At ESINY, our expertise lies in the application of advanced endoscopic techniques, allowing your spine surgery to be performed with great precision while reducing the overall level of invasion involved. With this specialised method, we work to accelerate your healing process, rebuild your strength, and give you the opportunity to embrace the active and rewarding life you deserve.
Finally, The Relief You've Been Waiting For.
Endoscopic spine surgery is revolutionising the way spinal conditions are managed and is significantly advancing the role of innovative medicine in addressing back concerns. At the Endoscopic Spine Institute of New York, we work with a mission to fully reframe what surgical care looks like by making procedures safer, employing smaller openings, encouraging quicker healing, and strengthening patients so they may return to an active and fulfilling lifestyle. With our group of neurosurgeons and orthopedic surgeons who have years of specialised training, and as the sole Endoscopic Spine Institute in the United States, we remain steadfast in helping patients restore the well-being they have been seeking.
By performing surgery through a cut that is under one centimetre in length and guided by a tiny camera no larger than a pencil eraser, our specialists can carry out advanced endoscopic techniques with high levels of precision and minimal invasion to surrounding tissue.
Your Precise, Powerful Solution From The Spine Experts
Spine care is far too important to be trusted to anyone other than proven specialists who have distinguished themselves within the highest circles of medicine. At the Endoscopic Spine Institute of New York, our award-winning surgeons—both neurosurgeons and orthopedic surgeons—have built a reputation over decades of work that merges advanced science with refined surgical skill. Their achievements speak for themselves, having been invited to present their research findings and surgical advancements at more than 500 global conferences, including well-regarded events hosted by the North American Spine Society and the Society for Minimally Invasive Spine Surgery. Their contributions are also deeply rooted in academia, with more than 300 articles published in peer-reviewed journals recognized throughout the medical field. In addition, they have earned one of the profession’s highest distinctions by being named Honorary Members of the American Academy of Neurological and Orthopedic Surgeons. With such credentials, your spine treatment is not only supported by clinical excellence but also delivered with precision medicine grounded in innovation and proven expertise.
Fewer Risks, Faster Recovery
Relative to traditional open operations, the endoscopic approach to spine care provides a safer and less invasive path. Patients benefit from reduced surgical risk, greatly decreased blood loss, smaller incisions that are often less than one centimetre, fewer complications overall, and a recovery time that is faster by several weeks compared to conventional methods.
Go Home the Same Day with Only a Band-Aid
In fact, statistics reveal that ninety-five percent of patients are able to leave the center on the very same day and begin light activity almost right away. Large dressings or cumbersome bandages are not needed, as a small ESINY band-aid is all that is applied. This means no overnight hospitalisation and no extended period of recovery to disrupt daily routines.
Skip General Anesthesia
The process is also designed with patient comfort in mind, usually involving the use of local anaesthesia and light sedation. General anaesthesia remains available if certain cases require it, but many patients are pleasantly surprised that it is unnecessary for their treatment.
A Solution For Every Stage
Endoscopic spine treatment is not limited to one type of patient but instead supports individuals across every stage of their journey, whether they are seeking relief for the first time, re-evaluating after a previous surgical attempt, or pursuing an alternative when injections have not brought lasting benefit. With more than 30,000 patients already experiencing improved lives, this approach has become a powerful solution.
The Go-To For Other Spine Doctors
Within the professional medical community, that trust is echoed by the choices of spine surgeons themselves. Over 40 practicing spine surgeons have sought treatment with our experts, underscoring why our team is regarded as the surgeon’s surgeon in endoscopic spine care.
What We Treat
Meet Your Team
At ESINY, being recognized as a leader in endoscopic spine treatment is the direct result of the proven expertise and numerous accolades earned by our award-winning team of neurosurgeons and orthopedic surgeons. Each procedure is deliberately designed to address the underlying cause of spinal pain with remarkable accuracy, often translating into longer-lasting relief, lower complication rates, and faster recovery compared with conventional surgeries or repetitive injections. Every patient under our care receives the benefit of treatments that combine medical innovation, clinical precision, and unmatched efficiency, all with the goal of renewing their overall quality of life.
What To Expect
During the consultation process, we take great care to understand your situation by discussing your current symptoms and reviewing any treatments you may have already tried. If our evaluation shows that you are a suitable candidate, we will guide you step by step through the procedure so that you know exactly what will take place.
Endoscopic spine treatment is widely considered the most minimally invasive spinal surgery that requires an incision. Thanks to its advanced method, patients generally recover much more quickly compared with traditional surgical options, with fewer complications and reduced side effects. In most situations, local anesthesia is sufficient, and patients are able to safely return home the very same day.
Once the procedure has been completed, your ESINY physician will follow up with you directly within the first week to review your recovery, answer questions, and provide ongoing support as needed.
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 the most advanced form of minimally invasive spinal surgery available today. This technique relies on an endoscope, a thin device containing a camera and surgical instruments, which is carefully inserted through a tiny incision that is roughly the same size as a pencil. Because the incision is so small, the procedure minimizes tissue damage and helps protect the surrounding structures of the spine. ESINY holds the distinction of being the only medical center in the nation solely devoted to refining and delivering this highly specialized technique.
One of the key advantages of endoscopic spine treatment is its ability to locate and treat the specific cause of pain with outstanding precision. Patients often report shorter recovery times and experience fewer complications than they would with more conventional procedures. The treatment’s minimally invasive nature also means that patients are less likely to need extended hospital stays. In fact, many are able to stand, walk, and safely go home within a few short hours after the treatment, a convenience that injections and traditional surgery cannot offer.
Standard spine surgeries typically involve cutting into muscle tissue, creating larger wounds, and sometimes removing bone to access the affected area. This level of disruption can lead to significant pain, prolonged recovery periods, and an increased risk of complications. In many cases, metal hardware such as screws or rods is implanted, adding to the invasiveness of the procedure. In contrast, endoscopic spine surgery only requires a very small incision, greatly reduces tissue trauma, and gives patients the opportunity to return home soon after their procedure with much less discomfort.
If you have sought relief from spinal pain using injections or other conservative interventions, you are likely aware of the benefits of minimally invasive care. Endoscopic spine surgery extends this principle by focusing directly on the root cause of the discomfort, aiming for more precise and potentially longer-lasting results.
Many of our patients arrive seeking help after injections no longer provide effective relief, searching for a treatment that produces real improvement. By combining minimal tissue disruption with highly targeted techniques, endoscopic spine surgery can reduce pain, restore movement, and help patients regain the ability to participate fully in the activities and lifestyle that matter most.
Yes, it is regarded as very safe under the care of skilled surgeons. When compared to open spinal surgery, this method reduces risks significantly, involves less blood loss, lowers complication rates, and allows a much faster recovery process, making it a reliable and effective choice.
Not all patients require general anesthesia. In many cases, light sedation and local anesthesia are sufficient, which leads to quicker recovery times. If you prefer to be fully unconscious during your treatment, general anesthesia can be arranged as an option.
Patients can typically leave the facility on the same day as the procedure and begin light activities right away. Many experience immediate relief in the legs or arms. The recovery phase is usually weeks faster compared to that required for traditional open surgery.
This approach is versatile and can be used for treating a variety of spinal conditions including herniated discs, bone spurs, spinal stenosis, sciatica, and several chronic back problems. Its minimally invasive nature allows surgeons to work with precision in addressing the pain source.
Pain after the procedure is usually minimal. The discomfort is far less than what is commonly experienced after open spine surgery, and the majority of patients do not need strong medication during their recovery.
The cut is very small, typically under 1 cm, which makes it about the size of a pencil eraser. It leaves only a tiny scar. Closure is achieved with medical adhesive and protected with a specially designed ESINY bandage to encourage smooth healing.
The practice of endoscopic spine surgery is expanding quickly in many regions around the world, yet the number of surgeons who are capable of performing it with a high level of proficiency remains quite limited. Although medical institutions globally are beginning to implement the procedure more often, the training required is extensive and the experience necessary to excel is not easily gained.
Formal instruction alone is insufficient; surgeons must also build expertise by working on a significant number of cases, which helps them achieve the precision the procedure demands. Moreover, the surgery requires a specialized set of instruments that only a small number of surgeons are equipped to use effectively. ESINY distinguishes itself in the United States by housing four internationally trained specialists in endoscopic spine surgery under a single practice. This combination of expertise and collaboration allows ESINY to achieve the highest volume of endoscopic spine surgery cases in the nation.
Manhattan patients suffering from chronic back or neck pain may remain candidates for endoscopic spine surgery, even when open surgery was suggested or considered impossible. If prior injections or surgical attempts have not alleviated your symptoms, our team at ESINY will provide a detailed assessment of your condition.
Our experienced endoscopic spine surgeons, working alongside pain management specialists, develop an individualized treatment plan specific to your situation. By employing cutting-edge endoscopic methods, we address the root cause of your discomfort while preserving surrounding tissues, offering the possibility of less pain and a faster, smoother recovery.
Many patients benefit from endoscopic spine surgery by achieving results that are either equivalent to or better than traditional surgical methods, all while enjoying a recovery period that is considerably faster. At ESINY, we concentrate on delivering precise treatments, upholding strict safety protocols, and enhancing the quality of life for each patient through our expert endoscopic spine procedures.