Herniated Disc Treatment in Paramus, NJ

Find out whether a herniated disc is causing your pain, numbness, or weakness. Dr. Peter A. Zahos reviews your symptoms and imaging, recommending surgery only when medically necessary.
30+ Years

Neurosurgical Experience

Imaging + Examination

Diagnosis-Matched Treatment

Board-Certified

Neurological Surgeon

Is a Herniated Disc Causing Your Symptoms?

A herniated disc occurs when material from inside a spinal disc pushes through its outer layer. The displaced material may irritate or compress a nearby nerve, but an abnormality on an MRI does not always explain a patient’s pain.

Symptoms depend on where the affected disc is located and which neurological structure is involved. A cervical disc herniation may cause neck pain or symptoms extending into the shoulder, arm, or hand. A lumbar disc herniation may cause lower-back pain, leg pain, numbness, tingling, or weakness.

Dr. Zahos compares the imaging findings with the patient’s symptom pattern and neurological examination before recommending treatment.

Signs That Deserve Prompt Evaluation

Patients should seek timely medical attention when neck or back symptoms occur with worsening weakness, impaired balance, difficulty walking, loss of hand coordination, or other significant neurological changes. These findings may indicate more substantial nerve or spinal-cord compression.

Neurosurgical Experience Focused on the Right Diagnosis

Dr. Zahos is a board-certified neurosurgeon with more than three decades of experience treating spinal, nerve-related, and cranial disorders. He completed his neurosurgery residency and chief residency at Albert Einstein College of Medicine/Montefiore Medical Center after studying at Yale University and George Washington University School of Medicine.

His career includes leadership and faculty positions at Cleveland Clinic Florida, UCSF School of Medicine, and New York Medical College, where he has served as a Clinical Assistant Professor of Neurosurgery since 2016.

Learn more about Level One Neurosurgery and the practice’s commitment to evidence-based, patient-centered care.

Surgery Only When It Is Necessary

A consultation with a neurosurgeon does not mean an operation will automatically be recommended. Dr. Zahos reviews the diagnosis, explains how it relates to the patient’s symptoms, and discusses whether continued conservative care, further evaluation, or surgery is appropriate.

A Patient’s Experience with Conservative Guidance

Living with a herniated disc can be painful and unsettling, especially when treatment options feel difficult to navigate. This patient’s experience reflects Dr. Zahos’s compassionate and knowledgeable approach. He takes the time to listen, answer questions, and clearly explain the diagnosis, available treatments, and next steps so patients can move forward with confidence.
“I had an excellent experience with this doctor. He is compassionate, attentive, and highly knowledgeable in his field. What stood out most was his ability to explain my condition, treatment options, and next steps clearly and in a way that was easy to understand.” — Shynnel Mccall

Reviews from Level One Neurosurgery Patients

Herniated Disc Evaluations for Paramus and Bergen County

The Level One Neurosurgery office at 140 Route 17 North, Suite 255 provides a local setting for Bergen County patients who need clarification after an MRI or who continue to experience neck, back, arm, or leg symptoms.

Some patients arrive unsure whether a disc finding is responsible for their pain. Others have already received a recommendation for surgery and want another opinion before proceeding. Dr. Zahos brings together the history, neurological examination, available imaging, previous treatment, and functional limitations to develop an individualized plan.

Patients who need a broader neurosurgical assessment can also learn more about seeing a spine surgeon in Paramus.

How Dr. Zahos Evaluates a Herniated Disc

Treatment begins by determining whether the disc is compressing a nerve or the spinal cord and whether that compression corresponds with the patient’s symptoms.

Symptom and Neurological Review

Dr. Zahos evaluates the location and duration of pain, whether it travels into an arm or leg, and whether numbness, tingling, weakness, balance changes, or coordination problems are present. The examination helps identify the affected neurological structures.

Imaging and Diagnostic Review

MRI is commonly used to visualize discs, nerves, and the spinal canal. CT, X-ray, and EMG/NCS findings may also be reviewed when clinically appropriate. Imaging is interpreted alongside the examination because a disc abnormality alone does not establish the source of symptoms.

Personalized Treatment Planning

When surgery is unnecessary, Dr. Zahos explains why conservative treatment or continued observation may be appropriate. When symptoms and neurological findings support an operation, he discusses the proposed procedure, alternatives, and anticipated goals.

Related Symptoms and Procedures

A herniated disc may produce different symptoms depending on its location. Related treatment is selected according to the nerve involved and the severity of compression.

Sciatica Treatment

A lumbar disc herniation can irritate or compress a nerve that contributes to radiating leg pain. Sciatica Treatment begins by identifying the underlying cause rather than treating sciatica as a stand-alone diagnosis.

Microdiscectomy

A microdiscectomy may be considered when herniated disc material compresses a nerve and clinically significant symptoms persist. During the procedure, the goal is to remove the disc material responsible for nerve compression.

Microdiscectomy is not appropriate for every herniated disc. Dr. Zahos determines candidacy based on symptoms, neurological findings, imaging, previous care, and the expected benefit of surgery.

Minimally invasive spine surgery and advanced imaging

Minimally Invasive Techniques and Imaging Review

Level One Neurosurgery’s documented capabilities include minimally invasive spine surgery, navigation-guided spinal instrumentation, advanced imaging review, and cervical and lumbar surgical techniques.

Technology supports the treatment plan but does not replace clinical judgment. Dr. Zahos selects an approach based on the location of the herniation, the neurological structures involved, spinal stability, and the patient’s individual needs.

Neurosurgery insurance and payment options

Understanding Your Insurance and Payment Options

Insurance benefits and patient responsibilities vary by plan. Before your appointment, the Level One Neurosurgery team can help review available benefits and explain anticipated payment responsibilities so you can better understand your options.

Questions About Herniated Disc Treatment Near You

Does every herniated disc require surgery?

No. A herniated disc may be managed without surgery when symptoms and neurological findings do not indicate an operative need. Dr. Zahos recommends surgery only when medically appropriate.
Yes. A cervical herniated disc may cause symptoms extending into an arm or hand, while a lumbar herniation may cause pain, numbness, tingling, or weakness in a leg.
Yes. Diagnostic imaging review is part of the practice’s available services. Bring or arrange access to relevant imaging and reports as directed by the office.
Costs depend on the evaluation, recommended treatment, and individual insurance benefits and responsibilities. Contact the office for personalized information.
New patients can typically receive an appointment within one week, although availability may vary.

Get Clarity About Your Brain or Spine Condition

Meet with board-certified neurosurgeon Dr. Peter A. Zahos for a personalized evaluation, imaging review, or trusted second opinion.
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