bridge before connecting to Route 1 South into Edison. Our office is located at 35-37 Progress St., Suite B5, Edison, NJ 08820, just off Route 1. If you already have MRI or imaging studies, you can upload them ahead of your visit at this secure link so Dr. Sharan can review them before you arrive. To schedule, call (732) 898-3950.
Frequently Asked Questions — Back Pain Doctor Middletown NJ
How far is The Spine and Performance Institute from Middletown, NJ?
The office is located at 35-37 Progress St., Suite B5, Edison, NJ 08820. Depending on which part of Middletown you’re coming from, the drive typically takes 35 to 40 minutes via Route 35, the Garden State Parkway, and Route 18 to Route 1.
When should I see a spine specialist instead of just waiting out my back pain?
Most everyday back pain improves on its own within a few weeks. It’s worth scheduling an evaluation with Dr. Sharan if pain persists beyond a few weeks, worsens with rest, radiates into a leg or arm, or comes with numbness, tingling, or weakness — these can indicate a nerve is involved and deserve a closer look.
Does Dr. Sharan treat sciatica and leg pain, or only back pain itself?
Both. Many Middletown patients come in for pain that radiates from the low back into the buttock, thigh, or lower leg — often caused by a herniated disc or spinal stenosis pressing on a nerve. Dr. Sharan evaluates the full picture, not just the back, to identify the actual source of the pain.
What is awake spinal fusion, and could I be a candidate?
Awake spinal fusion is a technique Dr. Sharan helped pioneer that uses regional anesthesia with sedation instead of general anesthesia, which for eligible patients can mean a same-day discharge and a shorter recovery than traditional fusion surgery. Whether it’s appropriate depends on your specific diagnosis and imaging, which Dr. Sharan will review with you directly.
Will I definitely need surgery if I come in for an evaluation?
No. Most patients Dr. Sharan sees are managed with non-surgical care first, such as physical therapy or targeted injections. Surgery is only discussed when conservative treatment hasn’t worked and imaging clearly supports it.
Dial 732-898-3950 now to schedule a consultation and learn more about how we can help change your life.
Dr. Sharan is proud to serve back pain patients from throughout Middletown as well as nearby Monmouth County communities including Red Bank, Holmdel, and Atlantic Highlands. If conservative care hasn’t resolved your symptoms and you’d like to understand your surgical options, visit our spine surgery in Middletown, NJ page or call (732) 898-3950 to schedule a consultation.






