At ESINY, our specialists use highly refined endoscopic techniques so your spine surgery is both accurate and gentle on surrounding tissue. This advanced level of care is intended to reduce downtime, support stronger long-term results, and help you confidently reclaim your quality of life.
Finally, The Relief You've Been Waiting For.
Endoscopic spine treatment is ushering in a new era for patients with spinal conditions and redefining how modern healthcare delivers spine surgery. At the Endoscopic Spine Institute of New York, our purpose is to transform the spine surgery journey into an experience that is safer, less invasive, faster in recovery, and genuinely empowering for every patient we support. With a respected team of neurosurgeons and orthopedic surgeons who are regarded as leaders in the specialty of endoscopic spine surgery, and as the only dedicated Endoscopic Spine Institute in the United States, we are committed to walking beside you as you work to reclaim the life, function, and mobility that matter most to you.
By creating an incision smaller than one centimetre and guiding a tiny camera similar in size to a pencil eraser, our specialists apply sophisticated endoscopic techniques that allow for meticulous precision and minimal disturbance of the surrounding soft tissues.
Your Precise, Powerful Solution From The Spine Experts
Your spine treatment should be entrusted to medical professionals who have earned recognition for their superior skill, innovation, and dedication to spine health. At the Endoscopic Spine Institute of New York, our award-winning neurosurgeons and orthopedic surgeons are known around the world for their decades of focused experience in endoscopic spine surgery. As a collective force, they have presented groundbreaking work at more than 500 major conferences, including those hosted by the North American Spine Society and the Society for Minimally Invasive Spine Surgery. Their scientific impact includes over 300 peer-reviewed articles and distinguished honors such as receiving Honorary Membership from the American Academy of Neurological and Orthopedic Surgeons. This remarkable blend of clinical mastery, professional achievement, and scientific leadership ensures that your care is delivered with an unmatched level of precision and expertise.
Fewer Risks, Faster Recovery
Endoscopic spine procedures typically offer reduced bleeding, a small skin opening often less than 1 cm, fewer surgical risks, and a recovery that may be accelerated by weeks when compared to traditional open surgery.
Go Home the Same Day with Only a Band-Aid
For about 95% of patients, discharge takes place on the very same day with a quick return to light daily tasks, using only a custom ESINY band-aid instead of multiple layers of bandages. There is no requirement for spending the night in the hospital and no extended downtime keeping you from your routine.
Skip General Anesthesia
Here, comfort is maintained using modest sedation together with precise local anesthesia rather than automatically relying on full general anesthesia. It can still be used if your situation requires it, but many patients discover that they can safely avoid it and still feel calm, supported, and comfortable during their procedure.
A Solution For Every Stage
Endoscopic spine surgery can be customized for a broad range of conditions and treatment histories, offering continuity no matter what you have tried before. From individuals who have not responded to injections or prior operations to those just beginning to explore their first treatment, this innovative option has already transformed outcomes for more than 30,000 people.
The Go-To For Other Spine Doctors
Other physicians with spinal concerns consistently place their trust in our expertise. With more than 40 spine surgeons selecting us for their own care, we have become known as the spine surgeon that surgeons choose.
What We Treat
Meet Your Team
At ESINY, we are delighted to be recognized as a pioneering leader in the field of endoscopic spine treatment and minimally invasive spine solutions. Our distinguished and highly awarded team is focused on delivering care that targets the true origin of your pain, applying refined techniques that allow for exceptionally precise treatment of the affected structures. This thoughtful approach is designed to bring more sustained relief, limit unnecessary or bothersome side effects, and create a path to recovery that is frequently much faster than the course typically expected with conventional surgery or ongoing series of injections.
What To Expect
During your consultation, we will discuss your pain in detail, including how long it has been present, what makes it worse, and what has or has not helped. If you qualify for endoscopic treatment, we will outline the procedure step by step so you know what will happen before, during, and immediately after your visit.
Endoscopic spine treatment is recognized as the least invasive surgical technique that still relies on a small incision to access the spine safely. Thanks to this focused approach, many patients heal more quickly, experience fewer side effects than with open surgery, and often need only local anesthesia before going home comfortably on the same day.
After treatment, your ESINY doctor will personally follow up during the week to monitor your healing, make recommendations, and ensure your questions are fully addressed.
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 a highly precise, minimally invasive spine procedure that uses a miniature camera called an endoscope plus narrow instruments passed through an incision about the width of a pencil. ESINY is currently the only endoscopic spine institute in the country dedicated solely to this technique.
This technique provides a highly focused way to relieve spinal pain while preserving as much healthy tissue as possible. Because it zeroes in on the exact source of the issue, it usually brings a lower chance of complications, fewer uncomfortable side effects, and a faster return to daily activities than more invasive surgery or repeated injections. Many patients are able to go home comfortably on the same day as their procedure.
Standard spine procedures typically require broad exposure of the spine, which means bigger incisions, cutting or retracting muscles, and sometimes significant bone removal. This approach often leads to greater postoperative soreness, the need for hardware, and extended recovery times in the hospital and at home. Endoscopic spine surgery uses a tiny skin opening to reach the problem area, preserves most muscles, and provides a path to quicker healing and discharge within hours.
If you have had injections for spinal pain, you already value treatment options that are not as demanding on the body as traditional surgery. Endoscopic spine surgery keeps that same minimally invasive mindset but goes a step further by working directly on the structures that generate pain instead of only calming them temporarily.
Many patients visit our clinic when their injections stop offering meaningful or lasting relief. For them, endoscopic spine surgery becomes a logical next step, providing a precise, gentle approach that combines the low impact feel of an injection with the possibility of more permanent change, improved flexibility, and a smoother return to regular daily life.
Yes, our program has been built around proven techniques and careful patient selection to maximize safety. Because endoscopic surgery is less invasive than traditional methods, it often leads to fewer complications, shorter recovery times, and less disruption to your daily life.
Often, endoscopic procedures can be performed using local anesthesia and sedation, which many patients find easier to recover from. If general anesthesia is needed for safety or comfort, your surgeon and anesthesiologist will discuss this clearly before surgery.
Patients are typically able to walk out of the clinic on the same day and start light activities almost immediately. For patients suffering from leg or arm pain, relief can be felt right after the procedure. Overall, recovery tends to be much faster compared to traditional spine surgeries.
Endoscopic techniques treat a range of spine conditions, including herniated discs, sciatica, spinal stenosis, and certain chronic back pains. By using a small endoscope, the procedure is minimally invasive, leading to more effective management of various spine-related issues.
Most patients experience very little pain after the procedure, significantly less than what is common with traditional spine surgery. Many only need mild pain relief or over-the-counter options, and stronger medications are rarely required.
The incision is usually smaller than 1 cm, about the size of a pencil eraser. Healing is usually fast, and the scar is often not visible at all. The incision is sealed using medical glue and covered with a custom ESINY bandage to help promote optimal healing.
While endoscopic spine surgery is advancing rapidly around the world, only a select number of surgeons have had the thorough training necessary to execute it with precision. Expertise in this technique requires not only education but also years of practice and a high number of cases. The procedure itself demands advanced equipment and specialized skills, which is why only a few surgeons can perform it effectively. At ESINY, we stand as the only dedicated endoscopic spine institute in the U.S., with four internationally trained specialists leading the charge. Our focused expertise and high case volume make us the premier destination for endoscopic spine care in the country.
If you live in New Hampshire and have been told that open spine surgery is your only remaining choice, or that surgery is not suitable for you, you might still be an excellent candidate for endoscopic spine treatment. Even if injections, pain treatments, or earlier surgical attempts have not relieved your symptoms, our team at ESINY can take a closer look at your case. Our expert endoscopic spine surgeons and pain specialists will create a customized, patient-centered plan designed specifically for your needs. Through highly advanced endoscopic procedures, we focus on the root cause of your pain while minimizing damage to nearby tissues, which may result in less post-procedure pain and a quicker recovery timeline.
Yes, outcomes frequently compare very favorably with traditional approaches, providing substantial pain relief and improved mobility. At ESINY, our endoscopic procedures are designed to pair this level of effectiveness with shorter recovery periods and a strong emphasis on long term well being.