At ESINY, our commitment is to perform spine surgery using advanced endoscopic techniques that provide a high level of precision while ensuring the smallest degree of invasion required. By concentrating on this specialised form of treatment, our mission is to guide you toward faster recovery, renewed strength, and the ability to live the complete life that you truly deserve.
Finally, The Relief You've Been Waiting For.
Endoscopic spine surgery is introducing a new chapter in the field of spinal health and making it possible to treat back problems with more effective and refined medical solutions. At the Endoscopic Spine Institute of New York, our objective is to reinvent the surgical experience by ensuring safety, employing smaller incisions, providing patients with faster recovery times, and building the confidence that allows them to move into a brighter future. Our institute is led by neurosurgeons and orthopedic surgeons who are recognised authorities in this highly advanced specialty, and as the only Endoscopic Spine Institute in the United States, we remain focused on guiding patients toward restored health and long-term well-being.
Through an incision shorter than one centimetre and the use of a surgical camera about the size of a pencil eraser, our surgeons are able to deliver state-of-the-art endoscopic techniques with remarkable precision and very little disruption to the surrounding tissues.
Your Precise, Powerful Solution From The Spine Experts
Your spinal health requires the guidance of medical experts who have consistently proven themselves to be leaders at the very highest levels of professional achievement. At the Endoscopic Spine Institute of New York, our celebrated team of neurosurgeons and orthopedic surgeons has devoted decades to the perfection of endoscopic spine surgery, balancing both technical innovation and clinical expertise. Their influence reaches across the global medical community, as they have presented their techniques and shared their research findings at more than 500 conferences worldwide, including notable organizations such as the North American Spine Society and the Society for Minimally Invasive Spine Surgery. Their academic impact is equally significant, with more than 300 published articles in esteemed peer-reviewed journals shaping the direction of spinal medicine. Their recognition extends even further, having earned Honorary Membership in the American Academy of Neurological and Orthopedic Surgeons. With these achievements forming the backbone of their practice, your care is supported by a level of precision medicine that combines innovation, authority, and unmatched expertise.
Fewer Risks, Faster Recovery
Compared with the more invasive open procedures of the past, endoscopic spine surgery brings significant advantages to the patient. The risks are lowered, the blood loss is much less, the incision is extremely small and often less than a single centimetre, the chances of complications are reduced, and recovery is accelerated, often shortened by several weeks.
Go Home the Same Day with Only a Band-Aid
An outstanding ninety-five percent of patients are discharged on the same day as their surgery and are able to return to light physical activity right away. The need for heavy bandages is eliminated, replaced by a simple ESINY band-aid over the incision. Hospital stays overnight are not required, nor is there a prolonged recovery holding patients back.
Skip General Anesthesia
Comfort is also central to this approach. Procedures are usually performed with the use of local anaesthesia and light sedation. Although general anaesthesia can still be employed for particular situations, most patients do not find it necessary.
A Solution For Every Stage
The path to recovery with endoscopic spine treatment is open to patients at any stage, whether they are just beginning to seek solutions, revisiting options after a prior operation, or searching for an approach beyond injections. Already, over 30,000 patients have been able to reclaim daily activities and a stronger quality of life because of this advanced method.
The Go-To For Other Spine Doctors
Remarkably, even those within the profession of spinal medicine turn to us for care. With more than 40 spine surgeons selecting our team for their own treatment, we have earned a reputation for excellence that has made us known as the trusted surgeon’s surgeon.
What We Treat
Meet Your Team
At ESINY, leadership in endoscopic spine surgery is built upon the unparalleled expertise and proven achievements of our award-winning physicians and surgeons. Every treatment option is thoughtfully designed to identify and address the true source of spinal pain with highly accurate precision, producing outcomes that include more durable relief, fewer risks, and recovery times that are noticeably shorter than those associated with standard surgeries or ongoing injections. Our patients benefit from an approach where advanced innovation, clinical accuracy, and efficient techniques work hand in hand, all with the primary purpose of giving them back the comfort and quality of life they have been missing.
What To Expect
At your consultation, we place importance on fully understanding your case by talking about the symptoms you are experiencing and reviewing any prior treatments that may have been attempted. If you are determined to be a good candidate, we will carefully outline the treatment process so that you know exactly what to expect from start to finish.
Endoscopic spine treatment is considered the least invasive surgical option currently available that still requires a small incision. Due to its advanced techniques, patients often heal at a much faster rate compared with traditional surgical methods, while facing fewer complications and side effects. In most cases, only local anesthesia is needed, allowing patients to go home safely the same day as their procedure.
Within the first week after your treatment, your ESINY physician will follow up with you personally to evaluate your recovery, offer additional instructions, and answer any questions you may have.
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 recognized as the least invasive type of spinal procedure available. The process relies on an endoscope, a device that includes a high-definition miniature camera paired with delicate surgical tools, which is inserted through a very small incision comparable in size to that of a pencil. This refined technique significantly reduces the amount of trauma to the surrounding muscles and ligaments. ESINY is currently the only center in the nation that is exclusively devoted to advancing, perfecting, and practicing this specialized surgery.
The primary benefits of endoscopic spine treatment come from its accuracy in locating and addressing the true source of pain. The technique typically results in fewer risks, fewer complications, and far faster recovery periods than conventional surgery or steroid injections. In many cases, patients can walk comfortably after treatment and are discharged the very same day, returning home without the need for overnight hospital stays.
With conventional spine surgeries, surgeons usually have to create larger incisions, cut into muscle tissue, and in some cases remove bone. These steps can cause substantial discomfort and require long periods of rehabilitation afterward. Often, traditional methods also involve the use of surgical hardware such as rods, plates, or screws, further increasing invasiveness. Endoscopic spine surgery requires only a small incision, limits tissue disruption, and shortens recovery times dramatically, giving patients the opportunity to return home only hours after the procedure.
For those who have previously relied on injections or conservative treatments to manage spinal pain, the preference for minimally invasive care is often clear. Endoscopic spine surgery follows this same philosophy by focusing directly on the underlying cause of discomfort. The approach is intended to produce results that are precise, potentially longer-lasting, and less disruptive than traditional surgery.
Many patients seek our care when prior injections are no longer effective, looking for a method that truly works. This procedure combines minimal tissue disruption with targeted precision, helping to relieve pain, improve mobility, and enable a return to the lifestyle and activities that patients value most.
Yes, when carried out by skilled specialists, this program is very safe. Compared to conventional spinal operations, endoscopic surgery typically results in lower complication rates, less blood loss, and shorter recovery times. These benefits make it a widely recognised and trusted approach to spinal care.
In many cases, endoscopic surgery can be performed using light sedation combined with local anesthesia, which allows patients to recover more quickly. However, if desired, general anesthesia remains an option for those who feel more comfortable being completely unconscious throughout the procedure.
Patients are generally able to walk out of the clinic on the same day as their surgery. Many can resume gentle activities almost immediately, with a noticeable reduction in arm or leg pain. Overall healing is significantly quicker compared with open spine operations, with many individuals resuming their daily routines in just a few weeks.
Endoscopic methods are used to treat a wide range of spine-related issues. These include herniated discs, spinal stenosis, sciatica, bone spurs, and a variety of long-term back conditions. The minimally invasive nature of the procedure allows for precise targeting of the problem area with minimal tissue damage.
The majority of patients experience only mild soreness rather than severe pain following surgery. Since the procedure requires a very small incision, discomfort is far less than with open surgery, and the need for prescription pain medication is often minimal.
The cut made for this surgery is extremely small, usually under one centimetre in length, similar in size to a pencil eraser. This results in very little scarring. The site is sealed with medical adhesive and covered with a protective ESINY bandage to encourage proper healing.
Endoscopic spine surgery is seeing worldwide growth as a surgical option, yet it remains a highly specialized field that not all surgeons are prepared to enter. Although the technique is gaining ground across many regions, only a small number of practitioners have the advanced training and practical background to carry it out successfully. Even after completing formal training, a surgeon must perform a substantial number of cases to become highly proficient. The surgery also calls for specialized equipment and technical expertise that go beyond what is common in traditional spinal procedures. ESINY is truly unique in the United States, since we have four endoscopic spine surgeons with international training all working together within one center. This structure not only provides unmatched collaboration but also allows our practice to achieve the highest endoscopic spine surgery case volume in the nation.
For residents of Queens dealing with ongoing back or neck pain, endoscopic spine surgery may still be an option, even in cases where open surgery was once recommended or thought impossible. If previous interventions, such as injections or minor procedures, did not resolve the issue, ESINY provides an in-depth evaluation to determine the most appropriate treatment. Our team of highly trained endoscopic spine surgeons and pain specialists designs a customized plan for each individual. Advanced endoscopic techniques allow us to address the underlying cause of your pain while preserving surrounding tissues, which can result in reduced discomfort and a faster recovery process.
For many patients, the results of endoscopic spine surgery match or surpass those achieved with traditional surgical approaches, while the recovery time is notably faster. At ESINY, we dedicate ourselves to ensuring accuracy in every procedure, prioritizing patient safety, and enhancing each individual’s quality of life through the skillful application of advanced endoscopic techniques.