At ESINY, we integrate modern endoscopic methods to carry out spine surgery with focused precision and minimal impact on healthy muscles, ligaments, and nerves. This patient-centered approach helps you recover sooner, rebuild core strength, and get back to your daily life with greater comfort and confidence.
Finally, The Relief You've Been Waiting For.
Endoscopic spine treatment is redefining what spine surgery can look like and reshaping how modern medicine approaches spinal health and wellness. At the Endoscopic Spine Institute of New York, our mission is to reinvent the traditional spine surgery pathway so that it becomes safer, less invasive, more efficient in recovery, and profoundly empowering for every patient who chooses our care. Backed by a distinguished team of neurosurgeons and orthopedic surgeons who are widely recognized as innovators in endoscopic spine surgery, and as the only dedicated Endoscopic Spine Institute in the United States, we are here to help you move toward reclaiming the comfort, activity, and joy you deserve in your everyday life.
With an incision that can be less than one centimetre and a delicate camera no larger than a pencil eraser, our specialists perform advanced endoscopic procedures that deliver highly targeted treatment with minimal disruption to surrounding muscles, ligaments, and nerves.
Your Precise, Powerful Solution From The Spine Experts
Your spine treatment deserves leadership from physicians whose knowledge and accomplishments place them at the forefront of global spine care. At the Endoscopic Spine Institute of New York, our internationally recognized and award-winning neurosurgeons and orthopedic surgeons bring decades of specialized experience in endoscopic spine techniques. Their influence spans more than 500 medical conferences where they have shared expertise, including major events hosted by the North American Spine Society and the Society for Minimally Invasive Spine Surgery. Their academic footprint includes over 300 peer-reviewed publications and high-level honors such as distinction as Honorary Members of the American Academy of Neurological and Orthopedic Surgeons. Through this powerful fusion of scholarly achievement, professional accolades, and hands-on excellence, your treatment is anchored in precision medicine practiced at its highest form.
Fewer Risks, Faster Recovery
This minimally invasive approach generally results in less bleeding than open surgery, an incision often under 1 cm, fewer complications after the procedure, and a recovery that can be significantly faster than traditional spine surgery.
Go Home the Same Day with Only a Band-Aid
Nearly 95% of patients are able to leave the clinic the same day and resume light activity shortly afterward, with only a custom ESINY band-aid in place rather than thick, restrictive bandages. You avoid an overnight hospital stay and the slow, difficult recovery many people expect.
Skip General Anesthesia
Unlike many traditional spine procedures that automatically use general anesthesia, this technique keeps you at ease with light sedation and localized numbing of the area being treated. General anesthesia remains part of the toolkit when needed, but in practice, most patients find that a lighter, more targeted approach is more than enough for a comfortable experience.
A Solution For Every Stage
Endoscopic spine care is versatile enough to align with your unique situation, whether your symptoms are new or have been present for many years. Whether you have gone through injections, have a history of spine surgery, or are just taking your first step toward treatment, it has already provided real, lasting change to over 30,000 individuals.
The Go-To For Other Spine Doctors
When experienced spine specialists need treatment, they often come to us for guidance and surgery. More than 40 spine surgeons have been our patients, highlighting our role as the surgeon of choice for other spine surgeons.
What We Treat
Meet Your Team
At ESINY, we proudly embrace our role as a recognized leader in endoscopic spine treatment, bringing advanced care to patients seeking a more modern solution. Our decorated team of specialists is dedicated to addressing your discomfort at its root, using carefully developed techniques that deliver an outstanding degree of precision to the specific problem area. Because of this focused and meticulous approach, patients are often able to enjoy longer lasting improvement, fewer unwanted side effects, and a recovery period that moves more quickly than what is common with traditional spine surgery or repeated injection-based treatments.
What To Expect
At your consultation, our team will sit down with you to understand your pain pattern, your lifestyle, and your previous treatment experiences. We will review all relevant records and imaging, and if endoscopic spine care is appropriate, we will explain the procedure clearly so you feel informed and supported throughout the process.
Endoscopic spine treatment is regarded as the most minimally invasive surgical option that still uses a small incision while preserving muscles and surrounding tissue. As a result, patients often see a faster recovery, fewer complications and side effects than with standard surgery, and in many cases require only local anesthesia and a same day discharge.
Following your procedure, your ESINY physician will personally reach out during the week to check your progress, answer questions, and adjust your care plan if needed.
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 regarded as one of the most tissue-sparing spinal procedures, using a small endoscope and fine surgical tools to reach the problem area through an incision no larger than a pencil. ESINY is the only specialized endoscopic spine institute of its kind in the United States.
Endoscopic spine treatment offers a refined, minimally invasive path to relief that emphasizes accuracy and gentle tissue handling. By treating the problem area directly instead of through large incisions, it often leads to fewer complications, fewer post-procedure side effects, and a quicker recovery when compared with conventional surgical approaches or ongoing injection treatments. In a large number of cases, patients are discharged to home on the same day.
With conventional spine surgery, surgeons usually create a large incision and must move or cut muscle and soft tissue, as well as remove bone, to see the spine clearly. This can require the placement of metal implants and often results in a longer hospital stay and a more difficult recovery. Endoscopic spine surgery approaches the spine through a very small incision, causes far less disruption to the muscles, and allows many patients to recover rapidly and go home the same day.
If you have experienced spinal injections, you know what it is like to receive focused treatment through a small entry point with minimal downtime. Endoscopic spine surgery is similar in that it uses small access and specialized tools, but it aims to correct the underlying issue itself, not just quiet symptoms for a period of time.
Many people turn to our team after realizing that injections have reached their limit and no longer deliver the relief they need. Endoscopic spine surgery offers a carefully targeted, minimally invasive solution that retains the gentle nature of injections while pursuing longer lasting results, helping patients feel more stable, experience less pain, and return to work and home activities sooner.
Yes. With experienced surgeons and modern equipment, endoscopic spine surgery offers a very favorable safety profile. Patients usually benefit from minimal tissue damage, fewer postoperative issues, and a faster overall recovery compared to open surgery.
Not in every case. Many patients are treated comfortably using local anesthesia plus light sedation, avoiding full general anesthesia when possible. The exact plan will depend on your health, anxiety level, and the complexity of your procedure.
Most patients are able to walk out of the clinic right after surgery and engage in light activities right away. For those with arm or leg pain, relief is often immediate. Compared to traditional spine surgery, recovery is usually weeks faster.
Endoscopic surgery can effectively treat conditions like herniated discs, sciatica, spinal stenosis, and bone spurs. The endoscope’s precision allows for a minimally invasive approach to treating these spine issues, reducing the need for extensive tissue disruption.
Pain after endoscopic spine surgery is generally minimal, much less than that experienced with open surgery. Many patients only require mild pain relief or over-the-counter medication to stay comfortable, with no need for stronger prescriptions.
The incision is typically smaller than 1 cm, around the size of a pencil eraser. Healing happens quickly, and the scar is usually barely noticeable. The incision is closed with medical glue and covered by a custom ESINY bandage to enhance healing.
Endoscopic spine surgery is quickly becoming more recognized worldwide, but only a small group of surgeons have the extensive training required to perform it expertly. Achieving mastery requires not just formal education but also years of hands-on experience and a high number of procedures. This sophisticated surgery involves specialized equipment and skills, which means only a few surgeons can perform it properly. At ESINY, we are the only dedicated institute in the U.S. that focuses on endoscopic spine surgery, with four experts trained internationally in this technique. This specialization allows us to offer the highest volume of endoscopic spine treatments in the United States.
If you live in New Jersey and have been informed that open surgery is the only remaining solution or that surgery is not appropriate given your condition, you may still qualify for endoscopic spine treatment. Even if injections, medications, or past spine procedures have not succeeded in easing your pain, ESINY’s specialists can evaluate your condition thoroughly. Our internationally trained endoscopic spine surgeons and pain management experts will design a personalized treatment strategy tailored to your specific symptoms. With advanced endoscopic techniques, we directly address the pain source while protecting surrounding tissue, which can lead to a smoother recovery and potentially longer-lasting relief.
For many patients, the clinical results are similar to those achieved with open surgery, and often come with added advantages. Endoscopic spine surgery at ESINY aims to deliver this same level of effectiveness while reducing recovery time and supporting a smoother return to everyday life.