Herniated Discs and Sciatica
A herniated disc can press on a nerve and send pain, numbness, tingling or weakness into an arm or leg. Dr. Zahos matches these symptoms to your exam and imaging before talking about treatment.
Get minimally invasive spine surgery in Paramus, NJ from a neurosurgeon who holds U.S. patents in neurosurgical implants and uses navigation-guided and robotic-assisted instrumentation. Dr. Peter A. Zahos treats certain spine problems while disturbing less of the tissue around them.
Before spine surgery, you need a clear diagnosis and a surgeon who tells you honestly whether you need it.
Dr. Zahos is a board-certified neurosurgeon with more than 30 years of experience and multiple U.S. patents, including in neurosurgical implants. He studied at Yale, George Washington University and Einstein/Montefiore, where he was chief resident.
He reviews your symptoms, past treatment, exam and imaging to find the cause and whether a minimally invasive procedure fits. Learn more about Level One Neurosurgery and Dr. Zahos before scheduling your visit.

Feeling informed makes a real difference before a procedure. Dr. Zahos explains each step clearly.
“I am thoroughly satisfied with Doctor Zahos’ bedside manner and his comprehensive explanation of the procedure. Additionally, his surgery coordinator, Kerry, is an exceptional professional and caring individual”
Miriam Odar
See how Dr. Zahos explains things, answers questions and guides people through complex spine decisions.
Our office is at 140 Route 17 North, Suite 255, in Paramus, close to home for patients from Ridgewood, Hackensack, Fair Lawn and Oradell. Many come after symptoms haven’t improved with treatment, or an MRI has raised questions about pressure on a nerve or the spinal cord.
Dr. Zahos looks past where it hurts. He checks for weakness, numbness, balance problems and pain that travels, and asks how your symptoms affect walking, standing and driving. As your spine surgeon in Paramus, he builds your plan from how those pieces fit together with your imaging.

Minimally invasive surgery is a way of operating, not a single operation. The right procedure depends on what’s causing your symptoms and whether surgery is likely to really help.
Dr. Zahos may suggest microdiscectomy when disc material is pressing on a nerve and your symptoms and imaging point to the same source.
When a lower back problem needs an operation, lumbar spine surgery can mean decompression, stabilization or another approach chosen for your diagnosis.

Not everyone with neck or back pain needs surgery. An evaluation shows whether your symptoms come from pressure on a nerve or the spinal cord, disc wear, instability or another structural problem.
A herniated disc can press on a nerve and send pain, numbness, tingling or weakness into an arm or leg. Dr. Zahos matches these symptoms to your exam and imaging before talking about treatment.
Stenosis narrows the space for the nerves or spinal cord. You may notice leg pain, weakness, balance changes, or trouble walking or standing for long.
Disc wear or a slipped vertebra can cause pain, nerve symptoms or instability. Treatment depends on the level involved, how severe your symptoms are and whether your imaging explains them.
Benefits and costs vary by plan and the care you need. Call (201) 977-1445 before your appointment and our team can go over your benefits and what to bring.

Common questions before meeting with a neurosurgeon.
It depends on your diagnosis, symptoms, exam, imaging, health history and past treatment. Dr. Zahos looks at all of these together, never just an MRI.
Bring any MRI or CT images and reports, a medication list, related medical records and the treatments you’ve tried. Note when your symptoms started and what makes them better or worse.
It depends on the procedure, where it’s done, your insurance benefits and your plan. The right procedure is identified at your evaluation first. Your insurer can then explain your coverage.
It depends on the procedure, your diagnosis, your health and how active you need to be. Dr. Zahos explains the timeline once he knows which operation, if any, is right for you.
Yes. You can request an evaluation, an imaging review or a second opinion.
Meet with board-certified neurosurgeon Dr. Peter A. Zahos for a personalized evaluation, imaging review, or trusted second opinion.