Dr. Matthias Wiederholz, MD

Interventional Pain MedicineMaleAge 46

Interventional Pain Medicine

Dr. Matthias Wiederholz, MD is an interventional pain medicine specialist in Lawrenceville, NJ and has over 19 years of experience in the medical field. He graduated from Robert Wood Johnson Medical School in 2003. He is affiliated with medical facilities such as Robert Wood Johnson University Hospital Hamilton and East Houston Hospital & Clinics. His office accepts new patients and telehealth appointments.

Dr. Matthias Wiederholz, MD

Performance Pain & Sports Medicine

4056 Quakerbridge Rd Lawrenceville, NJ 08648
Accepting new patients

Make an Appointment

(609) 588-8600

Accepting new patients

  • Explains Conditions Well
    Patients said this doctor explains conditions well. See reviews
  • Offers Telehealth
    This provider offers telehealth appointments. Schedule an appointment.
  • Good Patient Care
    Patients said they had exceptional care at this hospital. See hospitals
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Experience and Background Checks

Experience
Background

Background Check

No malpractice claims found for New Jersey
No disciplinary actions found for the years we collect data
No board actions found for the years we collect data
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Experience Check

Check Dr. Wiederholz's experience treating your condition or procedure

Dr. Wiederholz's Top Procedures and Conditions

Treatment Frequency
Low Back Pain
very high
very high

Treatment Frequency

Dr. Wiederholz treats Low Back Pain more than 98% of his peers

Dr. Wiederholz treats this condition more than 98% of his peers

Chronic Pain
very high
very high

Treatment Frequency

Dr. Wiederholz treats Chronic Pain more than 98% of his peers

Dr. Wiederholz treats this condition more than 98% of his peers

Benign Chronic Pain Syndrome
very high
very high

Treatment Frequency

Dr. Wiederholz treats Benign Chronic Pain Syndrome more than 98% of his peers

Dr. Wiederholz treats this condition more than 98% of his peers

Dr. Wiederholz's conditions and procedures:

  • Low Back Pain
  • Chronic Pain
  • Benign Chronic Pain Syndrome
  • Achilles Tendinitis
  • Acute Pain
  • Acute Postoperative Pain
  • Adhesive Capsulitis Shoulder
  • All Headaches (incl. Migraine)
  • Ankle Disorders
  • Ankle Injury
  • Ankle Sprain and Achilles Tendon Sprain or Rupture
  • Arthritis
  • Arthritis of the Ankle
  • Arthritis of the Foot
  • Autoimmune Diseases
  • Back Pain
  • Baker’s Cyst
  • Bone Disorders
  • Brachial Plexus Injuries
  • Brachial Plexus Palsy
  • Bursitis
  • Cancer Pain
  • Carpal Tunnel Syndrome
  • Cervical Dystonia
  • Cervical Spine Disorders
  • Cervical Spine Myelopathy
  • Cervical Spondylolisthesis
  • Chronic Back Pain
  • Chronic Foot Pain
  • Chronic Joint Pain
  • Chronic Neck Pain
  • Chronic Pain Syndrome
  • Chronic Pelvic Pain
  • Complex Regional Pain Syndrome (CRPS)
  • Degenerative Disc Disease
  • Degenerative Diseases Affecting Musculoskeletal System
  • Degenerative Disorders
  • Degenerative Joint Disease in the Shoulder
  • Degenerative Spine Disorders
  • Degenerative Spondylolisthesis
  • Diabetic (Charcot) Foot
  • Diabetic Polyneuropathy
  • Elbow Bursitis
  • Elbow Disorders
  • Enthesopathy of Hip (incl. Trochanteric Bursitis)
  • Enthesopathy of Knee (incl. Bursitis of Knee)
  • Fibromyalgia
  • Food Additive Allergy
  • Food Allergy
  • Fracture
  • Gait Abnormality
  • Ganglion Cyst
  • Growth Hormone Deficiency
  • Growth Hormone Receptor Deficiency
  • Hand Conditions
  • Head and Neck Pain
  • Headache
  • Herniated Disc
  • Hormone Imbalance
  • Inflammatory Pelvic Pain
  • Intervertebral Disc Disease
  • Knee Disorders
  • Lateral and Medial Epicondylitis (Tennis and Golf Elbow)
  • Low Back Disorders
  • Low Back Pain During Pregnancy
  • Lower Back Muscle Strain
  • Lower Back Sprain
  • Lumbar Disc Degeneration
  • Lumbar Herniated Disc
  • Lumbar Radiculopathy
  • Lumbar Spinal Stenosis
  • Lumbar Spine Fracture
  • Lumbar Sprain
  • Male Pelvic Pain
  • Middle Back Pain
  • Migraine
  • Migraine, Hormone-Induced
  • Musculoskeletal Pain
  • Myelopathy
  • Neck Pain
  • Non-Inflammatory Pelvic Pain
  • Occupational Injuries
  • Osteoarthritis
  • Osteoarthritis of Hand or Wrist
  • Osteoarthritis of Hip
  • Osteoarthritis of Knee
  • Osteoarthritis of Shoulder
  • Osteoarthritis of Spine
  • Pain Disorder
  • Pain in Extremities
  • Pain, Intractable
  • Patellofemoral Pain Syndrome (PFPS)
  • Pelvic Pain
  • Peripheral Nerve Disorders
  • Phantom Limb Pain
  • Pinched Nerve
  • Pinched Nerve in Back
  • Pinched Nerve in Neck
  • Plantar Fasciitis
  • Post-Laminectomy Syndrome
  • Premature Aging
  • Radiculopathy
  • Reflex Sympathetic Dystrophy
  • Rheumatoid Arthritis
  • Runner's Knee
  • Sacroiliac Joint Dysfunction
  • Sacroiliac Pain Syndrome
  • Sacroilitis
  • Sacrum Disorders
  • Sciatica (Not Due to Disc Displacement)
  • Scoliosis
  • Severe Chronic Pain
  • Shoulder Dislocation
  • Shoulder Disorders
  • Shoulder Tendinitis and Tenosynovitis
  • Spinal Stenosis
  • Spine Deformities
  • Spine Disorders
  • Spondylitis
  • Spondylolisthesis
  • Sports Injuries
  • Sprain
  • Sprains and Strains (incl. Muscle Tear)
  • Testosterone Deficiency
  • Thoracic Disc Disorders
  • Thoracic Disorders
  • Thoracic Outlet Syndrome
  • Thoracic Spine Fracture
  • Thoracic Spine Myelopathy
  • Toxic Exposure
  • Trigeminal Neuralgia
  • Upper Back Pain
  • Wrist Disorders
  • Bioidentical Hormone Replacement Therapy
  • Diet Counseling
  • Endoscopic Laser Therapy
  • Epidural Implants
  • Epidural Lysis of Adhesions (LOA)
  • Epidural Steroid Injections
  • Exercise Counseling
  • Food Sensitivity Testing
  • Hormone Replacement Therapy
  • Hormone Therapy, Men
  • Joint Drainage
  • Nerve Blocks
  • Nerve Conduction Studies
  • Neurostimulation
  • Non-Cosmetic Chemodenervation
  • Occupational Therapy
  • Peripheral Nerve Injections
  • Peripheral Nerve Stimulation
  • Peripheral NeuropathyTesting
  • Physical Therapy
  • Platelet-Rich Fibrin(PRF)
  • Restylane® Injections
  • Spinal Injections
  • Spine and Sports Musculoskeletal Rehabilitation
  • Stem Cell Therapy
  • Successful Aging Program
  • Thyroid Hormone Balancing
  • Transcutaneous Electrical Nerve Stimulation (TENS)
  • Viscosupplementation With Hyaluronate
  • Weight Loss Management
  • Weight Maintenance

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Dr. Wiederholz's Reviews

Likelihood to recommend Dr. Wiederholz

4.6

Based on 68 ratings

5 Star
87%
87%
4 Star
3%
3%
3 Star
1%
1%
2 Star
0%
0%
1 Star
9%
9%
What went well
No reviews yet
What could be improved
No reviews yet

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RecentHighestLowestMost Helpful
Reply
I first visited Dr Wiederholz in Jan with fairly significant back and hip pains. He identified the likely cause ,which was later verified by an MRI, and explained treatment options. After two visits for treatment I no longer have the debilitating pain present when I first saw him in Jan. I appreciated the time he spent explaining my back issues and providing a successful treatment. I give him and his staff high marks .
What went well
  • I felt respected
  • Appointment scheduling
  • Listened & answered questions
  • Explained conditions well
  • Staff friendliness
  • Appointment wasn't rushed
  • Trusted the provider's decisions
  • Wait times
What could be improved
No results
Helpful
Apr 19, 2023
Thank you for your kind words. I'm glad you found...Read More
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Reply
I saw Dr. Wiederholz for severe neck pain. I received an injection from him and it has changed my life. My pain level has improved dramatically. The office staff was extremely friendly and helpful.
What went well
  • Appointment scheduling
  • Listened & answered questions
  • Explained conditions well
  • Staff friendliness
  • Appointment wasn't rushed
  • Trusted the provider's decisions
  • Wait times
What could be improved
No results
Helpful
Mar 28, 2023
Thank you for the kind comment. I'm so glad you...Read More
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Reply
5 star
Dr W is the best! I'm a 75 year old male who has arthritis issues for more than 10 years. As a 10 year patient, Doctor W has had my quality of life at the forefront of my visits My wife is also a patient with knee issues and Dr W has helped her with the proper treatment. He gets the recommendation of our household!
What went well
  • Appointment scheduling
  • Listened & answered questions
  • Explained conditions well
  • Staff friendliness
  • Appointment wasn't rushed
  • Trusted the provider's decisions
  • Wait times
What could be improved
No results
Helpful
Frank Papa – Feb 16, 2023
Thank you for the kind comment. I'm glad we are...Read More
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Reply
Never a bad experience
I’ve been seeing Dr. Weiderholz for about 3 years now. Never a bad experience. Office staff is responsive and professional. Dr. Weiderholz has always been patient and understanding when dealing with my issues. Definitely recommend.
What went well
  • Appointment scheduling
  • Listened & answered questions
  • Explained conditions well
  • Staff friendliness
  • Appointment wasn't rushed
  • Trusted the provider's decisions
  • Wait times
What could be improved
No results
Helpful
TKram – Aug 21, 2022
Dr. Wiederholz's Reply –
Thank you for the kind words.
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Reply
Very pleased
Today I was released by Dr. Wiederholz. My hip/back problems have significantly improved since he performed the Mild procedure in March of 2022. he recommended I go to physical therapy also. That has helped me greatly. I am very pleased with the Dr. he seems genuinely concerned for my health and mobility. I would highly recommend him if you are experiencing spinal stenosis. Thank you Dr. Wiederholz.
What went well
  • Appointment scheduling
  • Listened & answered questions
  • Explained conditions well
  • Staff friendliness
  • Appointment wasn't rushed
  • Trusted the provider's decisions
  • Wait times
What could be improved
No results
1 person found this helpful
Helpful
George R. – Aug 05, 2022
Thank you for the kind words. Please let us know...Read More
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Life Changing!
As a 60 y/o post menopausal woman, I went to Dr. Weiderholz initially to get more information on Biote implants for my menopause related symptoms and within 7-10 days of my first implant, my hot flashes were greatly reduced and I was actually able to sleep through the night!! After the first month, they were gone completely and it was truly unbelievable! The whole process takes just a few minutes and after the first little stick ,it is painless and lasts for 3 months!! After 10 years of struggling and trying to find the right answer, Dr. Weiderholz had the solution all along! So I highly recommend that anyone who is suffering from menopause symptoms to see this amazing Dr. as he will give you your life back!!
What went well
  • Appointment scheduling
  • Listened & answered questions
  • Explained conditions well
  • Staff friendliness
  • Appointment wasn't rushed
  • Trusted the provider's decisions
  • Wait times
What could be improved
No results
1 person found this helpful
Helpful
Lu Ann – Aug 04, 2022
I'm so glad the treatments have been helpful for...Read More
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Reply
Very likely
Dr W uses cutting edge pain management strategies. My surgeon exhausted all his abilities to help me. Dr W has definitely helped manage my pain.
What went well
  • Appointment scheduling
  • Listened & answered questions
  • Explained conditions well
  • Staff friendliness
  • Appointment wasn't rushed
  • Trusted the provider's decisions
  • Wait times
What could be improved
No results
1 person found this helpful
Helpful
Steven Mintz – Aug 04, 2022
Dr. Wiederholz's Reply –
Thank you for the kind words.
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Reply
PostFacetInjectionReview
Dr W and his staff were very pleasant to work with and listened to all my concerns. There was no pressure regarding treatment once all options were discussed. His non-"pushy" attitude allowed me time to make my treatment decision on my own terms. After doing my own research, I decided to go with Dr W's first option and everything turned out well.
What went well
  • Appointment scheduling
  • Listened & answered questions
  • Explained conditions well
  • Staff friendliness
  • Appointment wasn't rushed
  • Trusted the provider's decisions
  • Wait times
What could be improved
No results
Helpful
C. Walker – Jul 26, 2022
Thank you for the kind words. Please let us know...Read More
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Reply
Excellent
What went well
  • Appointment scheduling
  • Listened & answered questions
  • Explained conditions well
  • Staff friendliness
  • Appointment wasn't rushed
  • Trusted the provider's decisions
  • Wait times
What could be improved
No results
Helpful
Adam tarnowski – Jul 11, 2022
Dr. Wiederholz's Reply –
Thank you!
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Reply
RECEIVED TREATMENT, WHICH WAS VERY EFFECTIVE IN RELIEVING MY PAIN, AND HAD A FOLLOW-UP CALL, WHICH WAS PROMPT, COURTEOUS, FRIENDLY AND REVIEWED MY PROGRESS.
What went well
  • Appointment scheduling
  • Listened & answered questions
  • Explained conditions well
  • Staff friendliness
  • Appointment wasn't rushed
  • Trusted the provider's decisions
  • Wait times
What could be improved
No results
Helpful
Louise Zoilkowski – May 04, 2022
I'm so glad you got relief. Thank you for taking...Read More
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Reply
Dr. W helped me with my back pain
Dr. Wiederholz was able to help me after I went to the hospital with a stabbing pain in my lower back. He was able to fit me into his schedule that day. He gave me a cortisone shot in my lower back, the next day the pain was almost gone. In two days I was pain free. His treatment allowed me to go back to a normal life, without the pain. Thanks.
What went well
  • Explained conditions well
  • Staff friendliness
  • Trusted the provider's decisions
  • Wait times
What could be improved
No results
Helpful
Robert Fletcher – May 03, 2022
Dr. Wiederholz's Reply –
Thank you for the kind words.
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Reply
If I could give 10 stars, I would!
Dr. Wiederholz and his staff are extremely helpful and compassionate in treating my spinal issues and pain. I fell from heights head first and after waking up from a coma, I had years of rehabilitation suffering from terrible pain due to my spinal fractures and nerve pain damage. Now I am under the care of Dr. Wiederholz. Everything from the ease of scheduling appointments, comprehensive understanding of my spinal pain and treatments, clear communication back to me, to follow ups, I am truly thankful for finally finding the right direction to the pain relief that I have been searching for. It is life changing.
What went well
  • Appointment scheduling
  • Listened & answered questions
  • Explained conditions well
  • Staff friendliness
  • Appointment wasn't rushed
  • Trusted the provider's decisions
  • Wait times
What could be improved
No results
Helpful
May 02, 2022
Thank you for the kind words. We have a great...Read More
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Unbelievable Results from Treatment
I went to Doctor Wiederholz as a last resort prior to scheduling a 3 level (lumbar) fusion. I found that Doctor Wiederholz is very understanding and compassionate doctor that took the time out to educate me on my symptoms and the medical treatment (without an extensive surgery) to treat my condition. His recommendations (for Discseel) amazingly prevailed. The injections (Discseel) that Doctor Wiederholz were placed in all the right places, as he performed this medical procedure with precision despite there were hard places to reached (because of areas where I had issues were hard to reach due to the damage caused over the years: sports, car accidents, etc.). Since the procedure, there was remarkable improvement (only 3 months), I comfortably can indicate that there is no need for a 3 level fusion. I’m looking forward to future treatment other areas of my spine (with Doctor Wiederholz). To date, I’m off to an excellent start.
What went well
  • Appointment scheduling
  • Listened & answered questions
  • Explained conditions well
  • Staff friendliness
  • Appointment wasn't rushed
  • Trusted the provider's decisions
  • Wait times
What could be improved
No results
Helpful
Michael Adler – Mar 10, 2022
I'm so glad Discseel has been a huge success for...Read More
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Excellent experience! I have had several procedures (Discseel, stem cell, PRP) for back and hip issues with Dr. Wiederholz both in NJ and Houston and I found both offices and the doctor professional and personable. Dr. Wiederholz really listens to you and offers treatments that actually are intended to heal you instead of just covering up your symptoms.
What went well
  • Appointment scheduling
  • Listened & answered questions
  • Explained conditions well
  • Staff friendliness
  • Appointment wasn't rushed
  • Trusted the provider's decisions
  • Wait times
What could be improved
No results
Helpful
Happy Customer – Mar 03, 2022
Thank you for the kind words. It's rare that we...Read More
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I am a disabled veteran and required stem cell treatment on my lower lumbar section of my back using my hip area bone marrow. Since the VA does not provide this kind of advanced treatment, I was sent to Dr. Wiederholz. The procedure went as planned and was painless. It has been 2 weeks and I feel great. From the moment I walked in the front door, the staff treated me like I was family. From the front desk to the nurses, the anesthesiologist and finally Dr Wiederholz, who performed the procedure. Nothing short of a 5 Star physician and would highly recommend to anyone.
What went well
  • Appointment scheduling
  • Listened & answered questions
  • Explained conditions well
  • Staff friendliness
  • Appointment wasn't rushed
  • Trusted the provider's decisions
  • Wait times
What could be improved
No results
Helpful
Larry Clutter – Sep 05, 2021
Thank you for the kind words. I'm so glad you're...Read More
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Reply
It has been less than a week since I received PRP injections in the lumbar and SI region, but I am already starting to notice more strength and neuromuscular activation in the muscles of my low back. The treatment, administered by Dr. Wierderholz, was quick and deliberate. The staff made sure that no time was wasted during the process, with everything from the blood draw to the post procedure evaluation taking less than two hours. I am excited for the recovery process and am optimistic about improvements in chronic low back pain!
What went well
  • Staff friendliness
  • Wait times
What could be improved
No results
1 person found this helpful
Helpful
Sep 01, 2021
We're glad you're doing well after the PRP...Read More
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Reply
Finally a physician who listens to his patients! An educated man, Who really wants to see a person get better. The staff is very friendly and efficient
What went well
  • Appointment scheduling
  • Listened & answered questions
  • Explained conditions well
  • Staff friendliness
  • Appointment wasn't rushed
  • Trusted the provider's decisions
  • Wait times
What could be improved
No results
Helpful
MaryBeth Fine – Jul 09, 2021
Thank you for the kind words. My staff at...Read More
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Reply
I would highly recommend Dr. Wiederholz at Performance Pain Management. Very professional and compassionate. Nervous getting first cortisone shot in knee. Doctor Was great and it was done before I even knew it. Great staff and office is very convenient. Highly recommend!
What went well
  • Appointment scheduling
  • Listened & answered questions
  • Explained conditions well
  • Staff friendliness
  • Appointment wasn't rushed
  • Trusted the provider's decisions
  • Wait times
What could be improved
No results
Helpful
Scott A. – Jun 25, 2021
Thank you for the kind words. Please let us know...Read More
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Reply
discseel procedure. It seems like it helped. Dr and staff were very good.
What went well
  • Appointment scheduling
  • Listened & answered questions
  • Explained conditions well
  • Staff friendliness
  • Appointment wasn't rushed
  • Trusted the provider's decisions
  • Wait times
What could be improved
No results
Helpful
Jim O'Bosky – Jun 03, 2021
I'm glad the Discseel procedure offered you...Read More
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Reply
I had seen another Dr. before coming to Dr.Wiederholz. I found him to be polite & concerned.He discussed & explained modes of treatment in detail. I am satisfied & happy to be his patient.
What went well
  • Listened & answered questions
  • Appointment wasn't rushed
What could be improved
No results
Helpful
Navida Ahmed – Feb 15, 2021
Dr. Wiederholz's Reply –
Thank you for the kind words.
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About Me

Care Philosophy

As you can see from my bio above, my approach is a comprehensive, integrated, NON-SURGICAL approach to health and wellness in patients suffering from musculoskeletal...Read more

Biography

Hello and thank you for checking out my profile. My passion is to help patients with injuries and musculoskeletal conditions avoid surgery. This is accomplished...Read more

Specialties

  • Interventional Pain Medicine
  • Pain Medicine
  • Sports Medicine
  • Sports Physical Medicine & Rehabilitation
  • Age Management Medicine
  • Pain Management
  • Physical Medicine & Rehabilitation Pain Medicine
  • Regenerative Medicine
  • Functional Medicine
Less...

Board Certifications

  • Physical Medicine & Rehabilitation
  • Pain Medicine
  • Sports Medicine

Education

2016
UNIVERSITY OF SOUTH FLORIDA / COLLEGE OF MEDICINE
2013
American Academy Of Anti-Aging Medicine
Fellowship Hospital
2008
Non Surgical Orthopaedics
Fellowship Hospital
2007
Baylor College Of Med
Residency Hospital
2004
Cooper Hospital University Med Center
Internship Hospital
2004
Cooper Hospital University Medical Center
Internship Hospital
2003
Robert Wood Johnson Medical School
Medical School
2003
Umdnj Rw Johnson Med School
Medical School
1999
Siena College
Undergraduate School

Languages

  • English
  • German

Awards

Frequently Asked Questions

What is the best way to schedule an appointment with Dr. Matthias Wiederholz, MD?

View contact information to make an appointment.

Does Dr. Matthias Wiederholz, MD accept any insurance plans?

A list of accepted insurance providers is available on the Healthgrades insurance check. It is always a good idea to verify your insurance when making an appointment.

Does Dr. Matthias Wiederholz, MD accept new patients?

New patients are generally accepted by Dr. Matthias Wiederholz, MD on Healthgrades. To arrange an appointment, call the number on undefined's profile.

What conditions does Dr. Matthias Wiederholz, MD treat?

Dr. Matthias Wiederholz, MD frequently treats the following conditions: Benign Chronic Pain Syndrome, Chronic Pain, and Low Back Pain. See more on Healthgrades.

What is Dr. Matthias Wiederholz, MD's office address?

Dr. Wiederholz's office is located at 4056 Quakerbridge Rd, Lawrenceville, NJ 08648. You can find other locations and directions on Healthgrades.

What languages is Dr. Matthias Wiederholz, MD fluent in?

Dr. Matthias Wiederholz, MD is able to speak English and German. View profile to see all.

Is Dr. Matthias Wiederholz, MD able to provide telehealth services?

Dr. Matthias Wiederholz, MD provides telehealth services. Please contact the office to determine whether you are eligible.

Is Dr. Matthias Wiederholz, MD affiliated with any hospitals?

Dr. Matthias Wiederholz, MD is affiliated with Robert Wood Johnson University Hospital Hamilton and East Houston Hospital & Clinics.

How much experience does Dr. Matthias Wiederholz, MD have?

Dr. Matthias Wiederholz, MD has over 19 years of healthcare experience.

Does Dr. Matthias Wiederholz, MD receive good ratings from patients?

There is a star rating of 4.6/5 for Dr. Matthias Wiederholz, MD. Patients say that they trusted the provider's decisions and the provider explained conditions well. See all patient feedback on Healthgrades.

Locations

Performance Pain & Sports Medicine

Performance Spine & Sports Medicine4056 Quakerbridge Rd Lawrenceville, NJ 08648
1
  • Call
  • Fax
  • Hours
    • Mon: 7:00am - 7:00pm
    • Tue: 7:00am - 7:00pm
    • Wed: 7:00am - 7:00pm
    • Thu: 7:00am - 7:00pm
    • Fri: 7:00am - 6:00pm
  • Directions

Performance Pain & Sports Medicine

Performance Pain & Sports Medicine4126 Southwest Fwy Ste 1700 Houston, TX 77027
2
  • Call
  • Fax
  • Hours
    • Mon: 9:00am - 5:00pm
    • Tue: 9:00am - 5:00pm
    • Wed: 9:00am - 5:00pm
    • Thu: 9:00am - 5:00pm
    • Fri: 9:00am - 5:00pm
    • Sat: closed
    • Sun: closed
  • Directions

Affiliated Hospitals

Dr. Wiederholz is affiliated with the following hospitals. Select a hospital below to learn more.

Learn more about how Healthgrades measuresHospital Quality.

Oakbend Medical Center

Richmond, TX

65% Patients that would definitely recommend, 5% lower than the national average

Robert Wood Johnson University Hospital Hamilton

Hamilton, NJ

57% Patients that would definitely recommend, 13% lower than the national average

East Houston Hospital & Clinics

Houston, TX

56% Patients that would definitely recommend, 14% lower than the national average