ESINY is committed to providing spine surgery using cutting-edge endoscopic techniques that combine remarkable precision with minimally invasive practices. This dedication to advanced surgical methods enables us to offer treatment plans that focus on reducing recovery time while maintaining the highest standards of care. By choosing this form of surgery, patients have the opportunity to restore complete mobility, enhance their overall health, and pursue an active and rewarding life that meets both their personal goals and long-term well-being.
Finally, The Relief You've Been Waiting For.
The field of spinal care is advancing rapidly through endoscopic spine surgery, which provides precise and effective treatment options for back problems while minimizing the invasiveness of procedures. At the Endoscopic Spine Institute of New York, we aim to transform surgical care by prioritizing patient safety, performing procedures with smaller incisions, facilitating faster recovery, and enabling patients to live healthier and more fulfilling lives. The institute is directed by neurosurgeons and orthopedic surgeons who are recognized nationally and internationally for their expertise in this highly specialized area. As the only Endoscopic Spine Institute in the United States, our focus is on restoring patient health, improving quality of life, and promoting long-term wellness.
By using an incision smaller than one centimetre combined with a surgical camera roughly the size of a pencil eraser, our surgeons carry out advanced endoscopic techniques with remarkable accuracy while minimizing any disturbance to the tissues around the surgical site.
Your Precise, Powerful Solution From The Spine Experts
Entrusting the health of your spine to medical professionals with proven leadership and expertise is essential for safe and effective care. At the Endoscopic Spine Institute of New York, our celebrated neurosurgeons and orthopedic surgeons have devoted decades to advancing endoscopic spine surgery, combining technical innovation with comprehensive clinical skill. They have shared their research and surgical techniques at more than 500 conferences around the world, including major organizations such as the North American Spine Society and the Society for Minimally Invasive Spine Surgery. Their contributions to medical literature include over 300 peer-reviewed articles, and they have been awarded Honorary Membership in the American Academy of Neurological and Orthopedic Surgeons. With this exceptional level of accomplishment forming the foundation of their practice, every patient receives treatment that is guided by advanced precision, unmatched expertise, and recognized global authority.
Fewer Risks, Faster Recovery
When compared with standard open spinal operations, endoscopic surgery offers significant advantages for patients seeking a safe and efficient solution. The procedure carries lower risks, results in minimal blood loss, and requires an exceptionally small incision, often under one centimetre in length. The chances of complications are reduced, and recovery times are faster, often shortened by multiple weeks. Patients benefit from regaining mobility sooner and returning to their daily activities while surgical accuracy and safety are consistently maintained.
Go Home the Same Day with Only a Band-Aid
An impressive ninety-five percent of patients are able to leave the medical facility on the day of their procedure and begin light activities right away. The traditional need for bulky bandages is eliminated and replaced with a simple ESINY band-aid that shields the incision while maximizing comfort. Overnight stays in the hospital are rarely necessary, and the recovery period is significantly shorter, allowing patients to resume their usual routines without unnecessary delays.
Skip General Anesthesia
Patient comfort remains a central concern for all procedures at the Endoscopic Spine Institute of New York. The majority of surgeries are carried out using local anaesthesia in combination with light sedation, which keeps patients relaxed and comfortable during the procedure. Although general anaesthesia is available for special cases, most patients prefer the less intensive approach, which allows for a smoother and more rapid recovery.
A Solution For Every Stage
Endoscopic spine procedures are suitable for patients at any stage of spinal treatment. Whether an individual is beginning their first procedure, returning for follow-up after a previous surgery, or seeking alternatives to injections, this method offers a safe and highly effective solution. Over thirty thousand individuals have already benefited from this approach, regaining function and enjoying a better quality of life.
The Go-To For Other Spine Doctors
Even medical professionals in spinal care recognize the skill and reliability of our team. More than forty spine surgeons have chosen our institute for their personal treatment needs, a testament to our expertise, precision, and dedication. This professional trust has helped establish our reputation as the preferred choice among peers seeking advanced endoscopic spine surgery.
What We Treat
Meet Your Team
The recognition that ESINY has achieved as a leading authority in endoscopic spine surgery is based on the unmatched skill and outstanding contributions of our award-winning medical team. Our approach to treatment is never generic; instead, each plan is designed to identify the true cause of spinal pain with exceptional accuracy. This precision produces benefits such as sustained relief, lower risks, and much shorter recovery times compared with what patients often endure with traditional surgeries or repeated injections. Patients under our care are supported by a philosophy that balances state-of-the-art advancements with clinical exactness and efficient surgical processes. Above all, our mission is to restore patients to a state of comfort, improved mobility, and a renewed quality of life that many believed was lost.
What To Expect
At ESINY, your consultation serves as the foundation for developing the best approach to treatment. We devote time to understanding your case by carefully reviewing the symptoms you are experiencing and by examining any past medical treatments or interventions. If our evaluation indicates that endoscopic spine surgery is appropriate, we will explain the entire procedure in detail, ensuring you have complete knowledge of what will take place from the initial steps through the recovery phase.
Endoscopic spine surgery stands as the least invasive surgical option available for spinal conditions. The technique involves a very small incision but delivers significant results due to its precision and advanced methods. Most patients benefit from a much faster recovery compared to traditional surgical approaches and face a lower likelihood of complications or side effects. Local anesthesia is typically sufficient for this type of procedure, allowing patients to return home on the same day with confidence and safety.
During the first week after your procedure, your ESINY physician will personally follow up to evaluate your healing, offer any additional recovery instructions, and provide direct answers to your questions. This personal involvement ensures that your recovery is smooth, comfortable, and fully supported.
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
Among all available spinal procedures, endoscopic spine surgery is the least invasive option. It relies on an endoscope, which is an advanced instrument combining a miniature high-definition camera with fine surgical tools. These are inserted through a very small incision, comparable to the size of a pencil, which makes it possible to limit trauma to nearby muscles, ligaments, and tissue structures. ESINY is proud to be the only facility in the nation that dedicates its full focus to developing, improving, and applying this specialized method of surgery, meaning patients have direct access to a level of care that reflects the most advanced innovations in medicine.
The most important advantage of endoscopic surgery lies in its ability to pinpoint and treat the true source of spinal pain. This leads to fewer complications, reduced risks, and recovery times that are much shorter than those associated with conventional procedures or repeated steroid injections. For most patients, the ability to walk immediately after the surgery is standard, and the procedure is followed by same-day discharge, allowing individuals to return home without requiring an overnight hospital stay.
Conventional spine surgery often involves making large incisions, cutting through muscle layers, and in some cases removing portions of bone. These steps increase both pain and recovery times. Many traditional methods also depend on the use of rods, plates, or screws, which add to the invasiveness and complexity of the operation. In contrast, endoscopic spine surgery is performed with a very small incision, preserves soft tissues, and enables a recovery that is dramatically quicker. Patients are frequently able to go home within just a few hours, resuming their lives with much less disruption.
For people who have undergone injections or other non-surgical methods in their effort to manage spinal pain, the desire for a minimally invasive treatment is usually clear. Endoscopic spine surgery addresses this need by treating the underlying cause of discomfort directly, rather than simply reducing symptoms temporarily. This surgical approach is structured to achieve outcomes that are precise, longer lasting, and less taxing on the body than standard open spine procedures.
Patients commonly transition to this method once injections fail to provide the relief they once offered, looking instead for a solution that can deliver lasting improvement. With its combination of reduced tissue disruption and advanced surgical accuracy, endoscopic surgery helps ease pain, restore mobility, and give patients the chance to return to the daily routines and meaningful activities they may have thought were beyond their reach.
Yes. When performed by seasoned experts who are well-trained in this advanced specialty, endoscopic spine surgery is widely considered a very safe option. The technique consistently demonstrates fewer risks, reduced blood loss, and much faster recovery compared to traditional spine surgeries. These advantages have made it a respected and trusted treatment pathway for patients throughout the field of spinal health.
Most patients do not require general anesthesia for endoscopic procedures. Instead, local anesthesia is combined with light sedation to keep patients at ease, promoting a smoother recovery and lowering the risks often associated with being fully anesthetized. Nevertheless, general anesthesia can still be provided when desired or when medically advisable, ensuring every patient’s comfort and safety remain the top priority.
Recovery after endoscopic spine surgery is much quicker than recovery after traditional surgery. Many individuals walk out of the treatment facility on the very same day as their procedure, often reporting immediate relief from discomfort in the back, arms, or legs. Light activity and careful movement are typically possible almost right away. Full recovery tends to take only a matter of weeks, allowing patients to return to their daily schedules much sooner than with more invasive operations.
A wide range of spinal problems can be addressed with endoscopic surgery. This includes herniated or bulging discs, spinal stenosis, sciatic nerve irritation, bone spurs, and many forms of chronic back pain. Because the procedure uses a very small incision and specialized equipment, surgeons are able to treat the problem area directly while limiting trauma to surrounding tissue, which promotes better outcomes and faster healing for patients.
Following surgery, the majority of patients do not experience severe pain but instead notice only mild soreness that typically fades quickly. The use of a very small incision makes the procedure significantly less uncomfortable when compared with open spine surgery. As a result, many patients are pleasantly surprised to discover that prescription pain medicine is not necessary, with simple over-the-counter options proving more than adequate to handle the mild soreness during recovery.
The incision made during endoscopic spine surgery is exceptionally small, generally measuring less than one centimetre long. This size is comparable to that of a pencil eraser and usually leaves only a very faint scar. The site is secured with medical-grade adhesive and covered with an ESINY bandage. This approach not only promotes effective and healthy healing but also reduces the chance of outside factors interfering with recovery by keeping the area clean and well protected.
The field of endoscopic spine surgery is advancing rapidly on a global level, but despite this growth, it remains a specialized area of practice that calls for both advanced training and significant clinical exposure. Many surgeons have not yet begun practicing in this field because it takes far more than traditional education to achieve competence. Success requires the completion of a large number of surgical cases as well as the ability to use highly specialized tools with precision and confidence. The technical demands of this approach go beyond what is typical for standard spinal surgery. ESINY has set itself apart in the United States by assembling four surgeons, each with international training in endoscopic spine surgery, who work side by side in a cooperative setting. This has resulted in unmatched expertise and has led the center to hold the highest national case volume for this procedure.
Mineola, NY residents dealing with long-term back or neck pain, especially those who have not found success with injections or other less invasive procedures, may be good candidates for endoscopic spine surgery. Even for patients who have been told their only option is open surgery, this advanced approach at ESINY may serve as an effective alternative. Every patient undergoes a comprehensive evaluation so that our team of accomplished endoscopic spine surgeons and pain management professionals can create a treatment plan tailored to their specific condition. By directly targeting the precise source of the pain and preserving nearby tissues, this surgical method often results in lower levels of discomfort after the procedure and allows patients to return to their daily activities sooner.
For patients considering their options, endoscopic spine surgery frequently provides outcomes that are on par with or superior to those seen with traditional forms of spinal surgery, all while offering the added benefit of a greatly accelerated recovery process. At ESINY, we are dedicated to delivering procedures with absolute precision, where patient safety and overall well-being guide every decision. By skillfully applying modern endoscopic methods, our physicians help patients overcome spinal discomfort, restore functional ability, and reclaim mobility in a timeframe that is often significantly shorter than recovery from conventional surgery.