At ESINY, our team depends on sophisticated endoscopic techniques to perform your spine surgery with an exceptional level of accuracy while reducing unnecessary disruption to the surrounding soft tissues, ligaments, and structures. This modern and patient focused method is intended to shorten your recovery time, gradually rebuild your strength, and help you get back to the daily comfort and quality of life that you have long been seeking.
Finally, The Relief You've Been Waiting For.
Endoscopic spine treatment is changing lives every day and redefining how modern healthcare systems approach spinal conditions and chronic pain. At the Endoscopic Spine Institute of New York, our purpose is to redesign the spine surgery experience for our patients by making it as safe as possible, significantly less invasive, more efficient, and ultimately more empowering and confidence-building for each person we care for. With a respected team of neurosurgeons and orthopedic surgeons who are recognised leaders in the field of endoscopic spine surgery, and as the only dedicated Endoscopic Spine Institute in the United States, we are committed to guiding you step by step as you work to restore the life you deserve.
By relying on an incision that measures less than one centimetre and pairing it with a camera that is no larger than a pencil eraser, our specialists harness cutting-edge endoscopic techniques to provide treatment with remarkable precision and minimal interference to nearby tissues and nerves.
Your Precise, Powerful Solution From The Spine Experts
Your spine treatment is most effective when it is directed by physicians who are recognized leaders in their field. At the Endoscopic Spine Institute of New York, our internationally recognized and award winning team of neurosurgeons and orthopedic surgeons has accumulated decades of dedicated experience in endoscopic spine procedures, focusing on safe and precise techniques. As thought leaders, they have collectively participated in more than 500 major conferences, including renowned events such as the North American Spine Society and the Society for Minimally Invasive Spine Surgery. Their academic achievements include over 300 peer reviewed publications in respected medical journals, and they have been honored as Honorary Members of the American Academy of Neurological and Orthopedic Surgeons. This depth of leadership, scholarship, and surgical skill ensures that your care is provided using precision medicine at the highest possible standard.
Fewer Risks, Faster Recovery
Experience a safer alternative to open surgery, with less bleeding, an incision often under 1 cm, lower complication rates, and a much faster healing process that can outpace traditional recovery by several weeks.
Go Home the Same Day with Only a Band-Aid
About 95 percent of patients are able to head home the same day and return to light movement quickly, using only an ESINY band-aid instead of bulky coverings. There is no requirement for an overnight stay and no extended recovery restrictions.
Skip General Anesthesia
Instead of relying on general anesthesia as many standard spine procedures do, this approach keeps you comfortable using light sedation and precise local anesthesia. General anesthesia is still available for special circumstances, yet many patients quickly realize that it is not necessary for them.
A Solution For Every Stage
Endoscopic spine treatment adjusts to your history and current needs along the road to relief. Whether you have received injections, undergone previous spine operations, or are just starting to ask questions about treatment, this advanced method offers a well established option that has already transformed life for more than 30,000 patients.
The Go-To For Other Spine Doctors
When other spine doctors need expert care, they frequently look to our team for their own treatment. With over 40 spine surgeons having trusted us with their spine health, we are often regarded as the surgeon that spine surgeons themselves rely on.
What We Treat
Meet Your Team
At ESINY, we are honored to be seen as a premier center for endoscopic spine treatment, setting a high standard for minimally invasive spine care. Our highly decorated team is devoted to treating the root source of your pain with a high degree of precision, aiming to create longer lasting comfort, limit unwanted side effects, and make your recovery period much quicker than what is commonly associated with conventional spine surgery or frequent injections.
What To Expect
During the consultation process, our team will invite you to share your concerns in detail, carefully assess your symptoms, and review any medications, injections, or surgeries you may have tried in the past. If you qualify as a candidate, we will then describe the procedure thoroughly so you can feel informed and prepared before moving forward.
Endoscopic spine treatment is known as an exceptionally gentle surgical technique that still uses a small incision to access the spine while limiting tissue disruption. Because of this approach, patients typically enjoy a faster return to daily activities, fewer complications and side effects than traditional surgery, and in many cases only need local anesthesia before going home the same day.
Following your procedure, your ESINY physician will reach out personally during the week to see how you are healing and to address any concerns or questions that arise during your recovery.
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 considered one of the most tissue sparing spine surgeries available, using a tiny camera called an endoscope and specialized instruments to reach the spine through a very small incision that can be about the width of a pencil. ESINY remains the only fully dedicated endoscopic spine institute in the United States, giving patients access to a team that focuses on this technique every day.
This treatment provides a highly focused, minimally invasive option for patients who want relief without the extensive disruption of open surgery. Because it is designed to address the problem directly, it typically reduces complications, limits side effects, and supports faster recovery, and many patients are able to go home on the same day that their procedure takes place.
Typical spine surgery procedures require a larger opening in the back, with more cutting of muscles, ligaments, and sometimes bone, often leading to the use of rods, screws, and a recovery timeline that can be long and painful. Endoscopic spine surgery uses a tiny incision to reach the problem area, spares much of the surrounding muscle, and offers many patients a quicker recovery and the ability to leave the facility the same day.
If you have tried epidural injections or other conservative therapies, you already appreciate the appeal of treatments that do not require large incisions or long hospital stays. Endoscopic spine surgery shares that minimally invasive spirit but is designed to correct the underlying cause of your pain, not just quiet the symptoms for a limited period, which can support more lasting relief and function.
Many individuals seek us out when injections have diminished in effectiveness. Endoscopic spine surgery provides a highly focused and gentle option that resembles injections in its low impact approach yet offers the possibility of more stable, long term improvement, helping you move with greater ease and return more confidently to your daily life.
Yes, in the hands of a skilled and experienced team, endoscopic spine surgery is considered extremely safe. Because it is minimally invasive, it tends to result in less tissue damage, reduced blood loss, fewer complications, and a faster return to normal activities than open surgery.
Often, endoscopic procedures can be done using local anesthesia with light sedation so you remain comfortable without being fully asleep. General anesthesia is reserved for select patients or more complex situations where your surgeon believes it is the best option.
The majority of patients walk out of the clinic within hours and can resume light movement right away. Those experiencing limb pain often feel rapid improvement, and the overall recovery timeline is usually much shorter than that of conventional spine surgery.
These minimally invasive methods can address herniated discs, sciatica, spinal stenosis, bony overgrowths, and certain chronic back pain conditions. The endoscope provides precise access, allowing surgeons to treat a variety of issues with minimal tissue disturbance.
Most individuals experience only a small amount of pain afterward, much less than what is common with more invasive operations. Many find that mild pain relievers are sufficient and do not need stronger medications.
The incision is extremely small, typically measuring under 1 cm, similar to a pencil eraser. It heals rapidly, and the scar is usually subtle, with closure done using medical glue and a specialized ESINY bandage for added protection.
While endoscopic spine surgery is becoming more common, the level of training and experience required to perform it correctly is significant, and only a small number of surgeons have achieved this expertise. Beyond education, surgeons must perform many procedures to refine their technique and deliver consistent results. Because it depends on advanced technology and precise skills, very few centers are able to offer it routinely. ESINY stands apart as the only dedicated endoscopic spine institute in the country, supported by four internationally trained physicians and recognized as the highest volume facility in the United States.
If you reside in Georgia and have been advised that open surgery is your only remaining option, or that there are no safe surgical choices for you, endoscopic spine treatment may still be possible. Many patients who come to ESINY have already tried injections, conservative therapies, or even prior spinal operations that did not resolve their pain. Our expert endoscopic spine surgeons and pain management physicians will evaluate your case in depth and build a tailored plan designed specifically around your diagnosis and lifestyle. Using refined endoscopic techniques that aim directly at the problem area, we work to reduce tissue damage, lessen your pain, and support a recovery that is often much quicker than with conventional surgery.
Clinical outcomes often match those achieved with traditional spine surgery, while requiring smaller incisions, less tissue disruption, and a smoother recovery experience. At ESINY, endoscopic spine surgery is designed to combine accuracy, safety, and patient centered care so you can return to work, family, and activities more quickly.