At ESINY, we focus on using modern endoscopic techniques so your spine surgery is completed with outstanding precision and with minimal interference to the delicate tissues, nerves, and supporting structures in your spine. This thoughtfully developed and technologically guided approach is intended to support a faster return to normal activity, reinforce your overall strength and stability, and help you regain the quality of life and comfort you have been eager to achieve.
Finally, The Relief You've Been Waiting For.
Endoscopic spine treatment is reshaping expectations for patients and redefining how modern medicine approaches the delicate structures of the spine. At the Endoscopic Spine Institute of New York, our central mission is to rethink the spine surgery journey by making it safer, significantly less invasive, more efficient in terms of recovery, and ultimately more empowering for every patient who walks through our doors. With a distinguished staff of neurosurgeons and orthopedic surgeons who are recognised specialists in endoscopic spine surgery, and as the only dedicated Endoscopic Spine Institute in the United States, we are focused on leading you toward reclaiming comfort, movement, and the life you have been striving to regain.
Using an incision smaller than one centimetre along with a camera that is no larger than a pencil eraser, our team applies sophisticated endoscopic methods to deliver care with exceptional precision and minimal disruption to surrounding tissue and supporting structures.
Your Precise, Powerful Solution From The Spine Experts
Your spine treatment is most reassuring when it is guided by experts whose achievements are acknowledged worldwide. At the Endoscopic Spine Institute of New York, our internationally recognized and award winning neurosurgeons and orthopedic surgeons have spent decades refining their skills in endoscopic spine procedures. They have collectively educated peers at more than 500 major conferences, including respected gatherings like the North American Spine Society and the Society for Minimally Invasive Spine Surgery. Their academic output includes over 300 peer reviewed publications in respected medical journals, and they have received distinctions such as being named Honorary Members of the American Academy of Neurological and Orthopedic Surgeons. This combination of global recognition, research excellence, and clinical mastery ensures that your treatment is grounded in precision medicine at the very highest level.
Fewer Risks, Faster Recovery
Experience fewer surgical risks, including reduced bleeding, a very small incision often below 1 cm, lower complication rates, and a recovery experience that can be weeks faster than open surgery.
Go Home the Same Day with Only a Band-Aid
Most patients, including 95 percent, leave on the same day and begin light activity soon afterward, supported only by an ESINY band-aid instead of bulky bandages. There is no need for a hospital stay and no drawn out healing period.
Skip General Anesthesia
Compared to many conventional spine procedures, this technique keeps you at ease using only light sedation and focused local anesthesia instead of full general anesthesia. While general anesthesia can still be recommended when appropriate, many patients realize that it is unnecessary for their particular case.
A Solution For Every Stage
Endoscopic spine treatment is designed to meet patients at multiple stages of their spine care journey. Whether you have already been through injections, past spinal surgery, or are just starting to consider treatment, this modern approach offers a dependable solution that has already improved outcomes for over 30,000 people.
The Go-To For Other Spine Doctors
When fellow spine specialists need treatment, they often trust our team for their own care. With more than 40 spine surgeons having chosen us as their provider, our practice has earned the reputation of being the spine surgeon’s own surgeon.
What We Treat
Meet Your Team
At ESINY, we are widely recognized as a leader in modern endoscopic spine treatment, reflecting our commitment to advanced, patient centered care. Our highly acclaimed team works carefully to reach the root cause of your discomfort with outstanding precision, with the aim of providing relief that lasts longer, limiting side effects, and enabling a recovery that is often considerably quicker than with traditional surgery or multiple rounds of injections.
What To Expect
During your consultation appointment, our team will take time to understand your concerns, carefully review your symptoms, and look at any treatments or diagnostic tests you may have already completed. If you are identified as a suitable candidate, we will provide a full explanation of the procedure so that you feel informed, prepared, and confident about the next steps.
Endoscopic spine treatment is viewed as one of the most tissue sparing surgical options, using a small incision while minimizing disruption to muscles and supporting structures. Because of this, patients usually benefit from a faster and smoother recovery compared with traditional surgery, experience fewer complications and side effects, and in most situations need only local anesthesia and can return home that same day.
After your treatment, your ESINY physician will personally reach out within the week to review how you are doing, confirm that your healing is on track, and answer any follow up questions.
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 highly refined surgical method that uses a very small camera known as an endoscope, along with slim surgical tools, to treat spinal problems through an incision about the size of a pencil tip. ESINY is recognized as the only dedicated endoscopic spine institute in the United States, giving patients access to a center that is entirely focused on this minimally invasive approach.
This treatment offers a very precise way to relieve pain while keeping the procedure as minimally invasive as possible for the patient. By directing treatment straight to the affected area, it can lessen the risk of complications, limit side effects, and often encourage faster healing than conventional surgery or repeat injections, with many patients safely returning home on the same day.
Most standard spine surgeries call for a sizable incision, extensive manipulation and cutting of muscle, and removal of bone, often followed by hardware placement and a prolonged, uncomfortable rehabilitation. Endoscopic spine surgery, on the other hand, is performed through a very small incision, greatly minimizes injury to the muscles, and helps patients recover sooner and safely leave the facility within hours.
If you have received spinal injections before, you understand how beneficial a minimally invasive treatment can be for pain control. Endoscopic spine surgery uses a similar philosophy but focuses on repairing or relieving the underlying structural issue rather than just calming symptoms, which can lead to longer lasting relief and more reliable function.
Many of our patients seek endoscopic care after injections have lost their effectiveness. This procedure offers a precise, small incision alternative that maintains the gentle feel of an injection yet has the capacity to create more permanent improvements, allowing patients to move more comfortably and return to their everyday responsibilities.
Yes, our endoscopic spine program is built around evidence based practices and experienced surgical care, making it a very safe option for many patients. Compared with conventional open procedures, it usually involves less trauma to the body, fewer complications, and faster recovery times.
Not always, since many patients are good candidates for local anesthesia with light sedation, which keeps them relaxed while avoiding full general anesthesia. Your individual needs, medical history, and comfort will guide the decision about which type of anesthesia is used.
Most people leave shortly after their procedure and can engage in light tasks almost immediately. For those with nerve related arm or leg pain, relief may begin within hours, and total recovery usually happens much sooner than traditional methods allow.
Endoscopic approaches can manage many spinal concerns including disc herniation, sciatica, spinal narrowing, bony overgrowth, and selected chronic pain conditions. Its precision allows surgeons to work directly at the source of the issue with minimal tissue impact.
Most people feel only mild soreness after the procedure, much easier to tolerate than traditional surgical pain. Strong pain medication is usually unnecessary, with many patients finding relief from simple, nonprescription options.
The incision is tiny, typically less than 1 cm, roughly the diameter of a pencil eraser. It heals rapidly, leaving a small, often barely visible scar, supported by medical glue and an ESINY bandage.
Endoscopic spine surgery is rapidly evolving, but the education required to perform it with precision is both advanced and limited to select surgeons. High level proficiency depends heavily on years of experience and completing numerous procedures. Because it involves complex techniques and specialized tools, only a small percentage of spine surgeons provide it. At ESINY, we are the sole endoscopic spine institute in America and home to four internationally trained experts, making us the nation’s leading center by procedure volume.
If you reside in Illinois and have been told that a large open spine surgery is your only realistic option, or that surgery is not recommended for you at all, you might still qualify for endoscopic spine treatment. Even when injections, pain medications, or previous spine procedures have failed to provide lasting relief, our team at ESINY can offer a detailed reevaluation. Our experienced endoscopic spine surgeons and pain specialists will build a care plan tailored to your specific diagnosis, lifestyle, and long term goals. With advanced endoscopic methods that precisely target the painful area while minimizing disruption to surrounding tissues, you may benefit from decreased pain and a faster recovery compared to traditional surgical approaches.
Many people find that their relief, flexibility, and function after endoscopic surgery are comparable to what they would expect from more invasive operations, yet the recovery process is typically easier and quicker. At ESINY, every endoscopic procedure is carefully planned to maximize effectiveness while minimizing stress on your body.