Sciatica Treatment In Paramus
Pain that runs from the lower back or buttock into the leg may follow the sciatic nerve. Sciatica care starts by finding out whether a disc, narrowing, instability or something else is pressing on the nerve root.
Pinched Nerve Treatment in Paramus, NJ
Get pinched nerve treatment in Paramus, NJ from a board-certified neurosurgeon who matches your exam to your imaging to find the exact nerve involved. Dr. Peter A. Zahos then explains what’s pressing on it and what will help.
- Board-CertifiedNeurological Surgeon
- Exam + ImagingMatched to Find the Nerve
- 30+ YearsNeurosurgical Experience
A Neurosurgeon Who Looks Beyond a Pinched Nerve Diagnosis
A pinched nerve isn’t one diagnosis. The pressure can come from a herniated disc, spinal stenosis, arthritis, instability or another change around the nerve. Where it happens matters too. A pinched nerve in the neck can affect the arm or hand. One in the lower back can send symptoms into the leg or foot.
Dr. Zahos has more than 30 years of experience as a neurosurgeon. He checks your strength, reflexes and sensation, then compares what he finds with your MRI, CT, X-rays or nerve testing (EMG/NCS) to find which nerve is affected and why.
He trained at Albert Einstein College of Medicine/Montefiore Medical Center, where he was chief resident, and served as Chief of Neurosurgery at Jacobi Medical Center. Learn more about Level One Neurosurgery and its patient-centered approach.
Honest Guidance When Surgery Is Not the Answer
One patient wrote on WebMD that Dr. Zahos was honest and kind, explained that surgery wasn’t needed yet, and gave clear advice on what to watch for.
“Dr. Zahos was kind and straightforward. He explained why surgery was not necessary at this point and told me to contact him if my condition changed.”
WebMD patient review
What Our Patients Say About Their Care
Patients value Dr. Zahos’s clear explanations, careful recommendations and the time he takes with their questions.
Pinched Nerve Evaluations for Paramus and Bergen County
Our office at 140 Route 17 North is close to home for patients from Hackensack, Oradell, Fair Lawn, Maywood and across Bergen County. If long drives make arm tingling or leg pain hard to ignore, you can get it checked without assuming you’ll need surgery.
Often an MRI has already shown a disc problem or narrowing. The real question is whether that explains what you feel. Dr. Zahos looks at the whole picture, not just the imaging report.
If your symptoms don’t follow one nerve, you can also learn about seeing a spine surgeon in Paramus for a broader evaluation.
Treatment Paths for a Compressed Nerve in Paramus
Your next step depends on where the nerve is pinched, how long you’ve had symptoms, whether your strength or reflexes have changed and what your imaging shows. We treat the cause, not the label.
Minimally Invasive Spine Surgery
When serious pressure on a nerve causes symptoms that last or get worse, a minimally invasive approach may be an option if it can fix the problem safely. Dr. Zahos recommends an operation only when your exam and imaging support it.
Microdiscectomy and Lumbar Laminectomy
A herniated disc can press on one nerve in the lower back, while stenosis can crowd several. A microdiscectomy removes the disc material causing pressure. A laminectomy makes more room for the nerves.
Diagnostic Imaging Review
MRI, CT, X-rays and nerve testing (EMG/NCS) help show where a nerve is affected. They’re always read alongside your exam, because something on a scan doesn’t always explain what you feel.
Conditions That Can Place Pressure on a Spinal Nerve
Several spine conditions can pinch a nerve. Finding which one you have tells us whether to watch it, keep up non-surgical care, test further or consider surgery.
Herniated Disc
Disc material can press on or irritate a nearby nerve. Depending on where, you may feel pain, numbness, tingling or weakness in the arm, hand, buttock, leg or foot.
Spinal Stenosis
Narrowing in the spinal canal, or in the openings where nerves exit, leaves less room for the nerves. Symptoms often show up more when standing, walking or holding certain positions.
Degenerative Disc Disease
As discs wear with age they can lose height, change how the spine moves or narrow the space around a nerve. Dr. Zahos checks whether those changes actually match your symptoms.
Spondylolisthesis and Spinal Instability
When one vertebra slips over another, it can narrow a nerve opening or make the spine less stable. Treatment depends on how much it moves, your exam, your pain and what it stops you from doing.
Imaging and Surgical Technology Chosen for the Diagnosis
Technology supports the plan, not the other way around. Dr. Zahos reviews advanced imaging and has experience with minimally invasive techniques, navigation-guided and robotic-assisted instrumentation, microdiscectomy, laminectomy and advanced cervical and lumbar fusion.
The approach depends on where the pressure is and whether the spine stays stable once the nerve is freed. Fusion is only considered when the spine needs stabilizing.
Help Understanding Insurance and Payment Responsibilities
Benefits and costs vary by plan. Our team can go over your benefits and what you can expect to pay before your appointment. Call (201) 977-1445 for details.
Questions About Pinched Nerve Treatment Near You
Common questions before a pinched nerve evaluation at our Paramus office.
How do I know whether I have a pinched nerve in my neck or lower back?
Where you feel it is a strong clue. A pinched nerve in the neck can cause pain, numbness, tingling or weakness in the arm or hand. One in the lower back can affect the buttock, leg or foot. An exam and the right imaging confirm which nerve is involved.
When should weakness from a pinched nerve be evaluated?
Soon, if it’s new, getting worse or not going away. Changes in walking, hand coordination or reflexes can mean a nerve or the spinal cord needs to be checked.
Does seeing a Paramus neurosurgeon mean I need surgery?
No. Dr. Zahos starts with non-surgical care and brings up surgery only when your symptoms, exam, imaging and past treatment show you need it.
What does a pinched nerve evaluation cost in Paramus?
It depends on the visit and your insurance benefits. Call the office and we’ll go over it with you.
What should I bring to my pinched nerve appointment?
Bring any MRI, CT, X-ray or EMG/NCS results and a list of past treatments. It helps to know where your symptoms start, where they travel and what makes them worse.
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.