At ESINY, our team utilizes advanced endoscopic technology to perform spine surgery with meticulous precision and minimal involvement of the surrounding tissue. This specialized approach is created to encourage a quicker recovery, build your strength, and reconnect you with the quality of life you have been missing.
Finally, The Relief You've Been Waiting For.
Endoscopic spine treatment is redefining expectations for spinal care and giving patients opportunities for relief that are more aligned with modern lifestyles and goals. At the Endoscopic Spine Institute of New York, our purpose is to reimagine what the spine surgery journey can look like by making it safer, less invasive, more streamlined, and more empowering for each patient who walks through our doors. Our accomplished team of neurosurgeons and orthopedic surgeons is known throughout the specialty as a group of true innovators in endoscopic spine surgery, and as the only dedicated Endoscopic Spine Institute in the United States, we are unwavering in our commitment to helping you move forward with renewed confidence toward the life you deserve.
Using an incision that is typically under one centimetre in length, together with a tiny high definition camera that is no larger than a pencil eraser, our specialists rely on the most advanced endoscopic methods to deliver care with meticulous precision, excellent visibility, and minimal impact on the surrounding tissues and supporting structures of your spine.
Your Precise, Powerful Solution From The Spine Experts
Your spine should be treated by experts whose credentials reflect true leadership in their field. At the Endoscopic Spine Institute of New York, our internationally recognized and award winning neurosurgeons and orthopedic surgeons bring many decades of real world experience in endoscopic spine procedures to your treatment plan. As a group, they have delivered lectures and instructional courses at more than 500 major conferences, including meetings of the North American Spine Society and the Society for Minimally Invasive Spine Surgery, and have produced over 300 peer reviewed publications that appear in respected scientific journals, in addition to earning distinctions such as Honorary Membership in the American Academy of Neurological and Orthopedic Surgeons. This convergence of scholarly work, professional awards, and hands on mastery ensures that your care is based on precision medicine of the highest caliber.
Fewer Risks, Faster Recovery
Benefit from fewer surgical risks than standard open techniques, with significantly less bleeding, a tiny incision that is often under 1 cm, and a lower likelihood of complications that can delay improvement. In many cases, this leads to a much faster recovery, sometimes weeks ahead of what is typical with traditional surgery.
Go Home the Same Day with Only a Band-Aid
Approximately 95% of patients are able to walk out the door on the same day and ease back into light activities, protected only by a custom ESINY band aid instead of cumbersome layers of gauze and wraps. You avoid staying overnight in the hospital and skip the prolonged downtime that can disrupt your life.
Skip General Anesthesia
Unlike conventional surgery, you stay at ease with minimal sedation and a locally applied anesthetic. General anesthesia remains a possibility when indicated, but most patients discover that it is not necessary for their procedure.
A Solution For Every Stage
Endoscopic spine therapy adjusts to your needs at any stage. Whether you have tried injections, had spine surgery before, or are beginning to look into treatment options, this innovative method offers a reliable next step that has already provided relief to more than 30,000 patients.
The Go-To For Other Spine Doctors
When spine specialists need care for their own spine conditions, they consistently rely on our expertise. With more than 40 surgeons placing their trust in us, we have earned the reputation of being the surgeon that other spine surgeons depend on.
What We Treat
Meet Your Team
At ESINY, our reputation as a top leader in endoscopic spine care is built on a distinguished team that focuses on treating the root origin of your pain with a high degree of precision. This targeted strategy is intended to deliver relief that lasts longer, minimize unnecessary side effects, and offer a recovery journey that is often quicker and more comfortable than what patients commonly encounter with standard spine surgery or multiple rounds of injections.
What To Expect
During your initial consultation, our team will ask about your symptoms in detail, carefully review your health history, and discuss what has or has not worked for you in terms of previous treatments. If you qualify for endoscopic spine treatment, we will go over the procedure step by step so you feel prepared and know exactly what to expect.
Endoscopic spine treatment is recognized as one of the most minimally invasive surgical options that still involves a small incision, allowing patients to experience a noticeably faster recovery, with fewer complications and side effects, than traditional open spine surgery. In many cases, only local anesthesia combined with light sedation is needed, and the majority of patients are able to return home later the same day.
Once your treatment is complete, your ESINY physician will personally follow up during the week to see how you are healing, adjust recommendations if needed, and answer any questions that come up during your recovery.
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 the most minimally invasive surgical technique currently used for spinal care. The procedure relies on a small high definition camera, known as an endoscope, along with very fine surgical instruments that are passed through an incision no wider than a pencil. ESINY is distinguished as the only spine institute in the United States devoted solely to this form of endoscopic treatment.
This type of care gives patients a precise, tissue sparing option to manage painful spinal conditions. By focusing treatment exactly where it is needed, it helps lower complication rates, reduces unwanted side effects, and frequently allows for a quicker recovery than standard surgery or injection based relief. In many cases, patients are ready to leave the center and return home later that same day.
Traditional spine surgery generally involves a long incision in the back, significant cutting and retraction of muscles, and removal of bone to access the spine. These invasive steps often require the use of screws and rods and can result in extended downtime with considerable discomfort as tissues heal. Endoscopic spine surgery, on the other hand, is performed through a tiny incision, spares much of the surrounding muscle, and gives patients the chance to recover sooner and leave the center within hours.
If you have tried spinal injections or other conservative methods, you already recognize the benefit of treatments that do not require large incisions. Endoscopic spine surgery adopts that same minimally invasive mindset while going further by focusing on the underlying structural cause of your pain rather than offering short term symptom control. Choosing this procedure directs care to the exact problem area, which may lead to more durable relief and better function.
Many of our patients arrive after multiple injections have stopped working as well as they once did. For them, endoscopic spine surgery presents a precise, carefully targeted alternative that still minimizes disruption to the body. It pairs the gentle feel of injections with the potential for more permanent improvement, helping you restore motion, ease pain, and return to everyday life.
Yes. Under the care of skilled surgeons, endoscopic spine surgery is regarded as a very safe option. It generally results in less tissue damage, less blood loss, and fewer complications than traditional open spine surgery, which supports a smoother recovery.
Often, you will not. Most patients are treated with a combination of local anesthesia and light sedation, allowing them to remain relaxed but not deeply anesthetized. General anesthesia is reserved for situations where it offers a clear clinical benefit.
Most patients are able to stand, walk, and leave the clinic on the same day, returning to gentle daily tasks soon afterward. When nerve related arm or leg pain is present, many individuals notice a change shortly after surgery. Overall, the recovery timeline tends to be significantly faster than what is typical following conventional spine surgery.
Endoscopic techniques can be applied to many spine related issues, including disc herniations, sciatica, spinal stenosis, bony overgrowth or bone spurs, and certain cases of chronic back pain that have not responded to other treatments. The endoscope provides excellent visualization through a small incision, allowing surgeons to work accurately while preserving nearby structures.
Most individuals report only minimal soreness after endoscopic spine surgery, far below what they would expect from traditional procedures. Many discover they do not need strong or long term pain medication and do well with light pain control such as over the counter tablets or short term mild prescriptions.
The incision is usually less than 1 cm, similar in size to a small pencil eraser on the skin. This tiny opening heals quickly, and the resulting scar is often very discreet or barely visible. Medical glue is used instead of stitches and is covered with a custom ESINY bandage for added protection and optimal healing.
Endoscopic spine surgery is becoming more common in leading centers across the globe, but its use is still limited because the learning curve is steep and training is highly specialized. Even surgeons who receive formal education in this technique must perform many procedures before reaching true mastery. The approach relies on advanced tools and precision imaging, so not every hospital or practice is equipped to deliver it. As the only endoscopic spine institute in America, ESINY has brought together four internationally trained experts who focus on this work every day, resulting in the highest case volume for endoscopic spine care in the United States.
If you live in Louisiana and have been told that open spine surgery is your last remaining option or that surgery simply cannot be done, you might still qualify for endoscopic spine care. Even if multiple injections, nerve blocks, or prior spine operations have not eased your symptoms, our specialists at ESINY can review your case in depth. Our experienced endoscopic spine surgeons and pain management clinicians will craft a customized plan centered on your specific spinal condition. With advanced endoscopic techniques that target the painful area directly and minimize tissue damage, you may benefit from reduced discomfort and a shorter recovery time compared with traditional surgery.
In many cases, patients experience the same level of symptom relief as they would with traditional surgery, and often enjoy better overall recovery. ESINY’s endoscopic spine surgery approach combines advanced technology with meticulous technique to support excellent clinical results and an improved daily life.