About Coastal New Hampshire Neurosurgeons - Somersworth

At Appledore Coastal New Hampshire Neurosurgeons, our expert neurosurgeons specialize in providing neurosurgical care to patients in Somersworth. The specialized team, founded by Dr. Palacio and Dr. Miller, has years of experience in treating disorders of the brain and spine.

Our physicians provide outstanding neurological care to Coastal New Hampshire and offer advanced procedures to treat conditions such as brain tumors and spinal stenosis.

For additional information about our neurological services at our Somersworth location, call Coastal New Hampshire Neurosurgeons at (603) 433-4666.

Advanced neurosurgical care

Our expert surgeons provide exceptional care for a wide range of neurological diseases. We understand the idea of surgery can be overwhelming, which is why we walk you through the surgical process—including diagnosis, surgical options and recovery time.

Our doctors provide examinations and diagnosis in our Somersworth office, however, perform surgical procedures at either Exeter Hospital or Portsmouth Regional Hospital.

Brain condition treatment

Our neurosurgical team treats brain conditions using advanced surgical methods, including:

Deep Brain Stimulation (DBS)

DBS is a surgical procedure that can help reduce symptoms of movement disorders such as Parkinson’s disease or essential tremors. The procedure involves the implantation of a pacemaker-like device, which sends electrical signals to brain areas responsible for body movement.

DBS provides several benefits to patients, including the reduction of tremors, walking problems and stiffness caused by movement disorders. The goal of DBS is to maximize your independence and quality of life.

Image guided cranial surgery

During image guided cranial surgery, our neurosurgeons will use advanced technology that provides detailed images on a computer screen during brain surgery. This provides surgeons detailed views of the surgical site for increased accuracy and precision.

Common conditions treated include:

  • Benign brain tumors/meningioma
  • Chiari type I malformation
  • Colloid cysts of the 3rd ventricle
  • Hydrocephalus
  • Malignant brain tumors
  • Metastatic brain tumors
  • Traumatic brain injury/head trauma

Spine condition treatment

Our neurosurgeons also specialize in surgery of the spine, using a variety of surgical methods to treat patients, including:

  • Arthroplasty (disc replacement)
  • Tumor removal
  • Surgery for traumatic injuries

Common spine conditions treated include:

  • Disc disease
  • Herniated disc
  • Neck and back pain
  • Spine infection
  • Spinal Stenosis
  • Traumatic injuries

Multidisciplinary spine care

We use a virtual spine center to diagnose, manage and coordinate the care of patients with spine conditions. Our virtual spine center allows the collaboration of multiple specialists to treat patients, including:

  • Interventional radiologists
  • Pain management anesthesiologists
  • Physiatrists
  • Physical therapists
  • Primary care physicians
  • Rehabilitation physiatrists
  • Surgeons

Through this collaboration, we provide patients in Rockingham County access to a network of specialists, as well as continuity of care.

General care plan

Although our neurosurgeons are equipped to perform advanced neurosurgical procedures, they understand that surgery isn't always the first option for spine conditions. Our general care plan includes:

  • Medical therapy with anti-inflammatories and muscle relaxants
  • Pain clinic/physiatry evaluation for interventional pain therapy (steroid injections, spinal blocks, trigger point injections, botox injections)
  • Physical therapy to loosen and strengthen painful back and neck muscles
  • Surgical consideration (when other treatment modalities have failed)

Visiting our facility

Our Somersworth office is open Monday-Friday from 8:30am - 5:00pm, with free parking.

For your convenience, we now offer online appointment scheduling.