At ESINY, we incorporate state of the art endoscopic techniques into your spine surgery so it can be completed with remarkable precision and with the least possible disturbance to the nearby muscles and supporting tissues. This carefully tailored and highly advanced strategy is designed to foster faster recovery, promote lasting strength and stability, and allow you to reclaim the quality of life and independence you have been missing.
Finally, The Relief You've Been Waiting For.
Endoscopic spine treatment is at the forefront of a new era in spinal medicine and is reshaping how doctors diagnose, manage, and treat spine-related issues. At the Endoscopic Spine Institute of New York, our goal is to reimagine the entire journey of spine surgery for our patients by making it safer, gentler on the body, faster in terms of recovery, and more empowering so that every patient feels informed, supported, and respected. With a renowned team of neurosurgeons and orthopedic surgeons who are recognised innovators in endoscopic spine surgery, and as the only dedicated Endoscopic Spine Institute in the United States, we dedicate ourselves to helping you regain control over your health and reclaim the life you have envisioned.
Through the use of an incision smaller than one centimetre, along with a camera that is no bigger than a pencil eraser, our specialists employ advanced endoscopic procedures to deliver care with unparalleled precision and with minimal disruption to muscles, ligaments, and surrounding tissues.
Your Precise, Powerful Solution From The Spine Experts
Your spine deserves care from a team that combines technical skill with a proven track record of innovation and teaching. At the Endoscopic Spine Institute of New York, our internationally recognized and award winning neurosurgeons and orthopedic surgeons draw on decades of concentrated experience in endoscopic spine procedures. They have shared their expertise at more than 500 major conferences, including key meetings such as the North American Spine Society and the Society for Minimally Invasive Spine Surgery, where international experts gather. Their research portfolio includes over 300 peer reviewed publications in respected medical journals, and they hold distinctions such as being named Honorary Members of the American Academy of Neurological and Orthopedic Surgeons. This powerful mix of clinical excellence, academic influence, and professional respect ensures that your treatment is rooted in precision medicine at an exceptionally high standard.
Fewer Risks, Faster Recovery
Experience a procedure that carries fewer risks than open surgery, offering reduced bleeding, an ultra small incision that may be under 1 cm, fewer complications, and a significantly quicker healing period.
Go Home the Same Day with Only a Band-Aid
A strong 95 percent of patients walk out the same day and resume light activities soon after, needing only an ESINY band-aid in place of heavy bandaging. There is no need for hospital admission and no long period of rest.
Skip General Anesthesia
In place of the full general anesthesia used in many traditional surgeries, you remain at ease with gentle sedation and carefully administered local anesthesia. There are still situations where general anesthesia may be chosen, but a large percentage of patients discover it is not required for a successful outcome.
A Solution For Every Stage
Endoscopic spine treatment can be tailored to the specific point you are at in managing your spinal pain. Whether your path has already included injections, prior spine surgery, or you are only starting to explore your options, this contemporary treatment has become a trusted choice for over 30,000 people seeking relief.
The Go-To For Other Spine Doctors
When experienced physicians develop spine issues of their own, they often turn to us for care. With more than 40 spine surgeons having sought treatment here, we are widely seen as the specialist that spine surgeons choose for themselves.
What We Treat
Meet Your Team
At ESINY, we are recognized as one of the foremost destinations for endoscopic spine treatment, reflecting our deep experience and focus on innovation. Our extensively awarded team strives to directly address the origin of your spinal discomfort with exceptional precision, so that you can benefit from more sustained relief, fewer side effects, and a recovery that is often far faster than the typical experience after open surgery or repeated injection therapies.
What To Expect
During your initial consultation, our team will take a thoughtful, patient centered approach by listening to your concerns, examining your symptoms, and reviewing any previous therapies or interventions you have undergone. If we find that you are an appropriate candidate, we will go over the procedure in detail and make sure you understand each part of the process from start to finish.
Endoscopic spine treatment is recognized as a highly minimally invasive surgical method that still relies on a small incision to address the underlying problem. Thanks to this technique, patients often experience shorter recovery times, fewer complications, and fewer unwanted side effects than with standard surgery, and in most cases only a local anesthetic is required so they can safely return home the same day.
After your treatment is complete, your ESINY physician will personally follow up with you during the week to review your progress and provide answers or reassurance as you continue healing.
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 an advanced form of minimally invasive surgery in which a small endoscope and narrow surgical instruments are used through an incision no larger than a pencil’s width to treat spinal issues. At ESINY, we are unique in that we are the only endoscopic spine institute in the United States devoted solely to this method of spinal care.
This treatment option allows for highly accurate targeting of the painful area while keeping the procedure minimally invasive, which is easier on surrounding muscles and tissues. By going straight to the source of the problem, it can reduce the likelihood of complications, cause fewer side effects, and often shorten the healing period when compared with standard surgery or injections, with many patients discharged to home the same day.
With standard spine surgery, surgeons usually work through a broad incision, moving and cutting muscle tissue and removing sections of bone, which may then need to be stabilized with screws and rods and often leads to extended healing periods. Endoscopic spine surgery, by comparison, uses a very small incision, causes far less trauma to muscles, and helps patients recover faster so they can often return home only a few hours after treatment.
If you have undergone spinal injections or similar treatments, you know how reassuring it can feel to choose a minimally invasive option. Endoscopic spine surgery takes that same concept and applies it to directly treating the anatomical source of your pain instead of simply masking it, which can open the door to longer lasting relief and better day to day function.
Many patients come to our clinic once injections no longer provide enough change in their symptoms. For these patients, endoscopic spine surgery delivers a precise, muscle sparing alternative that keeps the gentle feel of an injection while offering the potential for more durable outcomes, allowing them to regain mobility, lessen pain, and resume regular activities.
Yes, our program follows strict safety protocols and is led by surgeons who perform endoscopic procedures routinely. Compared with traditional spine operations, this approach is associated with fewer surgical risks, less bleeding, and a recovery that is typically quicker and less painful.
Many patients do not require general anesthesia and do very well with local anesthesia plus gentle sedation. Your anesthesia plan will be personalized, and general anesthesia will only be used if your medical status or procedure details make it the safest choice.
Many patients go home the same day and return to light, comfortable activity almost immediately. Individuals dealing with arm or leg pain often feel noticeable relief soon after the procedure, and the full recovery period is typically much shorter than with traditional operations.
Endoscopic technology is used for numerous spine disorders including disc herniations, sciatica, spinal canal narrowing, bone spur formation, and certain chronic back pain problems. Its precision helps expand the number of conditions that can be effectively treated.
The majority of patients describe postoperative discomfort as mild and far easier to manage than pain after traditional spine surgery. Most do well with basic pain relief options rather than prescription strength medications.
The incision is usually tiny, under 1 cm, about the width of a pencil eraser, and it closes quickly. The resulting scar is often hardly visible, with medical glue and an ESINY bandage applied for ideal healing.
Endoscopic spine surgery continues to grow internationally, yet the training needed to perform it exceptionally well is both lengthy and highly specialized. Experience plays a major role, and surgeons must complete many procedures before becoming confident and proficient. Since it requires refined techniques and advanced tools, only a small number of surgeons currently perform it regularly. As the only endoscopic spine institute in America, ESINY brings together four globally trained experts, making us the highest volume center for this type of spine care in the nation.
If you live in Hawaii and have been told that only traditional open spine surgery can help you, or that surgery is off the table entirely, you may still qualify for endoscopic spine treatment. Even if prior injections, medications, or spine procedures have not provided lasting improvement, our ESINY team can carefully review your records and current symptoms. Our internationally trained endoscopic spine surgeons and pain specialists will create a treatment plan that is customized to your specific condition, health status, and comfort level. With advanced endoscopic approaches that target the root cause of your pain while minimizing trauma to surrounding structures, you may experience less discomfort and a smoother, faster recovery.
Many patients report symptom relief and restored function that are on par with traditional surgery, along with less postoperative pain and a faster return to normal life. Our team at ESINY uses advanced endoscopic visualization and instruments to treat the exact source of your pain while prioritizing long term comfort and mobility.