A Leading Neuroscience Practice.

Providing minimally invasive neurosurgery, spinal surgery, and sacroiliac joint treatment to patients in need of exceptional care. UVNN has been named New Hampshire Top Doctors by NH Magazine and High Performing in back surgery &
spinal fusion by U.S. News & World Report.

Pioneering Sacro-Iliac Joint Care in New England

We offer services at three locations in New Hampshire and Vermont.

Upper Valley Minimally Invasive Spine Center

Providing Minimally Invasive Spine Care for the Upper Connecticut River Valley and surrounding regions.

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COVID 19 and SARS CoV2 Practice Update

UVNN is committed to providing uninterrupted high quality and safe neurosurgical and neurological care throughout the pandemic. Our office remains open. We practice safety measures that meet or exceed all CDC and State guidelines to protect our patients, our staff, and our providers.

To that end, initial consultations may be performed via Telehealth visits using HIPAA compliant software. Whenever reasonable follow up appointments also utilize telehealth. Our staff have become proficient at helping patients connect to our Telehealth service, and optimally two-way video and audio will be established.

In the event it is mutually agreed that an in-office visit might be advantageous this will be arranged promptly. We regularly update our safety practices to meet or exceed current guidelines. If you would like details, please call for the latest information.

As this pandemic unfolds on the worse stage, we thank you for your patience and cooperation while we endeavor to protect the potentially vulnerable amongst us as we navigate these uncharted challenges.

About Us

Upper Valley Neurology Neurosurgery is dedicated to providing direct patient access to its physicians and providing state of the art, personalized care in private practice settings.

UVMIS offers services at three locations in New Hampshire and Vermont. Staffed by the experienced Neurosurgeons of Upper Valley Neurology Neurosurgery.

SICONE is staffed by the experienced Neurosurgeons of Upper Valley Neurology Neurosurgery. For neurosurgeons and orthopedic spine surgeons: We offer training in SI joint disease analysis, surgical and non-surgical care.

In 1994, Donald W. Ayres, MD moved back to the Upper Valley by way of Sioux City, Iowa. He was appointed to staff at Alice Peck Day Memorial Hospital (APD) and simultaneously founded Upper Valley Neurology (UVN) offering his expertise in neurology and subspecialty Multiple Sclerosis (MS) care with the support of just one employee. Four years later in 1998, Richard L. Saunders, MD joined UVN, adding neurosurgical services and UVN became Upper Valley Neurology Neurosurgery (UVNN).

Meet Our Team

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"I want to thank you all for making my surgery experience excellent from start to finish. You were all so professional and organized and everything went so well. While I hope I do not need your services again, and If I do I know I will have the best care possible."

- Bob T.

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"Dr. Pikus is very thorough and explains treatment plan very well.
Services are top notch."

- John P.

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"Today marks one year since my back surgery. I’ve summited our local mountain nearly 100x, lost 60lbs. Before surgery I honestly wasn’t sure if I would ever be active again, so I’m elated to be able to push myself again. So thank you— for your critical role in helping me to reclaim my life."

- Zach

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Our Services

UVNN provides “state of the art” neurosurgical services as well as neurological services in support of neurosurgical ailments. We rely on minimally invasive, minimally disruptive techniques and technologies to facilitate your care with the least pain and fastest recovery. Our personalized, patient-focused approach gives you direct access to your surgical team beginning with your very first appointment.

UVMIS provides high level, personalized analysis and management of spinal diseases. We are trained in multiple surgical techniques including standard/open, minimally invasive, microscopic and image guided procedures. We are leading the way in reducing the invasiveness, pain and disability associated with spinal problems and surgeries. Our group was the first in the Upper Valley to routinely use intraoperative computer assisted image guidance in complex spine surgeries.

SICONE provides high level analysis and management of sacroiliac joint disease. Our surgeons are trained in multiple surgical techniques including iFuse and Rialto systems. We utilize an image guided minimally invasive approach for accuracy and expedited recovery. If possible, non-operative management will be favored until such time as a surgery is needed.

Learn More

    Contact us to make an appointment or ask a question

    Our office will be happy to answer your inquiries and will contact you in a timely manner:

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