At ESINY, we employ leading endoscopic techniques so your spine surgery can be done with precise control and minimal disturbance to the nearby muscles, ligaments, and supportive tissues around your spine. This innovative and carefully executed method is designed to encourage a more rapid recovery, help rebuild your strength and confidence in movement, and support your return to the higher quality of life you have been seeking for yourself.
Finally, The Relief You've Been Waiting For.
Endoscopic spine treatment is redefining standards in spinal healthcare and reshaping how modern medicine treats both simple and complex spinal disorders. At the Endoscopic Spine Institute of New York, our vision is to reinvent the spine surgery journey for our patients by making procedures safer, less physically demanding, faster to recover from, and more empowering so that every individual feels actively involved in their care. With an accomplished team of neurosurgeons and orthopedic surgeons who are recognised authorities in endoscopic spine surgery, and as the only dedicated Endoscopic Spine Institute in the United States, we devote our expertise and resources to helping you restore function and reclaim the quality of life you have long desired.
Through an incision that is smaller than one centimetre and a camera that is no larger than a pencil eraser, our specialists bring together the most advanced endoscopic techniques to provide treatment with meticulous precision and with minimal disturbance to the surrounding muscles, nerves, and tissues.
Your Precise, Powerful Solution From The Spine Experts
Your spine treatment benefits most from care provided by surgeons who are trusted voices in the global spine community. At the Endoscopic Spine Institute of New York, our internationally recognized and award winning team of neurosurgeons and orthopedic surgeons brings decades of concentrated experience in endoscopic spine procedures, gained through years of specialized practice. As international educators and innovators, they have shared their knowledge at more than 500 major conferences, including prominent events such as the North American Spine Society and the Society for Minimally Invasive Spine Surgery. Their research includes over 300 peer reviewed publications in respected medical journals, and they have earned honors like being named Honorary Members of the American Academy of Neurological and Orthopedic Surgeons. This blend of experience, academic contribution, and professional distinction ensures that your spine treatment is guided by precision medicine at the highest standard of care.
Fewer Risks, Faster Recovery
Experience a safer surgical option with less bleeding, a tiny incision often below 1 cm, fewer complications overall, and a recovery journey that is significantly shorter when compared to older surgical techniques.
Go Home the Same Day with Only a Band-Aid
Approximately 95 percent of patients leave the facility on the same day and swiftly resume light activities, using only an ESINY band-aid instead of bulky coverings. There is no hospital stay required and no lengthy downtime afterward.
Skip General Anesthesia
Instead of automatically using general anesthesia, this approach keeps you comfortable through light sedation and site-specific local anesthesia. General anesthesia can still be used when clinically needed, yet many individuals learn that it is not required for a smooth and comfortable experience.
A Solution For Every Stage
Endoscopic spine treatment can support you whether you are early in your journey or have already tried other therapies. Whether you have undergone injections, lived through prior spine surgery, or are just beginning to explore your options, this advanced treatment has become a trusted choice for more than 30,000 people seeking lasting relief.
The Go-To For Other Spine Doctors
When spine surgeons and other physicians need care for their own spinal conditions, they frequently look to our team. With more than 40 spine surgeons choosing us for treatment, we have earned recognition as the spine surgeon’s own surgeon.
What We Treat
Meet Your Team
At ESINY, we are proud that our practice is recognized as a trusted leader in endoscopic spine treatment for patients seeking advanced options. Our award winning team is dedicated to reaching the root cause of your spinal symptoms with a very high degree of precision, with the intention of providing more enduring relief, minimizing side effects, and giving you a recovery period that is often significantly shorter than what most patients face after conventional operations or ongoing injections.
What To Expect
During your consultation, our team will focus on understanding you as a whole person by listening to your concerns, assessing your symptoms, and reviewing any treatments or imaging you have already had. If we find that you qualify as a candidate for endoscopic care, we will go over the procedure in depth so you know exactly what to expect and can feel comfortable moving forward.
Endoscopic spine treatment is widely recognized as an extremely minimally invasive surgical technique that still relies on a small incision, which helps reduce trauma to surrounding tissues. Because of this advantage, patients generally experience faster recovery times than with traditional open surgery, face fewer complications and side effects, and in most cases only require local anesthesia before being safely discharged home on the same day.
After your procedure, your ESINY physician will personally contact you during the week to check on your healing, ensure your recovery is progressing well, and answer any questions you may have along the way.
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 regarded as one of the most minimally invasive spinal procedures available, using a very small camera called an endoscope and delicate instruments to treat spinal problems through an incision roughly equal to a pencil in width. ESINY continues to be the only dedicated endoscopic spine institute in the United States, bringing a unique level of specialization to this area of care.
This treatment gives patients a carefully targeted, minimally invasive way to manage their spinal pain and restore function. Because it works directly at the site of the problem, it often leads to fewer complications, produces fewer side effects, and encourages faster recovery compared with traditional operations or injections, with many patients well enough to go home later the same day.
Standard spine operations typically involve broad incisions, significant disruption to muscle layers and surrounding tissues, and removal of bone that may require hardware stabilization and a lengthy, sometimes painful recovery. Endoscopic spine surgery is instead completed through a very small incision, preserves much more of the muscle, and offers the benefit of faster recovery, with many patients able to leave the medical facility the same day.
If you have tried spinal injections or other low impact treatments, you know the value of approaches that avoid major surgery while still easing pain. Endoscopic spine surgery keeps that same minimally invasive mindset yet aims directly at the structural cause of your discomfort instead of providing only temporary symptom relief, which can support longer lasting benefits and better function.
Many individuals seek endoscopic surgery at our clinic once injections stop making a meaningful difference. For them, this procedure offers a precise, carefully controlled option that combines the gentle nature of an injection with the potential for more permanent improvement, enabling them to regain movement, decrease pain, and return more fully to their everyday life.
Yes, our program combines advanced technology with a highly experienced team, making endoscopic spine surgery a very safe choice for appropriate candidates. It typically offers lower risk than open surgery, with less blood loss, fewer complications, and a faster, more comfortable recovery.
Often, no, as many endoscopic spine surgeries are performed with only local anesthesia and light sedation to keep you comfortable. If there are specific clinical reasons or personal preferences, your care team may recommend general anesthesia, and this will be discussed with you in advance.
Most patients walk out within hours and return to light activity as soon as they feel ready, often noticing immediate improvement if leg or arm pain was present. Recovery tends to move much faster than the typical timeline for open spine surgery.
Endoscopic spine care is used for conditions such as herniated discs, sciatica, spinal stenosis, bone spurs, and certain chronic back pain issues. The technique’s precision allows for effective treatment while preserving surrounding tissue.
Most patients feel only slight postoperative pain, which is far less intense than pain following traditional surgical approaches. Over the counter pain relievers are often enough for comfort, making stronger medications unnecessary.
The incision is minimal, typically no more than 1 cm, about the size of a pencil eraser. Healing is usually fast and the scar is subtle, assisted by medical glue and a custom ESINY bandage to support proper recovery.
While interest in endoscopic spine surgery is increasing worldwide, the technique demands extensive training and years of practice, which few surgeons have completed. True mastery relies on handling a high volume of cases and becoming deeply familiar with specialized equipment. As a result, only select surgeons provide this type of care. ESINY is the only dedicated endoscopic spine institute in America, staffed by four internationally trained experts and recognized as the nation’s highest volume center for this advanced treatment.
If you live in Iowa and have been told that only open surgery can address your spine issues, or that surgery is not an option for you, endoscopic spine treatment may still be worth exploring. Many patients who come to ESINY have already undergone injections, therapy, or prior operations without the lasting relief they were seeking. Our fellowship trained endoscopic spine surgeons and pain management specialists will thoroughly evaluate your condition and create a personalized treatment strategy centered on your specific findings. Using refined endoscopic techniques that target the root cause of your pain while sparing surrounding tissues, we may help you experience reduced pain, greater mobility, and a recovery that is often much faster than traditional surgery.
For a large number of patients, endoscopic spine surgery delivers comparable clinical success to traditional surgery but with less postoperative discomfort and reduced time away from work and family. Our surgeons at ESINY use advanced endoscopic methods to target the affected area carefully, aiming to provide durable relief and a better overall quality of life.