At ESINY, we specialize in using advanced endoscopic techniques so that your spine surgery is performed with precision and the least amount of invasion possible. By focusing on this refined method, we aim to help you recover more quickly, build back strength, and embrace the full life that you deserve to live.
Finally, The Relief You've Been Waiting For.
Endoscopic spine surgery is changing the future of spinal health and elevating the role of advanced medicine in treating back conditions. At the Endoscopic Spine Institute of New York, our mission is to completely reframe the surgical experience by making it safer, using smaller incisions, promoting faster recovery, and empowering every patient who seeks our care. With highly experienced neurosurgeons and orthopedic surgeons leading the field of endoscopic spine surgery, and as the only Endoscopic Spine Institute in the United States, we are dedicated to helping patients reclaim the quality of life they have been missing.
By working through an incision less than one centimeter in length and a camera no larger than a pencil eraser, our team is able to carry out the most advanced endoscopic techniques with remarkable precision and minimal invasiveness.
Your Precise, Powerful Solution From The Spine Experts
Your spine treatment should be entrusted only to experts who have proven themselves at the highest level of medicine. At the Endoscopic Spine Institute of New York, our award-winning team of neurosurgeons and orthopedic surgeons has spent decades perfecting the art and science of endoscopic spine care. Their achievements include presenting research and techniques at more than 500 international conferences such as the North American Spine Society and the Society for Minimally Invasive Spine Surgery. In addition, they have authored more than 300 articles published in esteemed peer-reviewed medical journals and have earned recognition as Honorary Members of the American Academy of Neurological and Orthopedic Surgeons. With such a foundation of professional distinction, your treatment is delivered with the reassurance of precision medicine rooted in both innovation and expertise.
Fewer Risks, Faster Recovery
Compared with traditional open procedures, endoscopic spine treatment is associated with lower risks, far less bleeding, an incision often under 1 cm, fewer complications, and recovery that is dramatically faster, often shortened by several weeks.
Go Home the Same Day with Only a Band-Aid
An impressive 95% of patients walk out of the center on the very same day, resuming light activities right away. Instead of bulky bandages, only a small custom ESINY band-aid is required. There is no overnight hospital stay and no long recovery period to slow you down.
Skip General Anesthesia
This approach is also gentler, using local anesthesia and mild sedation to keep patients comfortable. While general anesthesia can still be applied when circumstances call for it, many patients find it unnecessary.
A Solution For Every Stage
Endoscopic spine treatment supports you no matter where you are in your search for relief, whether beginning, revisiting after prior surgery, or seeking an alternative to injections. It has already guided more than 30,000 patients toward restored quality of life.
The Go-To For Other Spine Doctors
When it comes to trust within the medical community, even spine surgeons themselves choose us. With more than 40 of them having undergone treatment with our team, we have earned the recognition of being the spine surgeon’s surgeon.
What We Treat
Meet Your Team
At ESINY, leadership in endoscopic spine treatment is defined by the expertise and accomplishments of our award-winning team. Every treatment is designed to reach the source of your pain with remarkable accuracy, which can mean greater relief that lasts longer, far fewer complications, and a recovery process that outpaces the timelines of more traditional approaches such as surgery or injections. Patients receive care that combines innovation, precision, and efficiency, all focused on restoring quality of life.
What To Expect
During your consultation, we focus on understanding your concerns by asking about your symptoms and reviewing any treatments you may have already explored. If we determine that you are a suitable candidate, we will walk you through the treatment in detail so that you know exactly what to expect.
Endoscopic spine treatment is currently the most minimally invasive spinal surgery that uses an incision. Because of its advanced nature, patients usually experience a much quicker recovery than with traditional spine surgery, along with fewer side effects and complications. In the majority of cases, only a local anesthetic is needed, and patients can safely return home the same day of their procedure.
After your treatment, your ESINY physician will personally follow up within the first week to check your recovery, provide guidance, and answer any questions that may come up.
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
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 the least invasive form of spinal surgery currently performed. This technique utilizes an endoscope, which includes a tiny camera and surgical tools, inserted through an incision comparable in size to a pencil. This approach minimizes trauma to surrounding tissue. ESINY is the only institute in the country dedicated exclusively to the advancement and practice of this procedure.
With endoscopic spine treatment, patients benefit from a procedure that pinpoints the root of their pain with great accuracy. It is associated with fewer risks, fewer side effects, and a much quicker recovery period when compared with either injections or conventional surgery. Many patients are able to walk out of the facility and return home on the same day as their procedure.
Traditional surgeries of the spine generally involve making large cuts, cutting into muscle tissue, and sometimes removing bone, which can lead to significant pain and long recovery times. Hardware such as rods and screws is often used, making the surgery more invasive. Endoscopic spine surgery requires only a small incision, results in much less tissue disruption, and allows many patients to recover quickly and return home only hours after treatment.
If you have previously managed spinal pain with injections or conservative interventions, you are familiar with the preference for minimally invasive care. Endoscopic spine surgery extends this principle by focusing directly on the underlying cause of your pain. This approach aims to provide more precise and potentially longer-lasting outcomes.
Patients often seek our services after injections stop being effective, searching for a treatment that truly works. Endoscopic spine surgery offers a solution that combines minimal disruption with targeted precision. This procedure may help alleviate pain, restore mobility, and support patients in returning to the activities and lifestyle they value most.
Yes, it is very safe when performed by expert surgeons. Compared with open spinal surgery, endoscopic techniques generally carry fewer risks, reduced blood loss, lower complication rates, and a faster recovery time, making it a highly effective treatment option.
Endoscopic spine surgery is versatile. Many patients only require light sedation and local anesthesia, which helps speed up recovery. For those who prefer complete unconsciousness during the procedure, general anesthesia is always available as an option.
Patients typically walk out of the clinic the same day and are able to resume light activities immediately. Relief from arm or leg pain may occur soon after the procedure. Overall recovery is usually several weeks faster than traditional open spinal surgery.
Endoscopic procedures can address a range of spinal conditions, including herniated discs, sciatica, spinal stenosis, bone spurs, and certain chronic back problems. These minimally invasive techniques allow surgeons to treat the source of pain with high precision.
Most patients experience minimal pain after endoscopic surgery. Post-operative discomfort is typically far less than with conventional procedures, and many patients do not need strong pain medication afterward.
The incision is very small, generally smaller than 1 cm, comparable to a pencil eraser. Scarring is minimal, and the incision is closed with medical glue and protected using a custom ESINY bandage for optimal healing.
Endoscopic spine surgery is rapidly growing worldwide, but not all surgeons are trained in it yet. Endoscopic spine surgery is being adopted more widely around the world, but only a few surgeons have the training and experience to perform it expertly. Even with formal instruction, surgeons need to handle a high volume of cases to perfect their technique. The surgery also requires specialized instruments and exceptional skill, which is why most spine surgeons cannot offer it at a high level. ESINY is unique in the United States, bringing together four internationally trained endoscopic spine specialists under one roof. This unparalleled team enables us to maintain the highest case volume of endoscopic spine surgery in the nation.
Flatiron residents experiencing persistent back or neck pain may still be candidates for endoscopic spine surgery, even if open surgery was recommended or considered impossible. If you have undergone injections or previous procedures without improvement, our team at ESINY can provide an in-depth evaluation. Our expert endoscopic spine surgeons and pain management specialists will create a treatment plan specifically for you. By applying advanced endoscopic methods, we focus on the root of your pain while minimizing impact on surrounding tissues, helping you potentially experience less pain and a faster recovery.
In many instances, patients receive results that are equal to or superior to traditional surgery while experiencing a much faster recovery. Our focus at ESINY is on precision, safety, and enhancing patient quality of life through expert endoscopic care.