At ESINY, we rely on refined endoscopic procedures to ensure your spine surgery is completed with high level precision and very little disturbance to the tissues around your spine. This progressive approach is structured to speed up your recovery, reinforce your strength, and return you to the quality of life you are working toward.
Finally, The Relief You've Been Waiting For.
Endoscopic spine treatment is opening a new chapter in spinal care and reshaping lives by offering a gentler and more focused way to address spinal conditions. At the Endoscopic Spine Institute of New York, our purpose is to reinvent how patients experience spine surgery, making the process safer, less invasive, quicker in recovery, and more empowering for every person who entrusts their care to our institute. Supported by a highly respected team of neurosurgeons and orthopedic surgeons who are recognized internationally as leaders in endoscopic spine surgery, and as the only dedicated Endoscopic Spine Institute in the United States, we are committed to helping you move beyond limitations and return to the life you want to lead.
With an incision that is usually less than one centimetre and a camera that is no larger than the end of a pencil eraser, our specialists make use of the most progressive endoscopic tools and techniques to perform treatment with exceptional control, crystal clear visualization, and minimal interference with the surrounding spinal structures.
Your Precise, Powerful Solution From The Spine Experts
Your spine treatment should be led by experts who have shaped the field rather than merely followed it. At the Endoscopic Spine Institute of New York, our internationally acclaimed, award winning neurosurgeons and orthopedic surgeons bring decades of specialized experience in endoscopic spine procedures, from routine cases to the most complex conditions. As a team, they have presented and taught at more than 500 major conferences around the world, including meetings hosted by the North American Spine Society and the Society for Minimally Invasive Spine Surgery, and they have authored over 300 peer reviewed papers in leading medical journals, while also being honored as Honorary Members of the American Academy of Neurological and Orthopedic Surgeons. This depth of academic contribution, professional distinction, and procedural expertise ensures that your care is guided by precision medicine operating at the highest standard.
Fewer Risks, Faster Recovery
Compared with open surgery, this minimally invasive method is associated with fewer risks, far less bleeding, an incision often measuring under 1 cm, and a reduced chance of complications. These advantages translate into a recovery process that is usually much faster, often by weeks, than what patients experience with traditional surgical care.
Go Home the Same Day with Only a Band-Aid
Nearly 95% of patients are able to leave the facility on the same day and quickly return to gentle, everyday activities while wearing only a custom ESINY band aid rather than thick, restrictive bandages. You avoid the inconvenience of an overnight hospital stay and the long recovery period that comes with more invasive surgery.
Skip General Anesthesia
Unlike traditional spine operations, this technique keeps you comfortable with only light sedation and localized anesthesia. General anesthesia is still available when required, but many patients learn it is not needed for effective treatment.
A Solution For Every Stage
Endoscopic spine care offers support at any stage in your treatment journey. Whether you have tried injections, experienced previous surgery, or are just beginning your search for relief, this approach is a proven option that has already benefited more than 30,000 individuals.
The Go-To For Other Spine Doctors
When spine experts need care themselves, they frequently choose our team. With more than 40 surgeons placing their trust in our institute, we are often referred to as the surgeon that other surgeons prefer.
What We Treat
Meet Your Team
At ESINY, our status as a recognized leader in endoscopic spine treatment is backed by a highly honored team that works to address the underlying cause of your symptoms with refined precision. This carefully planned approach is developed to give you longer lasting relief, reduce the chance of unwanted side effects, and allow you to move through recovery in less time than is usually expected with traditional spine surgery or recurring injection based treatments.
What To Expect
At your evaluation, our team will listen carefully as you describe your symptoms, examine any relevant imaging or reports, and discuss previous treatments such as medications, physical therapy, or injections. If you are found to be a strong candidate for endoscopic spine care, we will explain the procedure thoroughly so you can move forward with confidence and a clear picture of what will happen.
Endoscopic spine treatment is regarded as one of the least invasive surgical options available that still involves a small incision, which often translates into a faster recovery, fewer complications, and reduced side effects compared to traditional open procedures. In most cases, only local anesthetic is necessary, and patients are typically able to return home the same day.
Following your treatment, your ESINY physician will personally check in during the week to assess your progress, help you navigate the early recovery period, and answer any questions that may come up.
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 most advanced minimally invasive technique for spine operations available today. It involves placing a very small camera, known as an endoscope, and delicate instruments through a tiny incision that is no larger than a pencil’s diameter to reach and treat the affected spinal area. ESINY continues to hold the distinction of being the only institute in the United States dedicated entirely to endoscopic spine surgery.
This form of treatment gives patients a targeted and gentle option for managing spine related pain. Because it works directly on the area causing symptoms, it often results in fewer complications, fewer side effects, and a healing time that is shorter than what is seen with traditional open surgery or repeated injections. For many patients, this means they are able to go home later the same day.
Standard spine surgery often means a sizable incision, broad disruption of muscles and connective tissue, and removal of bone to reach the area that needs treatment. Because of this, screws and rods are commonly placed, and patients may face longer hospitalization and a more difficult healing period. Endoscopic spine surgery uses a tiny skin opening, preserves most of the muscle structure, and supports quicker recovery so that patients can usually leave the facility only hours after the procedure.
If you have experienced spinal injections or other non surgical strategies, you know how valuable it is to avoid large incisions and prolonged recovery. Endoscopic spine surgery embraces that same minimally invasive spirit while going further by correcting the underlying cause of pain rather than simply masking it. Choosing this procedure means treating the problem region directly, which may deliver longer lasting comfort and functional improvement.
Many people come to our practice after noticing that injection based relief has faded or become brief. Endoscopic spine surgery provides a precise and gentle alternative that respects the surrounding tissues. It merges the low impact nature of injections with the chance for more stable, long term results, helping you walk more easily, hurt less, and return to daily life with greater confidence.
Yes. When carried out by highly trained specialists, endoscopic spine surgery is a very safe technique. It is typically less invasive than traditional surgery, which helps limit complications, reduce blood loss, and speed up the healing process.
Usually, you will not. Endoscopic spine surgery is often done with local anesthesia and light sedation rather than full general anesthesia. Your surgeon and anesthesia team will review your medical history and decide on the safest and most comfortable approach for you.
Most patients are up on their feet, leaving the clinic the same day, and can return to light routine activities almost immediately. When symptoms have included pain traveling down the arms or legs, relief is often felt shortly after surgery. As a whole, this approach tends to shorten recovery by weeks when compared with traditional open spine procedures.
Endoscopic approaches can be used for many common spinal problems, including herniated or bulging discs, nerve compression causing sciatica, spinal stenosis, bone spurs, and some forms of chronic back pain. The endoscope provides a close up view through a very small incision, allowing the surgeon to treat the affected area carefully and efficiently.
Patients usually describe the post procedure pain as minimal, especially when they have experience with more traditional surgeries. Many do not require strong prescription pain medicine at all and instead rely on basic over the counter options or gentle pain relief for a limited time.
The small incision is generally under 1 cm, comparable to the diameter of a pencil eraser. Because the cut is so small, it tends to heal quickly, and any scar that remains is often subtle and difficult to notice. The incision is sealed with medical adhesive and shielded by a custom ESINY bandage that supports healthy healing.
Endoscopic spine surgery is an emerging area of modern spine care that is expanding quickly, but it remains less well known because it demands a rare combination of training, experience, and technology. Only a relatively small group of surgeons have completed advanced fellowships and then gone on to build the volume needed to master the technique. The procedure uses specialized endoscopic cameras and instruments that are not yet standard in most operating rooms. ESINY is the only endoscopic spine institute in America and unites four internationally trained experts, which has helped our center become the busiest and most experienced endoscopic spine program in the United States.
If you live in Maryland and have been told that you must undergo open surgery or that surgery is not an option in your case, you may still be a candidate for endoscopic spine treatment. Even if you have already tried injections, medications, or other spinal procedures without success, the team at ESINY can reassess your situation with fresh eyes and specialized expertise. Our accomplished endoscopic spine surgeons and pain management physicians will develop a customized care plan that addresses your specific spinal problem. Using advanced endoscopic tools to reach the root cause of your pain while minimizing trauma to muscles and soft tissues, we aim to help you heal with less discomfort and a faster recovery period.
Many patients report relief and functional improvement that rival or exceed what they would expect from traditional surgery, while spending less time recovering. Our team at ESINY uses endoscopic techniques to carefully target problem areas and support durable, life enhancing results.