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Endoscopic spine surgery is the smallest form of minimally invasive spine surgeries that exists. It uses a tiny camera (endoscope) and small instruments to treat spine problems through an incision the size of a number 2 pencil. At ESINY, we are the only endoscopic spine institute in America.

Traditional spine surgery often involves large incisions, cutting muscle, bone removal and longer recovery. These are usually done with screws and rods and can result in significant pain after surgery. Endoscopic surgery is done through a tiny incision, with very little damage to your muscles, and allows you to go home the same day.

Yes — it’s very safe in experienced hands. In fact, it often has lower risks than open surgery, with less bleeding, fewer complications, and quicker recovery.

This is based on your preference! Endoscopic surgery can often be done with light sedation and local anesthesia. This can help you recover faster, but we get it- sometimes you want to be asleep. That's okay too!

Most patients walk out the same day and return to light activity immediately. Your arm or leg pain should resolve right after surgery! Full recovery is often weeks faster than traditional surgery.

Conditions like herniated discs, sciatica, spinal stenosis, bone spurs, and some cases of chronic back pain can be treated with endoscopic techniques. We can do so much more with the endoscope. Learn more about What We Treat.

Most patients report very little pain after surgery —much less than with traditional procedures. Many don’t even need strong pain medication afterward.

The incision is usually about the size of a pencil eraser — less than 1 cm. The scar is often barely noticeable once healed. We close your incision with glue and dress it with our very own ESINY bandage.

Endoscopic spine surgery is rapidly growing worldwide, but not all surgeons are trained in it yet. Even with proper training, case volume is important for the surgeon to perfect the technique. It requires specialized expertise and equipment, which is why only a few spine surgeons offer it at a high level. As the only endoscopic spine institute in America, ESINY brings together four internationally trained experts in endoscopic spine surgery. With this unmatched team of global specialists working under one roof, ESINY has become the highest-volume center for endoscopic spine care in the country.

Many people are candidates, even those who were told they need open surgery, or that surgery is not an option at all. You might also be a candidate if you have already had surgery or injections without improvement in your pain. Our expert endoscopic spine surgeons and pain management specialists at ESINY can evaluate your condition and create a personalized plan as part of your advanced spine care. We use advanced endoscopic procedures to address the source of your pain while protecting the surrounding tissues, leading to reduced pain and faster recovery.

In many cases, the results are just as good — or better — with far less recovery time. It’s precision surgery with a quality-of-life focus.

If you’ve already taken steps like getting injections to manage your pain, you know what it feels like to choose a less invasive option over surgery. Our endoscopic procedures build on that same idea, but with the power to do more. When you choose endoscopic spine surgery, you choose a treatment that targets the true source of your pain rather than masking it.

Many people come to us after injections no longer bring relief, determined to find something that works. Endoscopic spine surgery gives you that chance. It offers the precision and minimal disruption you expect from an injection, while delivering lasting results that help you move forward and get back to the life you want.