At ESINY, we make use of advanced endoscopic techniques designed to perform spine surgery with remarkable accuracy while keeping the procedure as minimally invasive as possible. By following this modern method, we aim to help you recover in less time, restore your strength more fully, and return to enjoying the complete and satisfying life that belongs to you.
Finally, The Relief You've Been Waiting For.
Endoscopic spine surgery is setting new standards in spinal care and creating a pathway for more progressive methods of treating back conditions. At the Endoscopic Spine Institute of New York, we are committed to reshaping the surgical process itself by focusing on safer techniques, utilising smaller incisions, encouraging faster recovery timelines, and giving patients the ability to take charge of their health outcomes. Led by a skilled team of neurosurgeons and orthopedic surgeons who are recognised for their expertise in this field, and being the only Endoscopic Spine Institute across the nation, we are devoted to supporting patients as they restore their mobility and rediscover an improved quality of life.
With a cut that measures less than one centimetre and a surgical camera that is comparable in size to a pencil eraser, our practice is able to perform delicate and advanced endoscopic procedures with excellent control and reduced invasiveness.
Your Precise, Powerful Solution From The Spine Experts
Only those specialists who have consistently demonstrated their skills and leadership at the top levels of the medical profession should be entrusted with your spine treatment. At the Endoscopic Spine Institute of New York, our highly decorated team of neurosurgeons and orthopedic surgeons has worked tirelessly for decades to refine the field of endoscopic spine surgery into a true combination of scientific advancement and surgical mastery. Their influence on the global medical community is profound, with invitations to share their techniques and research at more than 500 distinguished international conferences, including the North American Spine Society and the Society for Minimally Invasive Spine Surgery. Their scholarship extends beyond the lecture stage, with over 300 research papers published in highly regarded peer-reviewed journals. Adding to these accomplishments, they have been honored as Honorary Members of the American Academy of Neurological and Orthopedic Surgeons, a recognition reserved for those who have profoundly shaped the field. With such an extraordinary foundation of knowledge and distinction, your treatment is delivered with assurance, precision, and a standard of excellence rooted in innovation.
Fewer Risks, Faster Recovery
When examined alongside conventional open surgeries, endoscopic spine treatment shows a series of clear improvements. The risks are reduced, blood loss is much lower, incisions are minimal and typically under one centimetre in size, complication rates are decreased, and the recovery period is notably shorter, often by several weeks.
Go Home the Same Day with Only a Band-Aid
A full ninety-five percent of individuals undergoing this procedure are able to walk out of the center later the same day and begin performing light activities almost immediately. Rather than relying on large bandages, only a small ESINY band-aid is placed over the incision. Patients do not need to remain in the hospital overnight and are spared the long recovery process associated with older surgical practices.
Skip General Anesthesia
This treatment style is also considerate of the patient’s comfort by relying on local anaesthesia and mild sedation in most situations. Although the option of general anaesthesia is available if necessary, many patients find that it is not needed at all.
A Solution For Every Stage
Patients can rely on endoscopic spine treatment no matter their circumstances, whether they are newly searching for relief, returning after an unsuccessful or incomplete earlier surgery, or looking for a replacement for ongoing injections. This treatment has already guided upwards of 30,000 patients toward restored health and a better quality of life.
The Go-To For Other Spine Doctors
Among those who place their trust in our care are surgeons themselves, with more than 40 spine specialists having undergone procedures performed by our team. This extraordinary recognition speaks to why we are known throughout the field as the spine surgeon’s surgeon.
What We Treat
Meet Your Team
At ESINY, our leadership in the realm of endoscopic spine surgery is best defined by the specialized expertise and outstanding accomplishments of our highly decorated medical team. Each treatment approach is created to pinpoint the exact root of pain with a degree of accuracy that ensures stronger, longer-lasting relief, along with a much lower rate of complications and recovery times that are considerably shorter than those of traditional surgical techniques or injections. Patients in our care are provided with an advanced level of treatment that merges groundbreaking innovation, precise execution, and streamlined efficiency, always with the intention of restoring comfort and quality to daily living.
What To Expect
When you come in for a consultation, we focus on learning about your concerns by asking detailed questions about your symptoms and evaluating any treatments you may have already considered. Should you be identified as a strong candidate, we will then go over the treatment in detail so that you feel prepared and aware of each step.
Endoscopic spine treatment is the most advanced and least invasive spinal surgery that involves an incision. Because of the precision of this approach, recovery is usually far quicker compared with traditional surgery, with fewer side effects and a lower chance of complications. In most cases, only a local anesthetic is necessary, and patients are able to return home later that same day.
Your ESINY physician will personally follow up with you within the first week after treatment to check your progress, provide recovery guidance, and answer any questions you may have during the healing process.
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 the most minimally invasive form of spinal surgery performed today. The method involves using a specialized endoscope, equipped with a miniature camera and precision surgical instruments, which is inserted through a small incision about the size of a pencil tip. By using this approach, surgeons can minimize unnecessary disruption to the muscles and tissues surrounding the spine. ESINY remains the only institute in the United States that is fully devoted to the study, advancement, and practice of this specialized surgical technique.
Patients who undergo endoscopic spine treatment often experience significant advantages, as the procedure is designed to target the precise origin of pain with high levels of accuracy. This results in fewer potential complications, fewer side effects, and a recovery process that is much shorter when compared with injections or standard spine surgeries. In fact, most patients are able to walk out of the treatment center on their own and return home safely within just a few hours of their procedure being completed.
Traditional spine surgery generally requires surgeons to make large incisions, cut through muscle, and in some cases remove sections of bone, which often leads to extended pain and lengthy recovery times. Additional hardware, such as screws, plates, or rods, may also be used, adding to the invasiveness of the procedure. In contrast, endoscopic spine surgery involves only a very small incision, causes far less disturbance to surrounding tissues, and allows patients to experience quicker recoveries, with many able to leave the facility and return home on the same day.
Individuals who have managed spinal discomfort with injections or non-surgical interventions often prefer procedures that minimize disruption to the body. Endoscopic spine surgery takes this preference a step further by targeting the source of pain with precision. The procedure is designed to deliver outcomes that are accurate, effective, and potentially longer lasting.
Patients often choose this treatment when prior injections no longer produce meaningful relief, seeking a solution that addresses the underlying problem. Endoscopic spine surgery combines minimal invasiveness with focused precision, which can help alleviate pain, restore functional mobility, and allow patients to return to the activities and daily routines they most enjoy.
Yes, our program is considered very safe when performed by highly trained surgeons. Unlike traditional open spine surgery, endoscopic methods usually involve lower complication rates, minimal blood loss, and shorter hospital stays. The reduced risks and improved recovery times make this one of the most effective treatment options available for those seeking relief from back or neck pain.
Endoscopic spine surgery is adaptable to patient needs. In most cases, light sedation and local anesthesia are all that is required, which promotes a quicker recovery process. For patients who would rather be fully asleep during the procedure, general anesthesia is also available and can be administered safely if preferred.
Most patients leave the clinic on the same day and are able to perform light tasks soon after. Many notice immediate relief from nerve-related pain such as discomfort in the arms or legs. In comparison to traditional spine surgery, the recovery period is usually much faster, measured in weeks rather than months.
Endoscopic surgery is suitable for treating several spinal disorders, including herniated discs, spinal stenosis, sciatica, bone spurs, and some forms of persistent back pain. By targeting the exact cause of pain with a high degree of precision, this minimally invasive method provides effective long-term results.
Most patients report experiencing only mild discomfort following the procedure. Since the incision is so small and tissue disruption is minimal, there is often no need for strong narcotic pain relievers. Recovery tends to be far more comfortable compared with open surgery.
The incision is tiny, often less than one centimetre, about the size of a pencil eraser. Because the cut is so small, scarring is minimal. The area is sealed using medical-grade adhesive and protected with a specialized ESINY dressing to ensure proper healing.
Across the world, the popularity of endoscopic spine surgery continues to grow at a rapid pace, but it is still a relatively rare skill among surgeons. While more medical centers are incorporating this modern surgical method, the number of professionals who can perform it at the highest standard is still quite small. Training programs alone are not enough, since true mastery requires extensive practical exposure and the completion of a large number of patient cases. This specialized procedure also demands unique tools and a significant degree of technical ability, making it something that most spine surgeons are not able to provide at a superior level. In the United States, ESINY stands apart because it is the only facility where four internationally trained surgeons in endoscopic spine techniques practice together. This extraordinary team dynamic gives us the ability to sustain the highest case volume of endoscopic spine surgery across the entire country.
Even for New Rochelle residents who have been told that open surgery is necessary or impossible, persistent back or neck pain may still be treated with endoscopic spine surgery. If previous injections or procedures have not provided meaningful relief, ESINY can offer a comprehensive evaluation to determine your options. Our expert endoscopic spine surgeons and pain management team create a fully tailored plan for each patient. By applying advanced minimally invasive endoscopic techniques, we target the source of pain directly while limiting impact on surrounding tissues, helping patients experience less discomfort and recover more quickly.
In a significant number of cases, patients experience outcomes that are equal to or exceed the results of standard open spinal surgery, yet with a recovery period that is much shorter. ESINY emphasizes precision, the highest levels of safety, and the goal of improving patient quality of life by providing expert endoscopic care that targets the source of pain with minimal disruption.