At ESINY, our team is dedicated to utilising advanced endoscopic techniques to ensure that your spine surgery is carried out with the highest level of precision and with as little invasion to the body as possible. By relying on this refined approach, our goal is to shorten your recovery time, restore your strength, and support you in returning to the active and fulfilling life that you are meant to enjoy.
Finally, The Relief You've Been Waiting For.
Endoscopic spine surgery is redefining the way we approach spinal health and reshaping how modern medicine treats a wide range of back conditions. At the Endoscopic Spine Institute of New York, our mission is to change the surgical experience for every patient by ensuring it is safer, guided by smaller incisions, focused on quicker recovery, and designed to give each individual the confidence to move forward with their lives. With a team made up of accomplished neurosurgeons and orthopedic surgeons who are pioneers in the field of endoscopic procedures, and as the only Endoscopic Spine Institute in the country, we are proud to dedicate our efforts to helping patients restore comfort, mobility, and overall well-being.
By relying on an incision that is less than one centimetre long and a camera tool that is no bigger than a pencil eraser, our physicians are able to perform advanced endoscopic techniques with outstanding accuracy and as little disruption to the body as possible.
Your Precise, Powerful Solution From The Spine Experts
Your spinal health deserves to be placed in the hands of physicians who have demonstrated mastery at the very highest standards of modern medicine. At the Endoscopic Spine Institute of New York, our distinguished group of neurosurgeons and orthopedic surgeons has spent many years refining both the technical and scientific aspects of endoscopic spine treatment. Their long-standing commitment to excellence is reflected in their invitations to present groundbreaking research and surgical techniques at over 500 major international meetings, including respected organizations such as the North American Spine Society and the Society for Minimally Invasive Spine Surgery. Beyond the podium, their contributions extend to more than 300 scholarly articles that have been published in leading peer-reviewed medical journals across the world. Adding to these achievements, they have also been honored with recognition as Honorary Members of the American Academy of Neurological and Orthopedic Surgeons. With this unmatched background of dedication, research, and distinction, every treatment at our institute is performed with the confidence of precision medicine deeply rooted in both innovation and clinical expertise.
Fewer Risks, Faster Recovery
When measured against traditional open surgeries, endoscopic spine procedures present patients with a number of significant benefits. These include reduced surgical risks, minimal blood loss, incision sizes often smaller than one centimetre, a lower likelihood of complications, and recovery timelines that are considerably shorter, sometimes shortened by multiple weeks.
Go Home the Same Day with Only a Band-Aid
A remarkable ninety-five percent of patients are able to walk out of the center on the very same day of their procedure, often resuming light activities almost immediately. Large dressings are not required, as only a small custom ESINY band-aid is needed. There is no need for an overnight stay in the hospital and no prolonged recovery that would otherwise interrupt daily life.
Skip General Anesthesia
The method also prioritizes patient comfort, as local anesthesia and mild sedation are typically sufficient for carrying out the treatment. While general anesthesia remains available in circumstances that call for it, many patients find they do not require it at all.
A Solution For Every Stage
Endoscopic spine treatment is designed to meet patients exactly where they are in their journey, whether they are taking their first steps toward relief, returning after a prior operation, or exploring an option beyond repeated injections. This method has already provided renewed quality of life to more than 30,000 individuals who once felt limited by spinal conditions.
The Go-To For Other Spine Doctors
Perhaps the strongest validation comes from within the medical community itself, where even spine surgeons trust us with their own care. More than 40 spine surgeons have placed their confidence in our team, a testament to our reputation as the trusted provider often referred to as the surgeon’s surgeon.
What We Treat
Meet Your Team
At ESINY, our role as leaders in endoscopic spine treatment is demonstrated through the exceptional expertise and distinguished achievements of our award-winning team of specialists. Each treatment plan is carefully designed to target the exact source of pain with an extraordinary level of precision, leading to results that often provide longer-lasting relief, significantly fewer complications, and faster recovery when compared to more traditional methods such as open surgery or repeated injections. Patients benefit from an approach that unites medical innovation, meticulous precision, and treatment efficiency, all with the central goal of giving them back the quality of life they deserve.
What To Expect
During your consultation, our team takes the time to thoroughly understand your concerns by discussing the symptoms you are experiencing and reviewing any previous treatments you may have pursued. If it is determined that you are an appropriate candidate, we will carefully explain the entire treatment process so that you have a clear understanding of what to expect from beginning to end.
Endoscopic spine treatment is recognized as the least invasive form of spinal surgery that still requires an incision. Because of its advanced design, patients typically benefit from a much faster recovery compared with traditional spine surgery, while also facing fewer side effects and complications. In many cases, only local anesthesia is necessary, and patients are safely able to return home on the same day as their procedure.
Following your treatment, your ESINY physician will personally connect with you within the first week to review your progress, provide recommendations for recovery, and address 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
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 represents the most minimally invasive type of spinal surgery available today. Using an endoscope equipped with a small high-definition camera and specialized surgical instruments, the physician is able to enter the spine through an incision that is no larger than the diameter of a pencil. This modern technique greatly reduces trauma to surrounding muscles and tissues, which is why it has been increasingly recognized as a safer alternative to open surgery. ESINY is distinguished as the only institute in the United States solely dedicated to advancing and practicing this innovative approach.
The benefits of endoscopic spine treatment lie in its ability to address the direct source of pain with unmatched accuracy. Patients undergoing this treatment generally experience fewer risks and complications compared to more conventional methods. The recovery period is also much shorter, allowing individuals to return to daily activities faster. Unlike surgery or injections that often require prolonged downtime, many patients who undergo this procedure are able to stand, walk, and even leave the facility to return home within just a few hours of their treatment.
Traditional spine surgery usually requires large incisions, the cutting or detachment of muscle tissue, and sometimes the removal of bone. These steps can lead to significant discomfort, extended recovery, and long rehabilitation periods. In many cases, metal hardware such as screws, plates, or rods are implanted, which further increases invasiveness. Endoscopic spine surgery, on the other hand, requires only a tiny incision, causes far less disruption to the body’s natural structures, and enables many patients to complete the treatment and return home on the very same day, making recovery much easier and faster.
If you have previously addressed spinal pain through injections or other conservative measures, you likely understand the value of treatments that are minimally invasive. Endoscopic spine surgery takes this concept further by directly targeting the underlying source of discomfort. This method is designed to offer outcomes that are more precise and potentially longer lasting.
Many patients come to us after injections have lost their effectiveness, seeking a solution that provides meaningful relief. Endoscopic spine surgery combines minimal tissue disruption with highly focused precision, helping to reduce pain, restore mobility, and enable patients to return to the daily activities and lifestyle they enjoy most.
Yes, it is considered very safe when it is carried out by highly trained surgeons. Compared with open spinal procedures, endoscopic surgery typically involves less risk, decreased blood loss, fewer complications, and a shorter recovery period, which makes it a very effective treatment option.
Endoscopic spine procedures are adaptable. In many cases, patients need only light sedation along with local anesthesia, which allows for quicker recovery afterward. If you would rather be fully unconscious during your procedure, general anesthesia is also available as a choice.
Most patients are able to walk out of the facility on the very same day and return quickly to light daily tasks. Pain relief in the arm or leg often begins soon after surgery. In comparison with traditional spine surgery, the recovery process is usually several weeks faster.
Endoscopic techniques are effective in treating a number of spinal issues such as herniated discs, spinal stenosis, sciatica, bone spurs, and certain cases of chronic back pain. The precision of the procedure allows surgeons to specifically target the pain source.
The majority of patients report very little pain after undergoing endoscopic surgery. The discomfort following the procedure is typically much lower than that of conventional surgery, and strong painkillers are often unnecessary.
The incision used is extremely small, usually less than 1 cm in size, comparable to the tip of a pencil eraser. This results in very minimal scarring, and the incision is sealed with medical glue, then protected using a custom ESINY bandage for proper healing.
Endoscopic spine surgery is experiencing rapid growth on a global scale, but it is important to recognize that not every surgeon has been trained to perform it effectively. While this technique is gaining wider adoption in countries across the world, only a limited number of surgeons possess the extensive training and practical experience needed to carry it out with expertise. Even when a surgeon has received formal education in the method, achieving true proficiency requires handling a large volume of patient cases in order to refine technique. This procedure also demands the use of specialized surgical tools as well as an unusually high level of skill, making it something that most spine surgeons cannot yet provide at a consistently advanced standard. ESINY stands out in the United States because it is home to four endoscopic spine specialists who have received international training, all practicing together in a single facility. With this one-of-a-kind collaboration, our center is able to sustain the highest case volume of endoscopic spine surgery anywhere in the country.
Long Island residents who continue to suffer from persistent back or neck pain may still be suitable candidates for endoscopic spine surgery, even in cases where open surgery was previously suggested or thought to be impossible. If you have tried injections or other prior treatments without experiencing significant improvement, the team at ESINY can conduct a thorough evaluation to determine the best next steps. Our board-certified endoscopic spine surgeons and pain management specialists work together to create a fully personalized treatment plan tailored to your specific condition. By utilizing advanced endoscopic techniques, we are able to target the source of your pain while minimizing disruption to surrounding tissues, potentially resulting in reduced discomfort and a faster overall recovery period.
For many patients, the benefits of endoscopic spine surgery include results that are on par with or superior to those achieved through traditional surgical techniques, combined with a recovery period that is far shorter. At ESINY, we focus on performing every procedure with exacting precision, ensuring patient safety, and helping patients regain a higher quality of life through our specialized endoscopic spine treatments.