At ESINY, we dedicate ourselves to performing spine surgery with the latest endoscopic technology, which allows our surgeons to work with exceptional accuracy while minimising any unnecessary intrusion. By focusing exclusively on this highly specialised approach, our goal is to support you through a recovery process that is faster, smoother, and more effective. We strive to help you regain your strength, restore your overall well-being, and enjoy a full and active lifestyle that reflects the quality of life you have always sought.
Finally, The Relief You've Been Waiting For.
Endoscopic spine surgery is shaping a new era in spinal care, offering the ability to address back issues with highly effective and precise medical interventions. At the Endoscopic Spine Institute of New York, our aim is to transform the surgical experience by prioritising patient safety, utilising smaller incisions, promoting faster recovery, and instilling the confidence necessary to embrace a healthier, more active future. Our institute is led by a team of neurosurgeons and orthopedic surgeons who are widely recognised for their expertise in this specialised field, and as the only Endoscopic Spine Institute in the United States, we remain dedicated to helping patients achieve restored health and long-term well-being.
By performing surgery through an incision smaller than one centimetre and employing a surgical camera roughly the size of a pencil eraser, our surgeons are able to execute cutting-edge endoscopic procedures with exceptional accuracy while minimising disruption to the surrounding tissues.
Your Precise, Powerful Solution From The Spine Experts
Your spinal health requires the guidance of medical experts who have consistently proven themselves to be leaders at the very highest levels of professional achievement. At the Your spinal health requires the guidance of medical professionals who have consistently proven themselves as leaders at the highest levels of their field. At the Endoscopic Spine Institute of New York, our distinguished team of neurosurgeons and orthopedic surgeons has devoted decades to perfecting endoscopic spine surgery, combining technical innovation with extensive clinical experience. Their influence extends across the global medical community, with more than 500 presentations delivered at international conferences, including highly respected organizations such as the North American Spine Society and the Society for Minimally Invasive Spine Surgery. They have authored over 300 peer-reviewed articles that continue to shape spinal medicine, and they have earned Honorary Membership in the American Academy of Neurological and Orthopedic Surgeons. With these achievements forming the foundation of their practice, your care benefits from precision medicine that blends innovation, authority, and exceptional expertise.
Fewer Risks, Faster Recovery
Compared with traditional open procedures, endoscopic spine surgery provides numerous advantages for patients. The risks are reduced, blood loss is significantly lower, and the incision is extremely small, often measuring less than a single centimetre. The likelihood of complications is minimized, and recovery is accelerated, often shortened by several weeks. Patients experience a more comfortable procedure and can return to normal activity more quickly while maintaining optimal spinal health.
Go Home the Same Day with Only a Band-Aid
An impressive ninety-five percent of patients are able to go home on the same day as their surgery and can immediately resume light physical activity without delay. The need for cumbersome or heavy bandaging is completely removed, replaced instead by a single, simple ESINY band-aid that covers the incision site. There is no requirement for overnight hospital stays, and patients are not held back by prolonged recovery periods or unnecessary restrictions.
Skip General Anesthesia
Patient comfort is a central consideration in every procedure. Most surgeries are performed using local anaesthesia combined with light sedation to keep patients relaxed. While general anaesthesia remains an option in select cases, it is rarely required, and the majority of patients find this less intensive approach to be completely sufficient.
A Solution For Every Stage
Endoscopic spine treatment is accessible to patients at any stage of their journey. Whether they are just beginning to explore solutions, returning for additional care after a previous operation, or seeking an alternative to injections, this technique offers a clear path forward. Already, over 30,000 individuals have regained the ability to participate in everyday activities and enjoy a higher quality of life thanks to this innovative method.
The Go-To For Other Spine Doctors
Interestingly, even those who practice spinal medicine themselves choose our care. More than forty spine surgeons have selected our team for their own treatment, demonstrating a level of trust and professional respect that has earned us a reputation as the preferred choice among experts, establishing us as the trusted surgeon’s surgeon.
What We Treat
Meet Your Team
At ESINY, our leadership in endoscopic spine surgery stems from the unmatched expertise and proven accomplishments of our award-winning team of physicians and surgeons. Each treatment plan is meticulously developed to accurately identify and treat the underlying cause of spinal pain, delivering results that provide longer-lasting relief, lower risk of complications, and recovery times that are significantly shorter compared to conventional surgeries or repeated injections. Patients at ESINY benefit from an approach that combines advanced technological innovation with precise clinical skill and efficient surgical techniques. Every aspect of care is designed with the singular goal of restoring the comfort, mobility, and overall quality of life that our patients have been missing.
What To Expect
During your consultation, we take the time to gain a comprehensive understanding of your individual case by discussing the symptoms you are experiencing and carefully reviewing any prior treatments that may have been attempted. If it is determined that you are an appropriate candidate for endoscopic spine treatment, we will provide a detailed explanation of the entire process, ensuring that you know exactly what to expect from the beginning of your procedure through your full recovery.
Endoscopic spine surgery is regarded as the least invasive surgical option currently available that still involves a small incision. Thanks to its advanced techniques, patients often experience a faster rate of healing compared with traditional surgical approaches, while encountering fewer complications or unwanted side effects. In the majority of cases, only local anesthesia is required, enabling patients to return home safely on the same day as their procedure.
Within the first week following your treatment, your ESINY physician will personally follow up with you to monitor your progress, provide any additional instructions needed for a smooth recovery, and answer any questions you may have regarding your post-procedure care.
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 widely recognized as the least invasive form of spinal procedure currently available. The procedure employs an endoscope, a sophisticated device that combines a high-definition miniature camera with precise surgical instruments. This instrument is inserted through a very small incision, approximately the size of a pencil, allowing surgeons to see and work with incredible accuracy. This advanced technique greatly reduces trauma to surrounding muscles, ligaments, and other tissues. ESINY stands as the only center in the country exclusively dedicated to refining, advancing, and performing this highly specialized surgical approach, ensuring patients receive the most advanced care possible.
The main advantages of endoscopic spine treatment stem from its precision in identifying and treating the actual source of spinal pain. Patients often experience fewer complications, reduced risks, and significantly faster recovery times when compared to traditional surgical methods or steroid injections. In many cases, patients are able to walk comfortably immediately following treatment and are discharged on the same day, allowing them to return home safely without the need for overnight hospitalization.
Traditional spinal surgeries typically require larger incisions, cutting through muscles, and in some cases removing sections of bone. These steps can result in considerable discomfort and necessitate prolonged rehabilitation periods. Many conventional surgeries also involve hardware such as rods, screws, or plates, further increasing the invasiveness of the procedure. Endoscopic spine surgery, by contrast, uses a very small incision, minimizes tissue disruption, and significantly shortens recovery times. Most patients are able to return home only hours after surgery, experiencing far less disruption to their daily lives.
For individuals who have previously relied on injections or other conservative methods to manage spinal discomfort, the appeal of minimally invasive care is often immediately clear. Endoscopic spine surgery follows this same philosophy by concentrating specifically on the root cause of the pain rather than merely addressing symptoms. This method is designed to deliver precise results, provide longer-lasting relief, and reduce disruption compared with traditional surgical procedures.
Many patients come to us when prior injections no longer provide the desired relief, seeking a solution that truly addresses the source of their discomfort. Endoscopic surgery combines minimal tissue disruption with highly targeted precision, helping to alleviate pain, restore mobility, and allow patients to return to the daily activities and lifestyle they value most.
Yes, when performed by skilled and experienced specialists, this program is extremely safe. Compared with conventional spinal surgeries, endoscopic spine surgery typically involves lower rates of complications, reduced blood loss, and shorter recovery periods. These advantages have made the approach a widely recognised and trusted method for treating spinal conditions.
In many instances, endoscopic procedures can be performed with a combination of light sedation and local anesthesia, allowing patients to recover more quickly and safely. For those who prefer or feel more comfortable being completely unconscious during the surgery, general anesthesia remains an available option, ensuring that every patient receives care in a manner that suits their comfort and safety needs.
Patients are typically able to leave the clinic and walk out on the very same day as their endoscopic spine surgery. Many individuals can resume gentle movements and light activities almost immediately, often noticing a significant reduction in pain affecting the arms or legs. Overall, the healing process is considerably faster than with traditional open spine procedures, with most patients able to return to their regular daily routines within just a few weeks, enjoying improved comfort and mobility along the way.
Endoscopic techniques are effective for treating a wide variety of spinal issues. These include herniated discs, spinal stenosis, sciatica, bone spurs, and several long-term degenerative or chronic back conditions. The minimally invasive nature of the procedure allows surgeons to focus precisely on the affected area while limiting disruption to surrounding tissues, resulting in a more targeted and efficient approach to pain relief and spinal restoration.
Most patients experience only mild soreness following the procedure rather than significant or severe pain. Because the surgery involves a very small incision, discomfort is considerably less than what is typically seen with open spine surgery. In many cases, the need for prescription pain medication is minimal, and patients are able to manage post-operative discomfort effectively with standard over-the-counter remedies.
The incision made for endoscopic spine surgery is extremely small, usually measuring less than one centimetre, approximately the size of a pencil eraser. This minimal cut results in very little visible scarring. The site is carefully closed with medical adhesive and protected with a specialized ESINY bandage to promote proper healing while ensuring the area remains clean and secure.
Endoscopic spine surgery is experiencing rapid growth worldwide as a highly effective surgical option, yet it remains a very specialized area that not all spine surgeons are trained or prepared to enter. While the technique is gaining recognition in many regions, only a limited number of practitioners have the advanced training, practical experience, and technical skill required to perform it successfully. Even after formal training, a surgeon must complete a significant number of cases to achieve a high level of proficiency. The procedure also requires specialized equipment and expertise that go beyond the scope of traditional spinal surgery. ESINY is unique in the United States, with four endoscopic spine surgeons who have received international training all working together in a single center. This collaborative structure not only allows for exceptional teamwork but also enables our practice to maintain the highest endoscopic spine surgery case volume in the nation.
Residents of Hoboken who experience chronic back or neck pain may still be candidates for endoscopic spine surgery, even in situations where open surgery was previously recommended or considered necessary. For individuals whose prior treatments, including injections or minor procedures, have not provided lasting relief, ESINY offers a thorough evaluation to determine the most suitable course of action. Our team of highly trained endoscopic spine surgeons and pain specialists develops a personalized plan for each patient. Advanced endoscopic techniques allow us to directly target the source of pain while preserving surrounding tissues, which often leads to reduced discomfort and a faster recovery process.
For many patients, endoscopic spine surgery produces results that match or even surpass those of traditional surgical methods, while offering the benefit of a significantly shorter recovery period. At ESINY, every procedure is performed with meticulous attention to accuracy, prioritizing patient safety and enhancing quality of life through the careful application of advanced endoscopic techniques. Our goal is to provide outcomes that allow patients to return to their daily routines with greater comfort and mobility.