At ESINY, we perform spine surgery using the newest endoscopic technology to target problem areas with great precision and limit damage to nearby tissue and structures. This careful method is meant to speed your recovery, restore your physical strength, and bring you closer to the life you want to live.
Finally, The Relief You've Been Waiting For.
Endoscopic spine treatment is changing what patients can expect from spinal surgery and redefining how contemporary medicine addresses spinal disorders. At the Endoscopic Spine Institute of New York, we are committed to reimagining the spine surgery journey from start to finish, making it safer, less invasive, more efficient, and more empowering for each patient and their family. Supported by a distinguished team of neurosurgeons and orthopedic surgeons who are acknowledged leaders in the field of endoscopic spine surgery, and as the only dedicated Endoscopic Spine Institute in the United States, our focus is on guiding you step by step toward regaining the comfort, freedom, and quality of life you have been seeking.
Through an incision measuring less than one centimetre, combined with a miniature camera roughly the size of a pencil eraser, our specialists perform highly advanced endoscopic procedures that offer exceptional precision with minimal interruption to surrounding tissues and structures.
Your Precise, Powerful Solution From The Spine Experts
Your spine treatment deserves the guidance of experts whose careers reflect extraordinary clinical mastery and scholarly influence. At the Endoscopic Spine Institute of New York, our internationally acclaimed neurosurgeons and orthopedic surgeons deliver decades of concentrated experience in performing complex endoscopic spine procedures. Collectively, they have been invited to speak at more than 500 prominent conferences, including notable gatherings held by the North American Spine Society and the Society for Minimally Invasive Spine Surgery. Their research achievements include more than 300 peer-reviewed publications and notable professional distinctions such as receiving Honorary Membership in the American Academy of Neurological and Orthopedic Surgeons. This exceptional combination of academic excellence, global professional respect, and real-world surgical expertise ensures that your treatment is supported by the guiding principles of world-class precision medicine.
Fewer Risks, Faster Recovery
Compared with open surgery, this approach often leads to far less blood loss, a tiny incision usually under 1 cm, fewer complications, and a recovery period that can be noticeably shorter than older surgical methods.
Go Home the Same Day with Only a Band-Aid
In roughly 95% of cases, patients are up, walking, and leaving the facility the same day and are able to resume gentle activities soon after, protected only by a custom ESINY band-aid instead of bulky dressings. An overnight stay is not needed and the usual long recovery is significantly reduced.
Skip General Anesthesia
With this advanced approach, you typically avoid the deep sleep associated with general anesthesia and remain relaxed through light sedation combined with carefully administered local anesthesia. While general anesthesia can still be used in certain cases, many patients appreciate discovering that they can recover more comfortably and feel more in control without it.
A Solution For Every Stage
No matter where you find yourself in the process of dealing with back or neck pain, this treatment can be tailored to suit your needs. Whether you have already tried injections, gone through spine surgery before, or are just beginning to search for a lasting solution, it has offered a dependable way forward for over 30,000 patients worldwide.
The Go-To For Other Spine Doctors
When spine doctors become spine patients, they often seek out our practice for their own procedures. Having cared for over 40 spine surgeons personally, we are widely seen as the surgeon that other spine experts trust.
What We Treat
Meet Your Team
At ESINY, we are proud to be viewed as a premier destination for endoscopic spine treatment by patients and professionals alike. Our highly acclaimed team is driven by a commitment to address the core cause of your discomfort, utilizing sophisticated methods that enable a very high level of accuracy in how and where your spine is treated. By approaching care in this way, we strive to provide relief that lasts longer, to minimize the chance of side effects that can slow progress, and to support a recovery that is often far quicker than what is usually seen with traditional surgical techniques or multiple injection treatments.
What To Expect
When you meet with us, we will listen to your concerns, review your symptoms in detail, and look carefully at any tests you have already undergone. If we feel you are a strong candidate for endoscopic treatment, we will explain how the procedure works so you feel informed, confident, and comfortable moving forward.
Endoscopic spine treatment is seen as the most minimally invasive surgical option that still uses a small incision to reach the affected structures. This often means a faster return to normal activity, fewer complications than traditional surgery, and in most cases only a local anesthetic is needed before you go home safely that same day.
After your procedure, your ESINY physician will call or message you during the week to check on your progress, offer reassurance, and respond to your questions.
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 refined surgical method that treats spine conditions using a tiny endoscope and specialized instruments through a skin opening no wider than a pencil. In the United States, ESINY stands alone as the only institute devoted entirely to endoscopic spine surgery.
Endoscopic treatment allows doctors to treat spinal problems using smaller incisions and more precise tools, which can be much easier on the body. By working directly where the problem lies, it often reduces surgical risk, limits side effects, and shortens the overall recovery time when compared to traditional procedures or injection therapy. As a result, many patients can leave the center and recover at home later that day.
Traditional spine surgery generally involves opening a large area of the back, separating muscles, disturbing surrounding tissues, and removing sections of bone to access the affected area. These surgeries commonly include hardware such as rods and screws and are associated with longer rehabilitation and more intense pain during recovery. Endoscopic spine surgery, on the other hand, is done through a very small incision, minimizes muscle trauma, and often allows patients to walk out of the facility and return home later that same day.
If you have relied on spinal injections before, you are familiar with treatments that are quick, targeted, and relatively easy to tolerate. Endoscopic spine surgery shares this minimally invasive nature, but instead of simply quieting irritated nerves for a short period, it is designed to treat the root cause of your pain.
Many of our patients come to ESINY after injections gradually provide less relief or no longer change their symptoms. Endoscopic spine surgery offers a highly focused, tissue sparing alternative that feels similar in spirit to an injection while aiming for longer term improvement, helping patients reclaim mobility, reduce day to day pain, and engage more fully in their usual activities.
Yes. Endoscopic spine surgery is widely regarded as a safe technique when performed by experienced surgeons with proper training. It typically involves smaller incisions, reduced blood loss, and a lower overall risk profile compared with open spine surgery.
Many patients do not need full general anesthesia and do well with light sedation and local numbing. Your anesthesia plan is tailored to you, and your care team will explain whether general anesthesia is recommended in your particular case.
In most cases, patients can leave the clinic the same day and begin light activity immediately. Those with leg or arm pain often feel relief almost instantly. Recovery time is frequently much quicker compared to traditional spine surgery methods.
Endoscopic surgery is used to treat many spine problems, such as herniated discs, sciatica, spinal stenosis, and bone spurs. The precise nature of the endoscope allows for minimal disruption to surrounding tissue, broadening the number of conditions that can be effectively addressed.
Pain following endoscopic spine surgery is usually minimal, much less than what is typically experienced after traditional surgery. Most patients find that they only need mild pain relief or over-the-counter medications, avoiding the need for stronger prescriptions.
The incision is generally smaller than 1 cm, about the size of a pencil eraser. Healing occurs quickly, and the scar is often small and barely visible. The incision is closed with medical glue and covered with a custom ESINY bandage to help ensure fast and effective healing.
Endoscopic spine surgery is growing in recognition globally, yet only a few surgeons have received the comprehensive training necessary to perform it at the highest level. Expertise in this field is built not just on education but also on hands-on experience and a substantial number of procedures. This specialized surgery demands advanced skills and specialized equipment, which is why only a handful of spine surgeons can perform it competently. At ESINY, we are the only institute in America solely dedicated to endoscopic spine care, with four experts trained internationally in the technique. This unique concentration of expertise makes us the highest-volume provider of endoscopic spine treatments in the United States.
If you live in Nevada and have been told that open surgery is the only available option, or that surgery is not feasible for your specific condition, you may still qualify for endoscopic spine care. Even if you have tried injections, medications, or prior spinal procedures without improving your pain, the specialists at ESINY can provide a comprehensive evaluation. Our skilled endoscopic spine surgeons and pain management physicians will design a treatment plan tailored to your condition and goals. With our advanced endoscopic techniques, we aim to treat the true source of your pain while preserving healthy tissues, offering the possibility of less discomfort and a faster, more comfortable recovery.
Many patients experience results that match or exceed those of traditional surgery, while benefiting from a far shorter recovery period. Endoscopic spine surgery at ESINY combines precision, safety, and a focus on improving quality of life.