At ESINY, we apply sophisticated endoscopic techniques to perform your spine surgery with controlled precision and minimal contact with surrounding tissue. This advanced method is designed to streamline your recovery, rebuild your strength, and bring you closer to the quality of life you have been seeking.
Finally, The Relief You've Been Waiting For.
Endoscopic spine treatment is revolutionizing the way spinal issues are managed and reshaping what patients can realistically expect from modern spine care. At the Endoscopic Spine Institute of New York, our purpose is to redesign the spine surgery journey so that it is safer, less invasive, more time efficient, and more empowering and collaborative for every patient in our care. Our renowned team of neurosurgeons and orthopedic surgeons is widely recognized as being at the forefront of endoscopic spine surgery, and as the only dedicated Endoscopic Spine Institute in the United States, we take pride in guiding you as you work toward regaining control over your health and returning to a more active life.
Relying on an incision smaller than one centimetre and a compact camera that is no larger than a pencil eraser, our specialists use highly refined endoscopic techniques that deliver treatment with impressive precision, enhanced visualization of the surgical field, and very limited disturbance to the tissue, joints, and nerves that support your spine.
Your Precise, Powerful Solution From The Spine Experts
Your spine care is too important to entrust to anything less than world class expertise. At the Endoscopic Spine Institute of New York, our award winning and internationally recognized neurosurgeons and orthopedic surgeons offer decades of dedicated experience in endoscopic spine procedures and minimally invasive spine techniques. Together, they have served as speakers, instructors, and panelists at more than 500 major conferences, including the North American Spine Society and the Society for Minimally Invasive Spine Surgery, and have contributed over 300 peer reviewed publications to authoritative medical journals, in addition to being honored as Honorary Members of the American Academy of Neurological and Orthopedic Surgeons. This rare blend of scientific achievement, peer recognition, and surgical excellence ensures that your treatment is supported by precision medicine practiced at the highest standard.
Fewer Risks, Faster Recovery
Our endoscopic approach offers a lower risk experience than open surgery, featuring significantly less bleeding, an incision often smaller than 1 cm, and a decrease in complication rates. As a result, the overall healing process is typically accelerated, with recovery often measured in weeks less than what is expected after traditional spine operations.
Go Home the Same Day with Only a Band-Aid
In about 95% of cases, patients walk out on the same day and resume light daily activities shortly thereafter, needing only a custom ESINY band aid in place of bulky bandages. There is no overnight hospital admission required and no prolonged downtime disrupting your work and home life.
Skip General Anesthesia
In contrast to open spine surgery, you remain relaxed and comfortable with a simple combination of light sedation and local numbing. General anesthesia can still be used when necessary, although many patients realize that it is not needed.
A Solution For Every Stage
Endoscopic spine treatment is flexible enough to support anyone seeking relief. Whether you have received injections, undergone spine surgery before, or are only starting to explore treatment options, this advanced method offers a reliable solution that has supported more than 30,000 patients.
The Go-To For Other Spine Doctors
Spine physicians frequently select our team when they require treatment themselves. With over 40 spine surgeons trusting us with their own care, our institute has become widely known as the surgeon that surgeons rely on.
What We Treat
Meet Your Team
At ESINY, we are widely acknowledged as a front runner in endoscopic spine treatment, and our award winning specialists are focused on reaching the true source of your pain with exceptional accuracy. By treating the problem where it begins, this method is crafted to offer relief that endures, limit side effects that can slow progress, and promote a recovery experience that is often much faster than what many patients see with conventional surgical procedures or frequent injections.
What To Expect
During your appointment, our specialists will engage in a detailed discussion about your symptoms, walk through your medical history, and review any treatments or interventions you have tried so far. If we determine that endoscopic spine treatment is suitable for you, we will carefully explain the entire process so that you know what to expect and feel well informed before proceeding.
Endoscopic spine treatment is widely recognized as a highly minimally invasive surgical method that still involves a small incision, which allows for a much quicker recovery in many patients, with fewer complications and less risk of side effects than traditional spine surgery. In most situations, only local anesthetic is required, and patients are able to go home later the same day.
After the procedure, your ESINY doctor will follow up with you during the week to review how you are healing, fine tune any post procedure instructions, and answer any questions that may arise.
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 viewed as the most minimally invasive surgical procedure currently used to treat many spinal disorders. The technique uses a pencil sized incision to introduce a small endoscope and slender surgical tools, allowing the surgeon to visualize and treat the spine with minimal disruption to surrounding tissue. ESINY is currently the only spine institute in the United States that focuses exclusively on endoscopic spine techniques.
This treatment option combines precision and minimal invasiveness to help patients manage pain more effectively. By directly addressing the source of the problem, it tends to lower the risk of complications, lessen side effects, and often speeds up recovery when compared with traditional surgery or multiple injection based treatments. In many situations, patients are able to leave the facility and return home on the same day.
In a traditional spine operation, the surgeon typically creates a large incision and separates or cuts through significant amounts of muscle while removing bone to fully expose the spine. This can lead to more pain, more scarring, and a recovery that stretches over many weeks, often with hardware implanted for stability. Endoscopic spine surgery uses a very small incision, limits muscle damage, and allows patients to heal faster and safely return home the same day after only a short stay.
If you have had injections to manage your spinal pain, you already understand the appeal of treatments that involve minimal disruption. Endoscopic spine surgery shares this minimally invasive character but extends it by focusing on the physical cause of your pain rather than offering only short lived symptom relief. When you choose this procedure, you are targeting the exact area in need of correction, which may support longer term relief and improved day to day function.
We frequently see patients whose injections worked for a time but no longer deliver sustained benefit. For them, endoscopic spine surgery becomes a highly precise and minimally disruptive next step. It combines the gentle experience of an injection with the potential for more enduring change, allowing you to regain mobility, experience less discomfort, and resume the activities you enjoy.
Yes. Endoscopic spine surgery performed by expert surgeons has a strong record of safety. The smaller incision and limited tissue disruption generally mean lower complication rates, less pain, and a quicker recovery than with open surgery.
Not in most cases. Many patients undergo the procedure while comfortably sedated and numbed with local anesthetic instead of being fully asleep. General anesthesia remains an option, but it is not automatically required.
Generally, patients are able to walk out of the clinic a few hours after the procedure and restart light activities the same day. Those who have experienced arm or leg pain often notice improvement very quickly, sometimes almost immediately. In comparison with traditional surgery, the entire recovery period is usually much shorter.
Endoscopic spine treatment can help manage a broad spectrum of conditions, including herniated discs, sciatica related to nerve compression, spinal stenosis, problematic bone spurs, and select chronic back pain cases. Thanks to the endoscope, surgeons can precisely reach the target area while preserving more of the surrounding muscles and soft tissue.
After surgery, most patients feel only a mild level of soreness, considerably less than what they would expect from traditional spine procedures. Many people never need strong painkillers and find that simple over the counter medications are enough to stay comfortable as they recover.
The incision is usually smaller than 1 cm, roughly matching the footprint of a pencil eraser on the skin. Healing is typically quick and uncomplicated, and the scar often becomes faint over time. The wound is closed using medical glue and protected by a custom ESINY bandage to encourage smooth, clean healing.
Although endoscopic spine surgery is increasingly recognized within the medical community, it is still not widely available because the training pathway is demanding and highly specialized. Surgeons must invest significant time in dedicated education and then perform many cases to develop the fine motor skills and judgment required. The procedure depends on sophisticated endoscopic equipment that only select centers possess. At ESINY, we are proud to be the only endoscopic spine institute in America, with four internationally trained surgeons whose combined expertise has made our facility the highest volume center for endoscopic spine care in the United States.
If you live in Massachusetts and have been told that open spine surgery is your only remaining choice or that surgery cannot be performed, endoscopic spine treatment may still be an option worth exploring. Even if injections, physical therapy, or prior surgeries have not provided the improvement you hoped for, our ESINY specialists can perform a thorough and nuanced evaluation. Our internationally trained endoscopic spine surgeons and pain management experts will create a treatment plan that is carefully tailored to your condition and lifestyle. Through the use of sophisticated endoscopic techniques that directly address the problem area while sparing surrounding tissue, we may help you achieve less pain and a recovery that is considerably quicker than with traditional surgery.
Outcomes are often on par with traditional surgery and, in many situations, patients see added benefits such as quicker return to work and daily activities. ESINY’s endoscopic spine surgery program is built around accuracy, safety, and meaningful improvements in mobility and comfort.