At ESINY, our specialists rely on highly refined endoscopic techniques to carry out your spine surgery with exceptional care, allowing for precise work with as little disruption as possible to surrounding tissues. Through this advanced, patient centered approach, we strive to promote quicker recovery, enhance and maintain your physical strength, and guide you back to the level of comfort and quality of life you have been looking forward to enjoying.
Finally, The Relief You've Been Waiting For.
Endoscopic spine treatment is transforming the landscape of spinal care and redefining what patients and physicians can expect from modern surgical solutions. At the Endoscopic Spine Institute of New York, we are dedicated to reimagining the spine surgery experience by enhancing safety, limiting invasiveness, accelerating the healing process, and creating a more empowering and personalised journey for each patient we treat. With a celebrated group of neurosurgeons and orthopedic surgeons who are recognised frontrunners in endoscopic spine surgery, and as the only dedicated Endoscopic Spine Institute in the United States, our promise is to stand alongside you as you work to reclaim the life, independence, and confidence you deserve.
By carefully performing surgery through an incision under one centimetre in length and using a camera no larger than a pencil eraser, our specialists utilise highly advanced endoscopic techniques to deliver treatment with superior precision and minimal impact on the surrounding tissues.
Your Precise, Powerful Solution From The Spine Experts
Your spine care should come from a team that not only practices advanced techniques but also helps define them. At the Endoscopic Spine Institute of New York, our internationally recognized and award winning neurosurgeons and orthopedic surgeons have decades of focused experience performing endoscopic spine procedures. They have contributed their expertise at more than 500 major conferences, including key organizations such as the North American Spine Society and the Society for Minimally Invasive Spine Surgery, where current and future standards are discussed. Their research work encompasses 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. With this level of leadership, scholarship, and technical skill, your treatment is supported by precision medicine delivered to the highest standard.
Fewer Risks, Faster Recovery
Experience a treatment approach that minimizes risks, limits bleeding, uses an incision that is frequently under 1 cm, reduces complication possibilities, and promotes a recovery that moves much faster than traditional open procedures.
Go Home the Same Day with Only a Band-Aid
A full 95 percent of patients are able to go home the same day and ease back into light movement quickly, protected only by an ESINY band-aid rather than thick layers of bandages. There is no overnight stay required and no long period of inactivity.
Skip General Anesthesia
Unlike many standard spine operations, this procedure allows you to stay comfortable with mild sedation and local anesthesia instead of full general anesthesia. General anesthesia is still available when clearly indicated, but many patients find that lighter sedation is more than sufficient.
A Solution For Every Stage
Endoscopic spine treatment fits smoothly into your existing care plan, no matter where you are in the process. Whether previous steps have included injections, earlier surgery on your spine, or you are simply beginning to look for answers, this innovative technique provides a proven option that has already helped more than 30,000 patients.
The Go-To For Other Spine Doctors
When other spine physicians face back or neck problems themselves, they often come to us for solutions. With over 40 spine surgeons having entrusted their own treatment to our team, we are widely known as the surgeon that spine surgeons rely on.
What We Treat
Meet Your Team
At ESINY, we are pleased to be acknowledged as a pioneering center in endoscopic spine treatment and minimally invasive spine solutions. Our highly awarded surgeons focus on directly treating the true source of your pain with meticulous precision, helping to promote longer lasting relief, reduce unnecessary side effects, and allow for a recovery experience that is frequently much faster than that associated with standard surgical methods or repeated injection treatments.
What To Expect
During your visit with us, our team will listen attentively to your symptoms and concerns, examine your condition, and go through any past treatments you have tried, whether conservative or surgical. If we conclude that you are a strong candidate, we will describe the procedure thoroughly so you have a clear picture of what will happen and how it can help.
Endoscopic spine treatment is known as a very gentle surgical approach that still involves a small incision, allowing access to the spine while limiting damage to surrounding tissues. This level of refinement often leads to a much quicker recovery, fewer complications and side effects when compared with conventional surgery, and in most cases allows the use of only local anesthetic so patients can return home on the same day.
Following your procedure, your ESINY physician will personally follow up during the week to track your progress, review your symptoms, and respond to any new questions that may arise.
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 state of the art technique that allows surgeons to visualize and treat spinal conditions using a tiny endoscope and fine instruments passed through an incision usually no larger than the width of a pencil. At ESINY, we are proud to be the only spine institute in the United States that focuses solely on endoscopic spine procedures.
This method gives patients a precise and minimally invasive alternative for addressing persistent spinal pain and related symptoms. By focusing care directly on the source of the issue, it can decrease the chance of complications, minimize side effects, and often shorten the recovery period when compared to more conventional surgeries or injections, with many individuals returning home the same day.
In classic spine surgery, the surgeon generally needs a larger incision, which means more cutting of muscles and supporting tissues and removal of bone, often combined with screws and rods that extend the recovery timeline and can increase discomfort. With endoscopic spine surgery, a tiny incision is used to access the spine, reducing muscle trauma and giving patients the chance to heal faster and go home shortly after the procedure.
If you have turned to injections or other conservative measures in the past, you have already chosen minimally invasive strategies to manage spinal pain. Endoscopic spine surgery shares that low impact nature but is specifically designed to treat the deeper cause of your pain, not just reduce symptoms for a short window of time, which may provide more stable relief and improved day to day performance.
Many patients visit us after finding that repeated injections offer only limited or temporary benefits. In these cases, endoscopic spine surgery becomes a highly targeted and gentle solution that feels familiar in its minimally invasive character but offers the prospect of more durable results, helping them reduce pain, restore motion, and re-engage in their usual activities.
Yes, endoscopic spine surgery is considered safe when performed by dedicated specialists like those in our program. Its minimally invasive nature often results in less bleeding, fewer postoperative issues, and a shorter hospital or clinic stay than traditional spine surgery.
For most people, the procedure can be done under local anesthesia and light sedation, similar to what is used for many outpatient procedures. General anesthesia is still an option, but it is typically reserved for patients or procedures that require a deeper level of sedation.
Patients often return home the same day and can resume gentle activities right away, sometimes feeling near immediate relief from radiating limb pain. The full recovery timeline is typically weeks shorter than that associated with standard spine surgery.
A variety of spinal disorders can be treated endoscopically, including herniated discs, sciatica, stenosis, bone spurs, and targeted chronic back pain. The endoscope’s accuracy makes it possible to treat these problems with minimal disruption.
Discomfort is usually minimal after the procedure, significantly reduced compared to the pain experienced after open surgery. Many patients recover comfortably with basic pain medications rather than stronger prescriptions.
The incision is quite small, generally under 1 cm and comparable to a pencil eraser, allowing for quick healing. Scarring is often very light, and the area is sealed with medical glue and protected using an ESINY bandage.
Even though endoscopic spine surgery is expanding globally, relatively few surgeons have completed the rigorous training needed to perform it effectively. Mastery requires not only education but also substantial experience and repetition. With its reliance on sophisticated equipment and advanced skills, only a small number of specialists offer it. ESINY stands alone as the only dedicated endoscopic spine institute in the United States, with four internationally trained surgeons and the highest procedure volume in the country.
If you are in Indiana and have been told that open surgery is your only option, or that surgery is not feasible due to your condition or health, you may still be a candidate for endoscopic spine treatment. Many of our patients have already tried injections, nonoperative treatments, or even earlier spine surgeries before seeking a second opinion at ESINY. Our skilled endoscopic spine surgeons and pain management physicians will carefully review your case and design a customized plan that fits your needs and goals. By using precise endoscopic techniques to address the underlying source of pain while limiting tissue damage, we aim to help you experience less discomfort and a more rapid, comfortable recovery.
Results often equal or exceed those seen with conventional surgery, particularly when both pain relief and speed of recovery are considered together. ESINY’s endoscopic spine program focuses on precise correction of the underlying issue, with strong attention to safety, tissue preservation, and long term comfort.