At ESINY, we make use of advanced endoscopic techniques to ensure your spine surgery is performed with a high level of detail and accuracy while preserving the integrity of the surrounding tissues as much as possible. With this progressive and refined approach, our goal is to encourage a smoother and more efficient recovery, restore your strength and function, and help you return to the enjoyable, fulfilling quality of life you have been searching for.
Finally, The Relief You've Been Waiting For.
Endoscopic spine treatment is revolutionising the world of spinal care and changing how modern medicine responds to conditions that once required more invasive surgery. At the Endoscopic Spine Institute of New York, our driving purpose is to redesign the spine surgery pathway for each patient by prioritising safety, reducing trauma to the body, shortening the overall healing process, and making the experience more empowering and patient-centred from start to finish. With a highly regarded team of neurosurgeons and orthopedic surgeons who are recognised as experts in endoscopic spine surgery, and as the only dedicated Endoscopic Spine Institute in the United States, we are steadfast in our commitment to helping you move closer to the active, fulfilling life you deserve.
By making use of an incision that is less than one centimetre in length, together with a camera that is no larger than a pencil eraser, our specialists integrate state-of-the-art endoscopic techniques to provide treatment with outstanding precision and minimal disturbance to the surrounding anatomical structures.
Your Precise, Powerful Solution From The Spine Experts
Your spine treatment should reflect the most advanced knowledge and the strongest surgical judgment available. At the Endoscopic Spine Institute of New York, our internationally recognized and award winning team of neurosurgeons and orthopedic surgeons brings decades of experience focused specifically on endoscopic spine procedures. As respected leaders, they have appeared at more than 500 major conferences, including top-tier forums such as the North American Spine Society and the Society for Minimally Invasive Spine Surgery. Their scientific work has produced over 300 peer reviewed publications in respected medical journals, and their careers are marked by honors such as Honorary Membership in the American Academy of Neurological and Orthopedic Surgeons. With this foundation of expertise, research, and recognition, your care is delivered as precision medicine at the highest standard modern spine surgery can offer.
Fewer Risks, Faster Recovery
Experience a lower risk profile than traditional open procedures, with minimal bleeding, a small incision that can measure under 1 cm, fewer potential complications, and a recovery that progresses far faster than older surgical methods.
Go Home the Same Day with Only a Band-Aid
A remarkable 95 percent of patients depart the same day and return quickly to light activity, with only an ESINY band-aid needed rather than piles of medical dressings. There is no overnight hospitalization required and no lengthy downtime.
Skip General Anesthesia
Rather than undergoing full general anesthesia, you can stay comfortable with light sedation paired with localized anesthesia to the spine area. Although general anesthesia remains an option in particular circumstances, many patients find they can safely avoid it without compromising comfort.
A Solution For Every Stage
Endoscopic spine treatment is flexible enough to support you at every phase of your care journey. Whether you have tried injections, already had spine surgery, or are just beginning to research your choices, this advanced option offers a proven route forward that has benefited more than 30,000 individuals worldwide.
The Go-To For Other Spine Doctors
When other spine surgeons confront their own spinal concerns, they often seek our expertise. With over 40 spine surgeons selecting our team for their personal treatment, we are recognized as the surgeon that spine surgeons themselves prefer.
What We Treat
Meet Your Team
At ESINY, we are proud to stand at the forefront of endoscopic spine treatment, offering a level of expertise that few centers can match. Our award winning physicians concentrate on treating the actual cause of your pain with highly precise techniques that are designed to deliver longer term relief, decrease unwanted side effects, and support a healing process that is often much faster than what patients encounter with conventional procedures or recurring injections.
What To Expect
During your one on one consultation, our team will listen carefully to what you are experiencing, analyze your symptoms, and discuss any prior treatments such as medications, injections, or surgery. If we determine that endoscopic treatment is appropriate for you, we will clearly explain how the procedure works so you know what to expect at every step.
Endoscopic spine treatment is considered a very minimally invasive form of spine surgery that still uses a tiny incision to reach the affected area. Because this technique is gentle on surrounding tissues, patients typically recover more quickly than with traditional surgery, encounter fewer complications and side effects, and in many cases require only local anesthesia before going home the same day.
In the days following your procedure, your ESINY physician will personally check in with you to evaluate your healing, make sure you are progressing well, and respond to any questions you may have.
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 a technique that uses a miniature camera and specialized instruments inserted through a very small incision, typically no wider than a pencil, to address conditions affecting the spine. ESINY stands out as the only institute in the United States dedicated exclusively to endoscopic spine procedures, allowing our team to concentrate on delivering excellence in this specific type of care.
This type of treatment gives patients a way to manage spinal pain with excellent precision and minimal disturbance to nearby tissue. Because the approach is so focused, it tends to lower complication rates, leads to fewer side effects, and often enables a quicker recovery than more traditional surgery or injections, with many patients feeling well enough to return home that same day.
Traditional spine operations are generally performed through larger cuts that require pulling aside and cutting muscles and nearby tissues, along with removing bone and frequently installing screws or rods, all of which can produce longer, more painful recovery times. Endoscopic spine surgery is done through a tiny opening, limits muscle damage, and allows many patients to experience quicker healing and discharge from the medical center on the same day.
If you have previously used injections or other nonsurgical care for spinal pain, you already know the benefits of treatments that are less invasive and easier to recover from. Endoscopic spine surgery aligns with that approach but goes further by specifically addressing the root cause of your pain rather than providing only short term relief, which may support more prolonged comfort and functional improvement.
Many people arrive at ESINY after noticing that injections no longer deliver satisfying results. For them, endoscopic spine surgery becomes a highly accurate and minimally disruptive alternative that blends the gentle nature of injections with the potential for more lasting change, helping them walk, bend, and move with less discomfort as they get back to normal life.
Yes, when done by experts trained specifically in endoscopic techniques, this type of surgery has an excellent safety record. The smaller incision and limited tissue disruption generally mean lower complication rates, reduced blood loss, and a faster overall healing process than open surgery.
In a large number of cases, endoscopic spine surgery can be comfortably performed with local anesthesia and light sedation. General anesthesia remains an available option, but your surgeon and anesthesia team will recommend it only if it is clearly in your best interest.
Patients commonly walk out on the same day and resume light activity right away, with many noticing rapid improvement in radiating arm or leg pain. Overall, the healing process progresses far more quickly than with open spine surgery.
These techniques can treat a wide range of spine issues such as herniated discs, sciatica, stenosis, bone spurs, and some chronic back pain cases. The minimally invasive nature of the procedure allows for precise and effective treatment.
Patients generally notice only slight discomfort following the procedure, considerably less than what is expected with open surgery. Many rely on over the counter pain relievers and do not need stronger medications.
The incision is very small, often under 1 cm, similar in size to a pencil eraser. Healing happens quickly, and the scar tends to be minimal, thanks to closure with medical glue and a custom ESINY bandage.
Although this approach is gaining momentum worldwide, only a limited number of spine surgeons have undergone the comprehensive training needed to practice endoscopic spine surgery at an expert level. Beyond training, mastery requires ongoing practice and a large volume of cases. Due to its technical demands and specialized equipment, it is offered by only a select group of surgeons. ESINY remains the only endoscopic spine institute in the United States, powered by four internationally trained specialists and operating as the highest volume center in the country.
If you live in Idaho and have been told that open surgery is your last resort, or that no surgical option is suitable for you, endoscopic spine treatment may still offer a path forward. Many patients who visit ESINY have undergone injections, bracing, physical therapy, or prior surgeries without getting the relief they hoped for. Our dedicated endoscopic spine surgeons and pain management experts will thoroughly assess your medical history, imaging, and daily function to craft a personalized plan. Using state of the art endoscopic techniques that focus on the true pain generator while protecting nearby tissues, we may help you experience less pain, improved function, and a quicker return to normal activities.
Outcomes frequently mirror those of open procedures in terms of pain reduction and improved movement, but with a shorter healing timeline and fewer complications. Endoscopic spine surgery at ESINY brings together high level expertise and refined techniques to deliver effective, precise care aimed at improving your daily quality of life.