At ESINY, our focus is on delivering spine surgery through advanced endoscopic procedures that achieve outstanding precision while reducing the level of tissue disruption to the absolute minimum. By specialising in this particular form of treatment, our objective is to lead you along a path of rapid and thorough recovery, helping you rebuild strength and vitality. We are committed to providing care that empowers you to return to daily activities with confidence and embrace a lifestyle that is complete, fulfilling, and rewarding in every way.
Finally, The Relief You've Been Waiting For.
Endoscopic spine surgery is opening a transformative chapter in the management of spinal conditions, allowing patients to benefit from highly advanced and minimally invasive medical solutions. At the Endoscopic Spine Institute of New York, our goal is to redefine the surgical journey by ensuring maximum safety, making use of very small incisions, enabling faster recovery, and giving patients the confidence to look forward to a brighter and healthier future. Our institute is guided by neurosurgeons and orthopedic surgeons who are renowned authorities in this specialised area, and as the only Endoscopic Spine Institute in the United States, we remain committed to helping patients regain their health and maintain long-term wellness.
Through an incision that measures less than one centimetre and the use of a surgical camera about the size of a pencil eraser, our team is able to perform sophisticated endoscopic techniques with remarkable precision and minimal impact on surrounding tissues.
Your Precise, Powerful Solution From The Spine Experts
Maintaining your spinal health requires medical experts who have consistently demonstrated leadership at the pinnacle of professional achievement. At the Endoscopic Spine Institute of New York, our highly respected neurosurgeons and orthopedic surgeons have devoted decades to the refinement of endoscopic spine surgery, balancing cutting-edge technical innovation with extensive clinical expertise. Their influence is recognized worldwide through more than 500 presentations at professional conferences, including those hosted by the North American Spine Society and the Society for Minimally Invasive Spine Surgery. With over 300 peer-reviewed publications and the distinction of Honorary Membership in the American Academy of Neurological and Orthopedic Surgeons, their impact on spinal medicine is extraordinary. This wealth of accomplishment ensures that your care is guided by unmatched expertise, authority, and innovation.
Fewer Risks, Faster Recovery
Endoscopic spine surgery offers patients significant advantages over older, more invasive open procedures. The procedure carries lower risk, reduces blood loss, and requires an incision that is extremely small, often less than one centimetre. Complications are less frequent, and recovery is faster, often shortened by several weeks. This approach provides patients with a safer, more efficient surgical experience and a quicker path to returning to daily life with restored spinal health.
Go Home the Same Day with Only a Band-Aid
An outstanding ninety-five percent of patients are discharged on the same day as their procedure and can begin light physical activity immediately. Traditional heavy bandages are no longer necessary, and recovery is simplified with the use of a single ESINY band-aid covering the incision. There is no requirement for extended hospital stays, and patients are not delayed by prolonged recovery protocols, allowing them to return to daily routines more quickly.
Skip General Anesthesia
Comfort plays a pivotal role in this approach. Most procedures are carried out under local anaesthesia paired with mild sedation, ensuring patients are at ease throughout the process. Although general anaesthesia remains an option for specific cases, it is seldom needed, and most patients benefit from a less intensive method.
A Solution For Every Stage
This approach to endoscopic spine surgery is available to patients at any point in their healthcare journey. Whether they are first exploring treatment possibilities, revisiting solutions after a previous operation, or searching for alternatives to injections, patients have a clear and effective option. Over 30,000 patients have already experienced improved mobility, restored daily function, and a significantly enhanced quality of life due to this advanced surgical method.
The Go-To For Other Spine Doctors
Remarkably, even professionals within the field of spinal medicine rely on our expertise. More than forty spine surgeons have entrusted our team with their own care, reinforcing our standing as a leader in the field and earning the distinction of being known as the surgeon’s surgeon.
What We Treat
Meet Your Team
At the Endoscopic Spine Institute of New York, leadership in the field of endoscopic spine surgery is built upon the extraordinary skill and extensive accomplishments of our award-winning physicians and surgeons. Each treatment is thoughtfully crafted to pinpoint the exact source of spinal discomfort and address it with exceptional precision. This methodology results in outcomes that provide more durable pain relief, minimize potential risks, and enable recovery periods that are considerably shorter than those associated with traditional surgical procedures or ongoing injection therapies. Patients enjoy a model of care where cutting-edge innovations, exacting clinical accuracy, and streamlined surgical techniques converge to restore the comfort, function, and quality of life that they have long been missing.
What To Expect
At your consultation, our team prioritizes fully understanding your unique situation by engaging in a thorough discussion about the symptoms you have been experiencing and examining any previous treatments that have been attempted. Should you be considered a suitable candidate, we will walk you through the treatment process step by step so that you have a clear understanding of what to expect from the initial consultation to full recovery.
Endoscopic spine treatment is recognised as the least invasive surgical method currently available that still requires a small incision. Because of its sophisticated techniques, patients frequently heal at a much faster pace than with conventional surgical procedures, while facing fewer complications and side effects. In most situations, only local anesthesia is required, allowing patients to safely go home on the same day as their procedure.
During the first week after your treatment, your ESINY physician will conduct a personal follow-up to assess your recovery, provide any additional guidance needed, and answer any questions you may have about the healing process or ongoing 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 recognized as the least invasive spinal procedure currently performed. It utilizes an endoscope, a high-precision instrument that incorporates a miniature camera and fine surgical tools, which is inserted through an incision roughly the size of a pencil. This method minimizes trauma to the surrounding muscles, ligaments, and connective tissue, allowing for a more comfortable and quicker recovery. ESINY is unique in the nation for its exclusive focus on advancing, mastering, and performing this highly specialized surgical technique, offering patients care that is unparalleled in both expertise and innovation.
The most notable benefits of endoscopic spine treatment are derived from its accuracy in locating and addressing the root cause of spinal pain. Patients typically experience fewer risks, reduced complications, and faster recovery than those undergoing conventional surgery or repeated injections. Many individuals are able to walk comfortably shortly after their procedure and are discharged on the same day, eliminating the need for overnight hospital stays and allowing them to return to normal life more quickly.
Conventional spinal surgery often requires large incisions, muscle dissection, and sometimes the removal of bone, all of which can result in significant discomfort and extended recovery periods. These procedures may also involve the placement of surgical hardware, such as screws, rods, or plates, which increases overall invasiveness. Endoscopic spine surgery, however, uses only a tiny incision, limits disruption to muscles and tissues, and drastically reduces recovery time. Patients can often return home just a few hours after the procedure, resuming normal activities much sooner than with traditional surgery.
For patients who have previously used injections or other conservative treatments to control spinal pain, minimally invasive care often becomes an attractive choice. Endoscopic spine surgery aligns with this approach by targeting the specific source of discomfort with precision. The procedure is intended to achieve results that are accurate, potentially longer-lasting, and far less disruptive than traditional surgical methods.
Many patients seek out this form of treatment when prior injections fail to provide sufficient relief. The procedure minimizes tissue disruption while offering targeted surgical accuracy, helping to reduce pain, improve movement, and enable a safe return to the activities and lifestyle that matter most to the patient.
Absolutely. When conducted by highly trained specialists, this program is extremely safe. Compared to conventional spinal surgery, endoscopic techniques generally result in fewer complications, lower blood loss, and a faster recovery period. Because of these benefits, endoscopic spine surgery has earned a reputation as a reliable and trusted option in modern spinal care.
Many endoscopic spine procedures are performed using light sedation along with local anesthesia, which promotes a quicker and more comfortable recovery. Nevertheless, for those who prefer complete unconsciousness during the procedure, general anesthesia is available as an option, ensuring that every patient’s comfort and safety preferences are respected.
Most patients are able to walk out of the clinic on the same day as their endoscopic spine procedure. Many can resume light, gentle activities almost immediately and experience a noticeable reduction in pain in the legs, back, or arms. Compared with traditional open spinal surgeries, the overall healing process is much faster, and many patients find themselves able to return to their normal daily activities and routines within a few short weeks, often feeling a dramatic improvement in comfort and mobility.
Endoscopic spine surgery is used to address a broad range of spinal issues. Conditions commonly treated include herniated discs, sciatica, spinal stenosis, bone spurs, and other chronic or long-term back problems. The minimally invasive approach allows surgeons to target the exact area of concern with high precision while causing minimal trauma to surrounding muscles and connective tissues, improving both outcomes and recovery experiences.
Following endoscopic surgery, most patients report experiencing only mild soreness rather than severe pain. Because the procedure involves such a small incision, discomfort is far less than that associated with traditional open surgery. In many cases, the use of prescription pain medication is unnecessary, as minor soreness can be managed effectively through standard pain relief measures.
The incision required for this procedure is extremely small, typically less than one centimetre in length, similar in size to a pencil eraser. The tiny cut results in minimal visible scarring. The area is closed with medical adhesive and protected with an ESINY bandage, allowing the skin to heal effectively while keeping the site clean and secure throughout the recovery period.
Although endoscopic spine surgery is becoming more widely recognized around the world, it continues to be a highly specialized field that requires advanced training and hands-on experience. Many surgeons are not yet equipped to perform these procedures because proficiency demands not only formal education but also a large number of completed cases. The surgery also necessitates specialized tools and technical skill that go well beyond conventional spinal procedures. ESINY is distinctive in the United States, with four endoscopic spine surgeons who have received international training collaborating within a single center. This team structure allows for unparalleled cooperation and enables our practice to perform the largest volume of endoscopic spine cases in the country.
For residents of Jersey City experiencing persistent back or neck pain, endoscopic spine surgery may remain an option, even in instances where traditional open surgery was once recommended. If prior treatments such as injections or minor procedures have failed to provide relief, ESINY offers a comprehensive assessment to determine the most appropriate intervention. Our team of expert endoscopic spine surgeons and pain specialists creates a customized plan for each patient. Using advanced endoscopic techniques, we are able to address the root cause of pain while preserving surrounding tissues, often resulting in less discomfort and a quicker recovery.
Endoscopic spine surgery frequently delivers results that are comparable to or better than traditional surgical methods, with the added advantage of a faster recovery period. At ESINY, we emphasize precision in every procedure, prioritizing patient safety and leveraging advanced endoscopic techniques to restore function and improve overall quality of life. Our commitment is to help patients achieve meaningful, lasting relief while returning to daily activities as quickly and safely as possible.