At ESINY, our team prioritizes the use of advanced endoscopic techniques in spine surgery to achieve the highest level of precision and care while maintaining a minimally invasive approach. This specialized focus allows us to design treatment plans that emphasize faster recovery times and enhanced patient comfort throughout the healing process. By selecting this method, patients can expect to regain full mobility, experience improvements in overall health, and return to an active lifestyle that supports their personal goals and well-being.
Finally, The Relief You've Been Waiting For.
Endoscopic spine surgery is revolutionizing spinal health care by providing highly precise and effective methods to treat back problems with minimal disruption. At the Endoscopic Spine Institute of New York, our mission is to redefine the surgical experience by prioritizing patient safety, using smaller incisions, promoting quicker recovery periods, and helping patients regain the confidence to live a healthier and more fulfilling life. The institute is guided by both neurosurgeons and orthopedic surgeons who are widely acknowledged as leading experts in this specialized field. As the only Endoscopic Spine Institute in the United States, we maintain a steadfast commitment to helping patients achieve restored mobility, improved health, and long-term well-being.
Utilizing incisions smaller than one centimetre along with a surgical camera the size of a pencil eraser, our surgeons are able to perform advanced endoscopic procedures with extraordinary precision while minimizing any impact on the surrounding tissues.
Your Precise, Powerful Solution From The Spine Experts
The health and well-being of your spine should always be placed in the hands of medical professionals who have consistently demonstrated excellence and leadership in their field. At the Endoscopic Spine Institute of New York, our esteemed neurosurgeons and orthopedic surgeons have spent decades mastering the art and science of endoscopic spine surgery. They combine technical innovation with exceptional clinical experience to provide care that meets the highest standards. Their work has been presented at more than 500 conferences across the globe, including prestigious organizations such as the North American Spine Society and the Society for Minimally Invasive Spine Surgery. Their academic contributions are equally impressive, with over 300 peer-reviewed publications and the honor of receiving Honorary Membership in the American Academy of Neurological and Orthopedic Surgeons. With this unparalleled level of accomplishment underpinning their practice, patients can rely on care guided by advanced precision, expert knowledge, and recognized global authority.
Fewer Risks, Faster Recovery
Endoscopic spine surgery provides patients with significant advantages compared with traditional open spinal procedures. The risks involved in the procedure are considerably lower, blood loss is kept to a minimum, and the incision required is extremely small, often measuring less than a centimetre. Patients encounter a reduced likelihood of complications and benefit from a faster recovery timeline, often shortened by several weeks. This minimally invasive technique allows individuals to regain mobility more rapidly and return to their normal daily activities while still maintaining the highest standards of surgical precision and safety.
Go Home the Same Day with Only a Band-Aid
Approximately ninety-five percent of patients are able to leave the surgical facility on the same day as their procedure and engage in light physical activity immediately afterward. The conventional need for heavy and restrictive bandages is completely removed, replaced with a simple ESINY band-aid that provides protection to the incision while offering greater comfort. There is no requirement for overnight hospitalization, and the recovery process is not unnecessarily prolonged, enabling patients to resume their routines and activities without delays.
Skip General Anesthesia
At the Endoscopic Spine Institute of New York, patient comfort is a top priority in every procedure. Most surgeries are performed using local anaesthesia combined with light sedation, ensuring that patients remain relaxed and at ease throughout the process. While general anaesthesia is available for specific situations, the vast majority of patients do not require it and appreciate the gentler, less intensive approach that allows for a quicker recovery.
A Solution For Every Stage
At the Endoscopic Spine Institute of New York, patient comfort is a top priority in every procedure. Most surgeries are performed using local anaesthesia combined with light sedation, ensuring that patients remain relaxed and at ease throughout the process. While general anaesthesia is available for specific situations, the vast majority of patients do not require it and appreciate the gentler, less intensive approach that allows for a quicker recovery.
The Go-To For Other Spine Doctors
Even professionals deeply involved in spinal medicine acknowledge the value of our expertise. More than forty spine surgeons have entrusted their own care to our team, contributing to a reputation built on excellence and trust. This recognition has earned our institute the reputation of being the trusted choice for fellow medical specialists seeking advanced spinal treatment.
What We Treat
Meet Your Team
At ESINY, our standing as pioneers in the field of endoscopic spine surgery is the result of the extraordinary expertise and recognized accomplishments of our highly decorated team of physicians and surgeons. Each treatment plan is thoughtfully designed with the aim of pinpointing the exact source of spinal pain with unmatched precision. This careful approach leads to outcomes such as longer-lasting relief, lower levels of risk, and recovery periods that are often significantly shorter compared with conventional open surgeries or repeated injection therapies. Patients who choose our care experience a philosophy that blends medical innovation with accurate diagnostics and refined procedural skill. Ultimately, every treatment we provide is centered on returning patients to a life of comfort, mobility, and vitality, restoring a quality of living they may have once believed was beyond their reach.
What To Expect
At ESINY, every consultation is designed to give our physicians a comprehensive understanding of your individual situation. We take time to carefully discuss the symptoms you are currently experiencing and also review any prior treatments or interventions you may have tried in the past. Once our evaluation determines that you are a suitable candidate for endoscopic spine surgery, we will provide you with a detailed explanation of the treatment process so you are fully aware of what will take place at every stage, from preparation through to recovery.
Endoscopic spine surgery is recognized as the least invasive surgical method available today, involving only a very small incision while still delivering effective results. Because of its advanced level of precision, patients are able to recover more quickly than with conventional surgery and are far less likely to face complications or side effects. In most cases, local anesthesia is all that is required, allowing patients the convenience of safely returning home on the very same day as their procedure.
Following your treatment, your physician at ESINY will personally follow up with you during the first week to assess your progress, provide any additional recovery instructions, and address any questions or concerns. This ongoing guidance ensures that you feel supported, informed, and comfortable throughout the entire 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 least invasive surgical option available for patients requiring spinal procedures. The technique makes use of an endoscope, a sophisticated device equipped with a miniature high-definition camera and finely designed surgical tools. These are introduced through a very small incision, one that is about the same size as a pencil. By operating in this way, unnecessary trauma to muscles, ligaments, and surrounding tissues is significantly reduced. ESINY is unique in that it is the only medical center in the country dedicated exclusively to the advancement, ongoing refinement, and clinical application of this advanced form of spine surgery. This means patients receive care that is directly aligned with the most current developments in medical innovation.
The advantages of endoscopic spine treatment are numerous, with the most important being its ability to accurately target and treat the exact source of spinal pain. Patients benefit from fewer risks, reduced complications, and recovery times that are significantly shorter than those seen with standard surgical procedures or repeated steroid injections. In most cases, individuals are able to walk comfortably right after the operation and can safely return home the same day without the need for an overnight hospital stay.
Conventional spine surgeries typically involve larger incisions, cutting into muscle layers, and sometimes even removing parts of the bone. These measures often lead to substantial discomfort and extended recovery periods. Many traditional approaches also require the use of rods, plates, or screws, increasing the invasiveness of the procedure. By contrast, endoscopic spine surgery uses a much smaller incision, preserves surrounding soft tissues, and enables recovery within a fraction of the usual time. Many patients are able to return home only a few hours after their surgery, facing far less disruption to their daily lives.
For many people who have tried injections or other conservative forms of treatment to manage spinal pain, the choice to pursue minimally invasive care often becomes an obvious next step. Endoscopic spine surgery follows this same philosophy by going directly to the true source of the discomfort rather than providing only temporary relief. The method is carefully structured to deliver outcomes that are highly precise, longer lasting, and far less disruptive to the body compared with conventional spinal operations.
Patients often consider this approach once injections no longer offer sufficient results, seeking a solution that delivers meaningful improvement. Through its ability to limit disturbance to muscles and tissues while still achieving exceptional accuracy, endoscopic surgery can effectively reduce pain, restore mobility, and make it possible for patients to return to the daily routines and valued activities that matter most in their lives.
Absolutely. When carried out by physicians who have undergone extensive training and who possess significant expertise, endoscopic spine surgery is considered exceptionally safe. In comparison to traditional spinal operations, this technique is consistently associated with fewer complications, far less blood loss, and faster healing times. These advantages have allowed endoscopic procedures to become one of the most respected and trusted choices in modern spinal care.
In the majority of cases, patients do not require general anesthesia for endoscopic surgery. Instead, the procedure is typically performed with a carefully balanced combination of local anesthesia and light sedation, which helps patients remain relaxed and comfortable while reducing the potential risks linked to general anesthesia. For individuals who prefer complete unconsciousness, however, general anesthesia can still be administered safely according to personal comfort levels and medical requirements.
Most patients are able to stand and walk out of the clinic on the same day as their endoscopic spine surgery. They frequently notice immediate improvement in symptoms such as pain radiating through the arms, legs, or lower back. Gentle motion and light daily activity can often be resumed almost right away, and overall healing is significantly quicker compared to traditional open spine surgery. In many cases, patients are able to return to their typical routines within just a few weeks, experiencing restored mobility and reduced discomfort much sooner.
Endoscopic spine procedures can be applied to a broad range of conditions. These include but are not limited to herniated discs, spinal stenosis, sciatica, bone spurs, and other long-lasting or chronic back concerns. Because the surgery is minimally invasive, the affected region of the spine can be targeted directly, reducing trauma to nearby tissues and producing better recovery outcomes while addressing the true underlying source of pain.
Most patients report that they feel only mild soreness following the procedure rather than significant or severe pain. Because the surgical method requires only a very small incision, the level of discomfort is greatly reduced compared with the kind of pain often associated with open spine surgery. Many individuals find that they do not need prescription pain medicine at all, and that basic over-the-counter remedies are more than enough to manage the mild post-operative discomfort that may occur.
The incision required for endoscopic spine surgery is extremely small, usually less than one centimetre in length, making it similar in size to the end of a pencil eraser. This means the scar is minimal and often barely noticeable. To support the healing process, the incision site is carefully sealed with medical-grade adhesive and then covered with an ESINY protective bandage. This combination not only assists in proper recovery but also provides a shield that keeps the area safe from potential irritation or contamination.
Endoscopic spine surgery is experiencing significant growth worldwide, but it continues to be a practice that requires advanced skill and deep clinical knowledge. Many surgeons have not yet chosen to enter this area because achieving proficiency calls for much more than completing formal education. True mastery requires working through a large number of patient cases in addition to developing familiarity with highly specialized instruments. The level of precision and technical ability demanded is considerably higher than that of traditional spinal procedures. ESINY is unlike most centers in the United States, as it is home to four internationally trained endoscopic spine surgeons practicing together in a collaborative setting. This teamwork has created an exceptional level of expertise and has positioned the center as the national leader in case volume for endoscopic spine surgery.
For individuals living in Roslyn, NY who continue to suffer from persistent back or neck pain, endoscopic spine surgery offers a potential solution, even in cases where patients were once told that open surgery would be their only option. When earlier methods such as injections or minimally invasive procedures have failed to provide lasting relief, ESINY conducts a thorough evaluation to identify the most appropriate treatment plan. Each case is approached individually, with our team of highly trained endoscopic spine surgeons and pain management specialists creating a strategy that directly addresses the underlying cause. Because the procedure targets the precise source of pain while leaving nearby muscles and tissues largely untouched, patients often experience less discomfort overall and benefit from a shorter recovery period.
For a large number of patients, the outcomes of endoscopic spine surgery are comparable to, and often even better than, those achieved through conventional surgical methods, while at the same time providing the benefit of a much faster recovery. At ESINY, we hold ourselves to the highest standards, ensuring that every single procedure is performed with exacting precision. Patient safety, lasting results, and overall quality of life remain central to our mission. By employing advanced endoscopic techniques with great skill and care, our patients are able to regain mobility, reduce pain, and return to normal function in a shorter period than would be possible with more traditional surgical approaches.