At ESINY, we use cutting-edge endoscopic techniques so your spine surgery is performed with exceptional precision and minimal impact on nearby muscles, nerves, and tissue. This modern approach is focused on helping you recover faster, rebuild lasting strength, and get back to the active life you enjoy.
Finally, The Relief You've Been Waiting For.
Endoscopic spine treatment is transforming lives and changing how today’s healthcare system approaches spinal problems in a thoughtful, patient-centered way. At the Endoscopic Spine Institute of New York, our mission is to completely reimagine the spine surgery journey by making it safer, less invasive, quicker to recover from, and ultimately more empowering for every individual who walks through our doors. With a renowned team of neurosurgeons and orthopedic surgeons who are recognized leaders in endoscopic spine surgery, and as the only dedicated Endoscopic Spine Institute in the United States, we are devoted to guiding you toward confidently reclaiming the life you deserve.
By using an incision smaller than one centimetre and a tiny camera no larger than a pencil eraser, our specialists apply the most advanced endoscopic techniques to provide treatment with exceptional precision and minimal disruption to surrounding tissue.
Your Precise, Powerful Solution From The Spine Experts
Your spine treatment should be trusted to specialists who bring unparalleled expertise and a history of excellence to every procedure. At the Endoscopic Spine Institute of New York, our internationally recognized and award-winning neurosurgeons and orthopedic surgeons contribute decades of focused, hands-on experience in advanced endoscopic spine techniques. Together, they have presented their knowledge at more than 500 major scientific gatherings, including the North American Spine Society and the Society for Minimally Invasive Spine Surgery. Their scholarly work includes over 300 peer-reviewed articles published in leading medical journals, along with distinguished honors such as recognition as Honorary Members of the American Academy of Neurological and Orthopedic Surgeons. This rare blend of academic accomplishment, global recognition, and unmatched clinical skill ensures that your treatment is guided by precision medicine delivered at the highest possible level.
Fewer Risks, Faster Recovery
Enjoy a safer alternative to open surgery, with far less bleeding, a tiny incision often under 1 cm, fewer complications, and a recovery timeline that can be shortened by weeks compared to traditional spine procedures.
Go Home the Same Day with Only a Band-Aid
Around 95% of our patients are able to walk out of the center the same day and resume light activities soon after, needing only a custom ESINY band-aid instead of heavy dressings. There is no overnight hospital stay and no prolonged period of downtime holding you back.
Skip General Anesthesia
Unlike traditional spine surgery that often relies on full general anesthesia, you can stay comfortable with light sedation and carefully targeted local anesthesia. General anesthesia is still available when medically necessary, but many patients are pleasantly surprised to find that they do not need it for effective and comfortable treatment.
A Solution For Every Stage
Endoscopic spine care is designed to support you at any point in your journey toward relief, whether you are early in the process or have been struggling for years. Whether you have already tried injections, undergone previous spine surgery, or are just beginning to explore treatment options, this modern approach has offered a trusted path forward for more than 30,000 individuals.
The Go-To For Other Spine Doctors
When spine specialists themselves need care, they frequently turn to our team for their own treatment. With more than 40 spine surgeons choosing us as their providers, we have earned a reputation as the spine surgeon’s surgeon.
What We Treat
Meet Your Team
At ESINY, we are honored to be widely recognized as a leading authority in endoscopic spine treatment within the field of modern spine care. Our highly awarded team focuses on providing thoughtful, targeted care that addresses the true root cause of your discomfort with an exceptional degree of precision and control. By concentrating treatment where it is needed most, this approach is intended to deliver more durable relief, lessen the risk of unwanted side effects, and support a recovery that is often noticeably faster than what many patients experience with traditional open surgery or a series of repeated injections.
What To Expect
During your consultation, our team will listen carefully to your concerns and how your symptoms affect your everyday activities. We will review your medical history, prior treatments, and imaging, and if you are a good candidate, we will clearly explain the procedure so you know exactly what to expect at each step.
Endoscopic spine treatment is considered the most minimally invasive surgical option that still uses a small incision while preserving surrounding tissue as much as possible. Because of this precise technique, patients often recover much faster than with traditional surgery, experience fewer complications and side effects, and in most cases need only local anesthesia before going home the same day.
After your procedure, your ESINY physician will personally follow up during the week to check on your healing, review your progress, and answer any questions that arise.
Transformative Spine Care From Doctors You Can Trust.
World Class Expertise...
Dr. Konakondla saved Harry's life...helping him when no one else would. We're forever grateful for your world class skill and expertise and I'll never forget the positive energy you extended to me when I felt my world was falling apart. Blessings to you always.
Harry and JoAnn Burger
Harry and JoAnn Burger
New York is so Fortunate!
Dr. Telfeian was a Godsend to my husband...and many of our friends that we sent to him. My husband had immediate results in his back from Dr. Telfeian. His expertise and bedside manner are second to none. New York you are so fortunate to have him!
Donna Paolino
Donna Paolino
Less Pain and Faster Recovery
Dr. Albert Telfeian is a world-renowned neurosurgeon with extensive experience in endoscopic spine surgery. I’m so impressed with the comprehensive care I received at Dr. Telfeian’s practice. He was very transparent and reassuring when explaining the procedure, and I felt comfortable knowing he is an expert in endoscopic spine surgery. The endoscopic approach resulted in significantly less pain and a much faster recovery than anticipated. Not only is he a skilled surgeon, he’s also a compassionate and caring physician. Dr. Telfeian diagnosed my condition accurately, and took the time to thoroughly explain my treatment options in detail. He made me feel completely at ease and most confident in his care. I am extremely grateful for The Endoscopic Spine Institute of New York and the positive outcome.
Tiffany Stripling
Tiffany Stripling
Truly Grateful!
I’m truly grateful to Dr. Shen for the incredible care he provided during my spine surgery. He performed an endoscopic, super minimally invasive procedure that allowed me to walk right away—without pain—and I was even back at work the very next day! From my very first consultation, Dr. Shen and his team made sure I felt comfortable and well-informed about every step of the process. Their genuine compassion and expert guidance eased my worries and made all the difference in my recovery. I’m now on the road to feeling completely healthy again, and I can’t thank him enough for his skill and dedication. If you’re thinking about spine surgery and want someone who combines expertise with a personal touch, I wholeheartedly recommend Dr. Shen. His care changed my life for the better, and I’m so thankful for everything he’s done for me.
Eitan Spiegel
Eitan Spiegel
Endoscopic Spine Surgery is the Way
Dr. Shen is a compassionate doctor who cares about every single patient he sees. He remembered everything about my case without a x ray or paperwork in front of him when I had questions. I successfully got two separate back surgeries this past summer. My pain in my upper back, that plagued me for years, is completely gone where I had cervical stenosis. My fusion on my lower spine is well on its way to healing fully. I vetted four different top surgeons in NYC before choosing Dr. Shen and I’m very happy with my choice. Don’t let old school surgeons tell you that endoscopic is not the way. They are just trying to get patients without learning the new technology. Dr. Shen called me every day after my surgery for about two weeks to see how I was doing and it meant a lot to me.
Audrey Cohen
Audrey Cohen
Endoscopic Spine Surgery
Frequently Asked Questions
Endoscopic spine surgery is one of the most minimally invasive forms of spine surgery available today, using a tiny camera called an endoscope and specialized instruments to treat spinal problems through a very small incision, often no wider than a pencil. At ESINY, we are proud to be the only institute in the United States fully dedicated to this advanced endoscopic approach.
Endoscopic spine treatment offers a highly precise, minimally invasive way to address spinal pain at its source. By directly targeting the problem area, it lowers the likelihood of complications, limits unwanted side effects, and often supports a quicker recovery than traditional surgery or repeated injections. In many situations, patients are comfortable enough to return home later that same day.
Traditional spine surgery usually relies on a large incision, significant cutting or stripping of muscles, disruption of surrounding tissues, and often removal of portions of bone to access the problem area. These procedures commonly use screws and rods and are followed by longer hospital stays and extended, sometimes painful, recovery periods. Endoscopic spine surgery instead uses a very small incision, limits muscle damage, avoids extensive hardware in many cases, and gives many patients the chance to recover more quickly and go home just a few hours after the procedure.
If you have tried spinal injections or other conservative treatments, you already know how helpful minimally invasive care can be. Endoscopic spine surgery builds on that idea by going beyond short term symptom relief and directly treating the underlying cause of your pain, which can lead to longer lasting comfort and better function.
Many patients come to us once injections no longer provide enough improvement or wear off too quickly. Endoscopic spine surgery offers a precise, minimally disruptive option that feels similar in gentleness to an injection but is designed to create more durable results, helping you move more freely, ease your pain, and return to normal daily activities.
Yes. In the hands of experienced surgeons, endoscopic spine surgery is regarded as a very safe option, with lower risks than many traditional open procedures. Patients typically experience less blood loss, fewer complications, and a faster, smoother recovery.
In many cases, only local anesthesia with light sedation is needed, which allows you to stay relaxed and comfortable. General anesthesia may still be recommended for certain patients or specific procedures, but it is not always required.
Most patients can walk out of the clinic on the same day and begin light activities almost immediately. If symptoms include leg or arm pain, relief may be felt almost instantly. Full recovery typically takes weeks less than traditional spine surgery, allowing for a faster return to daily life.
Endoscopic techniques can treat many spine issues, such as herniated discs, sciatica, spinal stenosis, bone spurs, and certain types of chronic back pain. The precision of the endoscope allows for minimal tissue disruption, making it an effective solution for a wide range of conditions.
Most patients experience very little discomfort following the procedure, with pain levels much lower than those typically associated with traditional surgery. Many individuals find that mild pain relief or over-the-counter medications are sufficient, avoiding the need for stronger painkillers.
The incision is usually less than 1 cm, about the size of a pencil eraser. Healing is quick, and the scar is often very small and barely noticeable. The incision is sealed with medical glue and protected by a custom ESINY bandage to promote the best possible recovery.
Endoscopic spine surgery is gaining popularity worldwide, but only a select group of surgeons have received the extensive training required to perform it at the highest standards. Even with the right education, mastering this technique demands substantial hands-on experience and a large number of successful cases. This highly specialized procedure needs advanced skills and state-of-the-art equipment, which is why only a few spine surgeons are equipped to offer it effectively. At ESINY, we are proud to be the only dedicated endoscopic spine institute in the U.S., with a team of four internationally trained experts. With this concentrated expertise, our center leads the country in endoscopic spine care, treating a high volume of cases annually.
If you live in Mississippi and have been told that open surgery is your only hope, or that surgery is not recommended for your condition, you may still qualify for endoscopic spine treatment. Even if you have already undergone injections, medications, or earlier spinal procedures with little to no relief, our team at ESINY can perform a thorough evaluation of your case. Our expert endoscopic spine surgeons and pain management specialists will create a customized treatment plan designed specifically for your symptoms and underlying condition. Through the use of advanced endoscopic techniques, we focus directly on the true source of your pain while minimizing disruption to healthy tissues, which may help you experience reduced discomfort and a smoother, faster recovery.
Many patients achieve results that are equal to, and in some cases better than, those from traditional open surgery while enjoying a much shorter recovery time. At ESINY, endoscopic spine surgery is performed with a strong emphasis on precision, safety, and meaningful improvement in daily comfort and function.