At ESINY, we depend on cutting edge endoscopic methods to carry out spine surgery with remarkable accuracy and very limited disturbance to nearby tissue. This modern technique is crafted to promote a smoother recovery, restore your strength, and guide you toward the quality of life you have been hoping for.
Finally, The Relief You've Been Waiting For.
Endoscopic spine treatment is changing what is possible in spinal care and reshaping lives by offering a gentler, more thoughtful way to address complex spine conditions. At the Endoscopic Spine Institute of New York, our purpose is to reinvent the spine surgery experience so that it becomes safer, less invasive, faster to recover from, and more empowering for every patient who trusts us with their care. Backed by an esteemed team of neurosurgeons and orthopedic surgeons who are recognized across the field as leaders in endoscopic spine surgery, and as the only dedicated Endoscopic Spine Institute in the United States, we are fully committed to guiding you toward restoring function, easing pain, and regaining the life you have been missing.
Through the use of an incision that measures less than one centimetre, combined with a slender camera that is no larger than a pencil eraser, our experts utilize the latest generation of endoscopic technology to perform treatment with remarkable accuracy, detailed visualization, and minimal disturbance to the delicate structures that support your spine.
Your Precise, Powerful Solution From The Spine Experts
Your spine treatment deserves to be overseen by specialists working at the peak of their profession. At the Endoscopic Spine Institute of New York, our internationally respected, award winning team of neurosurgeons and orthopedic surgeons offers decades of concentrated experience in endoscopic spine procedures and advanced spine care. Collectively, they have spoken at more than 500 high level conferences, including those held by the North American Spine Society and the Society for Minimally Invasive Spine Surgery, and have authored over 300 peer reviewed articles in reputable medical journals, while also being honored as Honorary Members of the American Academy of Neurological and Orthopedic Surgeons. This powerful combination of research, recognition, and real world expertise ensures that your care is shaped by precision medicine that meets the most rigorous standards.
Fewer Risks, Faster Recovery
Enjoy a safer alternative to open surgery, with dramatically less blood loss, an incision frequently smaller than 1 cm, and a reduced chance of complications that can slow healing. This minimally invasive approach often means your recovery is accelerated by several weeks compared with traditional spine procedures.
Go Home the Same Day with Only a Band-Aid
An impressive 95% of patients leave on the same day of their procedure and quickly return to gentle, everyday tasks while wearing only a custom ESINY band aid in place of thick, restrictive bandages. There is no requirement for an overnight hospital stay and no drawn out period of enforced rest.
Skip General Anesthesia
Compared with standard spine procedures, you remain relaxed with just light sedation and localized numbing. General anesthesia can still be used when appropriate, yet most patients find that they do not need it for endoscopic treatment.
A Solution For Every Stage
Endoscopic spine treatment meets you wherever you are along your healing path. Whether you have received injections, undergone a past spine operation, or are only now exploring treatment options, this technique offers a dependable route to relief and has improved the lives of over 30,000 individuals.
The Go-To For Other Spine Doctors
Many physicians who develop spine problems seek care from our team. More than 40 spine surgeons have chosen us for their own treatment, reinforcing our reputation as the surgeon trusted by other spine surgeons.
What We Treat
Meet Your Team
At ESINY, we take pride in being recognized as a premier center for endoscopic spine treatment, supported by a highly awarded group of specialists devoted to addressing the core driver of your discomfort with remarkable accuracy. By treating the source of the issue directly, our method is designed to create more durable relief, limit complications and side effects, and make it possible for you to heal in a timeframe that is frequently much shorter than traditional surgery or ongoing injection based care.
What To Expect
At your consultation, our specialists will listen closely as you describe your symptoms, review relevant test results or imaging, and discuss what treatments you have already pursued. If you are a suitable candidate for endoscopic spine care, we will explain the procedure in simple, thorough terms so you know what to anticipate at every stage.
Endoscopic spine treatment is widely regarded as the most minimally invasive surgical technique available that still uses a small incision, which is why patients typically see shorter recovery times, fewer complications, and reduced side effects compared with standard spine surgery. In most instances, a local anesthetic is all that is required, and patients are generally able to head home later that same day.
After your procedure, your ESINY doctor will connect with you during the week to check on your recovery, offer guidance for the days ahead, 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
Endoscopic Spine Surgery
Frequently Asked Questions
Endoscopic spine surgery is considered the least invasive surgical method for treating many spinal conditions. During the procedure, a very small camera called an endoscope and slim surgical tools are inserted through a tiny incision that is roughly the size of a pencil tip. ESINY remains unique as the only fully dedicated endoscopic spine institute across the United States.
This approach offers a highly accurate and gentle way to relieve spine related pain. Because it is designed to treat the exact source of the issue, it tends to reduce complications, minimize side effects, and often speeds up healing when compared with traditional open surgery or ongoing injections. In a large number of cases, patients are able to go home on the same day.
Conventional spine surgery typically calls for a wide incision, substantial dissection of muscles, and removal of bone to expose the spine, which can lead to more bleeding, more pain, and longer healing times. Hardware such as screws and rods is frequently used, and patients often face several days in the hospital followed by a prolonged recovery. Endoscopic spine surgery works through a very small opening, minimizes damage to the muscles, and lets most patients recover more quickly and go home only a few hours after the procedure.
If you have undergone injections or other non surgical treatments for spine related pain, you appreciate how appealing minimally invasive care can be. Endoscopic spine surgery follows a similar idea but goes deeper by aiming at the actual source of your pain instead of providing only temporary relief. Selecting this procedure allows you to focus treatment directly on the affected area, which may support longer lasting results and improved mobility.
Many individuals visit our clinic after noticing that injections are no longer bringing meaningful improvement. Endoscopic spine surgery gives them a precise, tissue sparing option that still feels gentle. It combines the low impact nature of injections with the opportunity for more lasting change, so you can regain movement, lessen discomfort, and get back to your daily routine.
Yes. When performed by specialists who are extensively trained, endoscopic spine surgery has an excellent safety profile. It typically carries fewer risks than open procedures, with reduced bleeding, fewer complications, and a shorter recovery period.
Not always. Many endoscopic procedures are done using local anesthesia and mild sedation, which keeps you comfortable without fully putting you to sleep. General anesthesia may be used in select cases, but it is not routinely necessary for every patient.
For most patients, recovery begins right away, with the ability to walk out of the clinic the same day and return to light activity almost immediately. If symptoms included pain in the arms or legs, relief is often felt shortly after the procedure. Compared to traditional spine surgery, the total healing time is usually shorter by several weeks.
Endoscopic spine surgery can address numerous problems such as herniated discs, sciatica, narrowing of the spinal canal or spinal stenosis, bone spurs, and carefully selected cases of long standing back pain. The use of an endoscope makes it possible to target the area of concern with high precision and minimal disturbance to surrounding tissue, supporting effective treatment across a wide range of conditions.
Patients usually experience very little pain once the procedure is complete, especially when compared with the discomfort that often follows open surgery. In many cases, people manage well without strong painkillers and instead rely on basic over the counter medication or mild prescriptions for comfort.
The skin opening is generally smaller than 1 cm, about the width of a pencil eraser tip. Because the incision is so small, it tends to heal quickly and often leaves only a faint mark. It is closed using medical adhesive and protected by a custom ESINY bandage designed to promote smooth healing.
Although endoscopic spine surgery is rapidly gaining momentum worldwide, very few surgeons have undergone the rigorous training required to perform it at the top level of expertise. Beyond the classroom, surgeons must build deep experience and handle a large number of cases to use the technique confidently and effectively. The procedure itself demands refined technical skills and specialized equipment, which limits how many practices can offer it. At ESINY, we are the only endoscopic spine institute in the country and have assembled four internationally trained specialists, which has allowed our center to become the busiest destination for endoscopic spine care in the United States.
If you live in Kentucky and have been advised that only open surgery can help or that surgery is not an option at all, endoscopic spine treatment may still be available to you. Even when injections, medications, or earlier spinal procedures have failed to provide relief, the ESINY team can offer a detailed and thorough assessment of your condition. Our highly trained endoscopic spine surgeons and pain experts will create an individualized treatment plan that reflects your unique symptoms and goals. By using state of the art endoscopic methods to treat the true source of your pain while preserving nearby tissue, we may help you achieve less pain and a quicker return to your normal activities.
For many individuals, the outcomes closely match or surpass those of conventional surgery, with the added advantage of less disruption and a shorter healing period. Endoscopic procedures at ESINY are designed to deliver accurate treatment in a safe, patient centered way that prioritizes long term comfort and function.