At ESINY, our team uses state-of-the-art endoscopic techniques to perform spine procedures with maximum accuracy and minimal disruption to healthy tissue. This thoughtful approach helps support a smoother recovery, better strength over time, and a faster return to your normal daily routines.
Finally, The Relief You've Been Waiting For.
Endoscopic spine treatment is reshaping expectations for spinal care and setting a new standard in how modern medicine supports patients with back and neck issues. At the Endoscopic Spine Institute of New York, our purpose is to redesign the entire spine surgery journey so that it becomes safer, less invasive, more streamlined, and far more empowering for every person we have the privilege to treat. With a distinguished group of neurosurgeons and orthopedic surgeons who are recognized authorities in endoscopic spine surgery, and as the only dedicated Endoscopic Spine Institute in the United States, we dedicate ourselves to helping you move forward toward the fuller, more active life you deserve.
By creating an incision that is typically less than one centimetre and inserting a precision camera no bigger than a pencil eraser, our specialists use cutting-edge endoscopic methods to provide treatment with finely tuned accuracy and minimal disruption to surrounding anatomy.
Your Precise, Powerful Solution From The Spine Experts
Your spine treatment should be overseen by leaders who have shaped the future of spinal medicine through extensive expertise and broad recognition. At the Endoscopic Spine Institute of New York, our award-winning and internationally respected neurosurgeons and orthopedic surgeons offer decades of experience dedicated to advancing endoscopic spine procedures. Their combined achievements include presenting at more than 500 national and international conferences, among them programs hosted by the North American Spine Society and the Society for Minimally Invasive Spine Surgery. Their academic contributions exceed 300 peer-reviewed publications in leading journals, complemented by honors such as appointment as Honorary Members of the American Academy of Neurological and Orthopedic Surgeons. With such distinguished credentials and depth of skill, your treatment benefits from precision medicine practiced at a level reserved for the most accomplished specialists.
Fewer Risks, Faster Recovery
This endoscopic technique typically means less bleeding than open surgery, an incision that is often under 1 cm, a lower chance of complications, and a recovery that may be shortened by several weeks compared with conventional spine operations.
Go Home the Same Day with Only a Band-Aid
Approximately 95% of our patients go home the same day and ease back into light activities quickly, needing only our custom ESINY band-aid in place of heavy wraps or dressings. You avoid the inconvenience of staying overnight in the hospital and the extended downtime that usually follows traditional surgery.
Skip General Anesthesia
Rather than relying on deep general anesthesia as many traditional spine surgeries do, you stay comfortable with light sedation and focused local anesthesia around the treatment site. General anesthesia is still available when the clinical situation calls for it, yet most patients find that they can have a smooth and reassuring experience without it.
A Solution For Every Stage
Endoscopic spine treatment is built to fit a wide variety of patient stories and medical backgrounds. Whether you have received multiple injections, undergone previous spine surgery that did not fully resolve your symptoms, or are just beginning to explore spine care, this method has provided a reliable path toward relief for more than 30,000 people.
The Go-To For Other Spine Doctors
Physicians who treat spines every day still choose our team when they need spine care themselves. With more than 40 spine surgeons coming to us for treatment, we are often viewed as the surgeon’s preferred spine surgeon.
What We Treat
Meet Your Team
At ESINY, it is a point of pride for us to be recognized as one of the foremost leaders in endoscopic spine treatment and modern spine health solutions. Our award-winning physicians are devoted to delivering care that aims directly at the source of your pain, using highly specialized techniques that provide an extraordinary level of precision to the affected area. This focused strategy is intended to result in more enduring relief, fewer unwanted side effects, and a recovery timeline that is often considerably shorter than the typical experience associated with conventional spine surgery or recurrent injection therapies.
What To Expect
At your first appointment, our team will focus on your story, asking how your symptoms limit work, sleep, and the activities you enjoy. We will carefully review any medications, injections, or therapies you have already tried, and if endoscopic spine treatment is appropriate, we will explain the procedure step by step so everything feels clear.
This type of spine treatment is considered the most minimally invasive surgical method that still uses a small incision to treat the problem directly. Because it disturbs less tissue, patients often recover more quickly, experience fewer problems than with open surgery, and usually need only local anesthesia before heading home the very same day.
In the days that follow, your ESINY doctor will personally check in to review your healing, answer questions, and help you navigate early 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
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 a minimally invasive procedure that relies on a very small camera, known as an endoscope, together with delicate surgical tools, to treat spinal issues through a pencil-width incision. ESINY is unique in being the only dedicated endoscopic spine institute in the United States.
This form of treatment gives patients an accurate, minimally invasive option that aims directly at the cause of their discomfort. Because the approach is so focused, it typically involves fewer complications, produces fewer side effects, and allows the body to heal more quickly than with more extensive surgery or ongoing injections. In many instances, patients are cleared to return home on the same day.
In a standard spine operation, surgeons usually make a substantial incision, cut through or detach muscles, remove bone, and frequently rely on screws and rods to stabilize the spine. All of this can lengthen the hospital stay and contribute to weeks or months of healing and discomfort. Endoscopic spine surgery instead uses a tiny incision and slim instruments, which greatly reduces tissue damage and allows patients to recover faster and leave within a few hours.
If you have tried injections or other conservative measures, you have already chosen a path that favors low impact, minimally invasive care. Endoscopic spine surgery continues in that spirit by using very small instruments and limited tissue disruption while focusing directly on the underlying source of your pain rather than just masking it.
Many individuals reach our practice when injections that once helped no longer deliver meaningful benefit. Endoscopic spine surgery then offers a next step that is still gentle on the body but more definitive, combining a minimally invasive experience with the potential for longer lasting outcomes, better movement, and a more comfortable return to daily life.
Yes, our endoscopic program follows strict safety protocols and uses advanced technology to minimize risk. Because the approach is so precise and minimally invasive, patients usually experience fewer complications, less pain after surgery, and a shorter hospital stay.
In most cases, we can keep you comfortable with local anesthesia around the spine and gentle sedation. General anesthesia remains available if your medical history, preferences, or the specific procedure make it the better option.
After the procedure, most patients are able to walk out of the clinic and begin light activity immediately. For those with arm or leg pain, relief is often felt right after surgery. Full recovery tends to take much less time compared to traditional open spine surgeries.
Endoscopic techniques can treat numerous spine issues, including herniated discs, sciatica, spinal stenosis, and bone spurs. This method allows for precise, minimal disruption, making it effective for a wide array of spine-related conditions.
Most patients report very little pain after endoscopic spine surgery, significantly less than the discomfort typically associated with traditional surgeries. Many patients manage well with mild pain relievers or over-the-counter medications, often avoiding stronger pain meds.
The incision is typically less than 1 cm, about the size of a pencil eraser. The healing process is fast, and the scar is often barely noticeable. Medical glue is used to seal the incision, which is covered by a custom ESINY bandage to support proper healing.
Endoscopic spine surgery is rapidly expanding in popularity worldwide, but very few surgeons have undergone the level of training required to perform it at an advanced level. Achieving mastery in this field requires not only proper education but also years of hands-on experience and a high volume of cases. This specialized procedure requires cutting-edge equipment and advanced skills, which means only a select few spine surgeons can offer it effectively. At ESINY, we are proud to be the only dedicated endoscopic spine institute in the U.S., with four internationally trained specialists at the helm. Our high patient volume and specialized focus have made us the top facility for endoscopic spine care in the U.S.
If you live in Nebraska and have heard that open surgery is your last remaining option, or that surgery is not appropriate for your case, you may still be a strong candidate for endoscopic spine treatment. Even if prior injections or spinal procedures have not produced meaningful improvement, our team at ESINY can assess your condition thoroughly. Our expert endoscopic spine surgeons and pain specialists will develop a personalized plan tailored to your unique symptoms and medical background. By using advanced endoscopic approaches, we directly target the root cause of your discomfort while reducing tissue disruption, which may help you recover more comfortably and efficiently.
In many cases, patients experience relief and functional improvement that match the results of traditional spine procedures. Because endoscopic surgery at ESINY is so precise and tissue sparing, it often delivers these benefits with less downtime and fewer disruptions to normal activities.