$re = '/(\S+?),(?=\S+)/m';
$str = 'SELECT
di.QuestionSetID AS SectionID,
di.QuestionSetID AS SectionID2
,di.ScoreNBR AS Section,LowestTopBoxNBR
,di.AveragePercentileNBR AS SectionTopBoxPercentileRankNBR
,qdate.Quarter,StartDTS AS Section,StartDTS
FROM NRCPicker.PatientSatisfaction.DimensionPercentile AS di
INNER JOIN (';
$subst = "$1 ";
$result = preg_replace($re, $subst, $str);
echo "The result of the substitution is ".$result;
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for PHP, please visit: http://php.net/manual/en/ref.pcre.php