Imaging and Symptom Review
Dr. Zahos may review your MRI, CT, X-rays or nerve testing (EMG/NCS). He reads them alongside your symptoms and exam.
Get back pain treatment in Paramus, NJ from a New Jersey Monthly Top Doctor who starts with non-surgical care. Dr. Peter A. Zahos finds out what’s behind the pain and explains your MRI in plain words.
Something on your MRI doesn’t always explain how you feel. Dr. Zahos looks at your symptoms, exam and imaging before talking about treatment.
He is a board-certified neurosurgeon with more than 30 years of experience and was named a New Jersey Monthly Top Doctor. He has led neurosurgery programs at Cleveland Clinic Florida and Jacobi Medical Center.
Patients often say Dr. Zahos explains their MRI clearly. He tells you what’s likely causing your pain, whether your imaging matches it and what to do next. He recommends surgery only when you need it.
Dr. Zahos trained at Albert Einstein College of Medicine and Montefiore Medical Center, where he was chief resident, and has taught at New York Medical College since 2016. Learn more about Level One Neurosurgery and how we approach spine and nerve care.

Dr. Zahos gives you a straight answer, even when that answer is that you don’t need surgery.
“Dr. Zahos approached my situation with kindness and honesty. He explained that surgery was not necessary at this time and encouraged me to follow up if my condition changed.”
WebMD patient review
Patients often mention Dr. Zahos’s calm manner, his straightforward advice and how he makes complicated spine findings easy to understand.
Our office at 140 Route 17 North lets patients from Paramus, Ridgewood, Fair Lawn, River Edge, Hackensack and across Bergen County have back pain and spine imaging reviewed by a board-certified neurosurgeon close to home.
When sitting, standing or shifting position hurts, driving Route 17, working and walking all get harder. Your visit looks at how the pain affects your day, not just your imaging report.
You can get a clear neurosurgical opinion without going into New York City. As a spine surgeon in Paramus, Dr. Zahos reviews your symptoms and imaging, tells you whether non-surgical care still makes sense and brings up surgery only when there’s a medical reason to.

The right treatment depends on where the pain comes from. Your visit covers your history, a neurological exam, the care you’ve already tried and any scans or tests you bring.
Dr. Zahos may review your MRI, CT, X-rays or nerve testing (EMG/NCS). He reads them alongside your symptoms and exam.
If you don’t need surgery now, Dr. Zahos may suggest keeping an eye on things or continuing non-surgical care. If a pinched nerve, instability or another structural problem needs an operation, he explains why and what the surgery is meant to fix.
Back pain is a symptom, not a diagnosis. Dr. Zahos works out whether it comes from wear and tear, a nerve, the structure of the spine, a muscle or more than one of these.
Discs change with age, but that doesn’t always cause pain. Dr. Zahos checks whether disc wear actually matches your symptoms.
Stenosis narrows the space for the nerves. In the lower back it can cause pain, heaviness, numbness or weakness that gets worse when you stand or walk. Treatment depends on how narrow it is and how much it limits you.
A herniated disc can press on a nerve and cause back pain that travels into the buttock or leg. Where the disc is and whether you have weakness or other nerve changes shape the plan.
When one vertebra slips over another, it can cause back pain, pinch a nerve or make the spine less stable. Dr. Zahos looks at how far it has slipped, your symptoms and how well you move.

Technology helps connect what the tests show with what you feel.
An MRI shows the discs, nerves and spinal canal. CT and X-rays show more about bone and alignment. Nerve testing (EMG/NCS) may help when nerve function needs a closer look.
When surgery is needed, Dr. Zahos uses minimally invasive techniques, navigation-guided and robotic-assisted instrumentation, lumbar decompression, fusion and complex reconstruction, chosen to fit your diagnosis.

Our team can go over your benefits and what you can expect to pay before your appointment.
Benefits vary by plan. Call our Paramus office at (201) 977-1445 and we’ll go over yours.
Common questions before a back pain evaluation with a neurosurgeon.
No. Dr. Zahos starts with non-surgical care and recommends surgery only when your symptoms, exam and imaging show you need it.
Get checked if the pain doesn’t ease with early care, gets in the way of your day or travels into a leg, or if you have numbness, weakness, balance problems or an MRI finding you want explained.
Yes. Bring your MRI, CT, X-rays or other records and Dr. Zahos will go over them alongside your symptoms and exam.
It depends on the visit and your insurance benefits. Call the office before your visit and we’ll go over it with you.
Yes. Dr. Zahos offers second-opinion evaluations to confirm a diagnosis, review your imaging, go over alternatives and tell you whether the surgery you’ve been offered is necessary.
Meet with board-certified neurosurgeon Dr. Peter A. Zahos for a personalized evaluation, imaging review, or trusted second opinion.