At ESINY, we utilise state-of-the-art endoscopic methods to perform spine surgery in a way that is both precise and minimally invasive. By adopting these advanced techniques, our goal is to give you the opportunity to heal more efficiently, regain physical resilience, and restore the lifestyle you rightfully deserve.
Finally, The Relief You've Been Waiting For.
Endoscopic spine care is revolutionising patient outcomes and advancing the way contemporary medicine approaches spinal health. At the Endoscopic Spine Institute of New York, our mission is to elevate the surgical experience by ensuring procedures are safer, less invasive, quicker to recover from, and more empowering for each individual. With some of the most experienced neurosurgeons and orthopedic surgeons in the discipline of endoscopic spine surgery, and as the only Endoscopic Spine Institute in America, we strive to help every patient regain the quality of life they deserve.
Through a very small incision, usually under one centimetre, and the use of a camera the size of a pencil eraser, our team applies advanced endoscopic techniques to deliver treatment with the highest level of accuracy while remaining minimally invasive.
Your Precise, Powerful Solution From The Spine Experts
When it comes to spine treatment, nothing should be compromised. At ESINY, our distinguished team of internationally recognized neurosurgeons and orthopedic surgeons sets a new benchmark in endoscopic spine care. With decades of combined experience, they have delivered lectures and presented pioneering work at more than 500 scientific conferences, including those hosted by the North American Spine Society and the Society for Minimally Invasive Spine Surgery. Their expertise is further demonstrated by the publication of over 300 articles in leading peer-reviewed journals and recognition with honors such as Honorary Member of the American Academy of Neurological and Orthopedic Surgeons. This unparalleled background in research, teaching, and patient care means your spine treatment is guided by the most advanced knowledge available.
Fewer Risks, Faster Recovery
Compared to open surgery, endoscopic spine treatment presents lower risks, smaller incisions often under 1 cm, far less bleeding, fewer complications, and recovery times that can be shortened by weeks.
Go Home the Same Day with Only a Band-Aid
As many as 95% of patients are discharged on the very same day and are able to resume light activities right away, protected only by a custom ESINY band-aid rather than extensive dressings. There is no need for an overnight hospital stay and no drawn-out recovery period.
Skip General Anesthesia
Unlike traditional approaches, this treatment is performed with only mild sedation and local anesthesia, keeping patients comfortable throughout the procedure. While general anesthesia remains an option in certain cases, most individuals discover it is not necessary.
A Solution For Every Stage
Endoscopic spine care meets patients at every stage of their search for relief, whether they are just beginning, have tried injections, or have even undergone prior spine surgery. This path is a proven one, having successfully helped over 30,000 patients.
The Go-To For Other Spine Doctors
When surgeons themselves need spinal treatment, they turn to us. Having cared for and operated on over 40 spine surgeons, our reputation as the surgeon’s surgeon speaks for itself.
What We Treat
Meet Your Team
ESINY has established itself as the nation’s leader in endoscopic spine treatment, setting new standards for excellence in spinal care. With an award-winning team of specialists, we focus on treating the source of your pain with unmatched accuracy. This advanced approach not only gives patients the possibility of longer-lasting outcomes but also reduces the risks of side effects and provides a recovery timeline that is frequently much shorter than that of traditional surgical methods or injection-based treatments.
What To Expect
When you meet with us for your consultation, we begin by discussing your concerns in detail and asking questions to understand your symptoms fully. We also take time to review any other treatments you may have explored. If you qualify for the procedure, we explain in clear detail what you can expect every step of the way.
Endoscopic spine treatment is considered the most minimally invasive type of spinal surgery performed with an incision. The result is a recovery that is often faster than conventional surgery and comes with far fewer complications or unwanted side effects. Most patients require nothing more than local anesthesia and are able to leave our office the very same day of their procedure.
In the days that follow, your ESINY doctor will personally reach out to ensure your progress is on track and will be available to answer any questions that might arise.
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 the least invasive surgical option available for spinal conditions. It involves inserting a small endoscope equipped with a camera and surgical tools through an incision about the size of a pencil tip. This allows doctors to treat problem areas in the spine without major cutting. ESINY is proud to be the only institute in America specializing exclusively in this advanced procedure.
Patients who undergo endoscopic spine treatment enjoy benefits such as improved accuracy in addressing pain, a much lower chance of complications, and a quicker return to normal activities compared to older surgical approaches. Because the procedure is so minimally invasive, most patients are able to leave the clinic on the same day and recover comfortably at home with minimal disruption.
Traditional spine surgery often calls for large openings into the spinal area, cutting through muscles and soft tissues, sometimes removing portions of bone, and frequently using screws or rods to stabilize the spine. Recovery following these operations is typically lengthy and often painful. Endoscopic spine surgery uses a small incision, causes far less trauma to the tissues, and allows many patients to safely return home only hours after the surgery has been completed.
For patients who have relied on injections to manage spinal pain, the appeal of less invasive treatments is clear. Endoscopic spine surgery builds on that philosophy by going beyond temporary symptom relief to treat the source of the problem directly. With this approach, patients have the opportunity to address the root cause of their discomfort in a controlled, precise manner.
Many individuals seek our expertise after injections fail to deliver the relief they once provided. Endoscopic spine surgery offers a treatment option that is as minimally invasive as injections while potentially providing longer-lasting improvement. This procedure can help restore function, reduce pain, and allow you to resume daily activities with greater comfort and confidence.
Absolutely. Endoscopic spine surgery performed by an experienced team is considered highly safe. Compared with open surgical approaches, it generally has lower risk of complications, less bleeding, and faster post-operative recovery.
Endoscopic procedures are commonly done with light sedation combined with local anesthesia, which allows patients to remain comfortable while minimizing recovery time. For those who prefer complete unconsciousness, general anesthesia is available to ensure a stress-free experience.
Patients frequently leave the facility the same day and are able to begin light daily activities immediately. For individuals with leg or arm pain, improvement may be noticeable almost instantly. Recovery time is typically much shorter than traditional spine surgery, allowing for a faster return to normal life.
Many spinal conditions can be addressed with endoscopic techniques, including herniated discs, sciatica, spinal stenosis, bone spurs, and certain types of chronic back pain. The minimally invasive nature of the procedure allows surgeons to target the source of pain with precision.
Pain after endoscopic spine surgery is generally minimal. Patients report significantly less discomfort than with traditional spine procedures, and many require only light or no pain medication after their treatment.
The surgical incision is tiny, typically smaller than 1 cm or the size of a pencil eraser. Scarring is minimal, and with proper care, it is often almost unnoticeable. Incisions are closed with medical glue and covered with a protective ESINY bandage.
Although endoscopic spine surgery is gaining popularity worldwide, not all surgeons are qualified to perform it safely and effectively. Even those with formal training need extensive case experience to refine their skills. This advanced form of spinal surgery demands specialized equipment and exceptional expertise, which is why high-level providers are rare. ESINY is unique in the United States, bringing together four internationally trained endoscopic spine specialists under one roof. This unparalleled concentration of experience allows us to deliver a high volume of complex cases with exceptional results.
Residents of Tribeca who have struggled with chronic back or neck pain may qualify for endoscopic spine procedures, even if traditional surgery was recommended or deemed impossible. If previous injections or surgeries have not improved your symptoms, ESINY’s skilled team can assess your condition. Our experienced endoscopic spine surgeons and pain management specialists will develop a treatment plan designed for your unique needs. By using minimally invasive endoscopic techniques, we focus directly on the source of your pain, protecting surrounding tissues and potentially allowing for quicker recovery and lasting relief.
Patients often achieve outcomes that are equal to or better than traditional spine surgery, while enjoying a much faster recovery. At ESINY, our approach emphasizes precise treatment along with improving overall patient quality of life.