At ESINY, we take advantage of modern endoscopic technology to deliver spine surgery that is both highly precise and performed with minimal disruption. With this advanced level of care, you may experience a quicker recovery, an increase in physical strength, and the chance to enjoy life once more with greater freedom.
Finally, The Relief You've Been Waiting For.
Endoscopic spine treatment is improving lives and reshaping how spinal surgery is delivered in today’s medical field. At the Endoscopic Spine Institute of New York, we are committed to transforming the surgical process so that it is safer, requires smaller incisions, allows quicker recovery, and empowers patients in meaningful ways. With a distinguished team that includes some of the most accomplished neurosurgeons and orthopedic surgeons in endoscopic spine surgery, and with our standing as the only Endoscopic Spine Institute in America, we are here to help restore the life you deserve to enjoy.
Using an incision typically less than one centimetre in size, along with a camera no bigger than a pencil eraser, our specialists carry out advanced endoscopic techniques that allow for maximum precision and the least invasive approach possible.
Your Precise, Powerful Solution From The Spine Experts
At ESINY, we believe that your spine treatment should be delivered with world-class precision and care. Our award-winning team of neurosurgeons and orthopedic surgeons has earned international recognition for their decades of expertise in endoscopic spine procedures. They have spoken at more than 500 conferences, including renowned gatherings such as the North American Spine Society and the Society for Minimally Invasive Spine Surgery. With more than 300 scientific publications to their name in respected peer-reviewed journals and prestigious honors such as being granted Honorary Membership in the American Academy of Neurological and Orthopedic Surgeons, they bring a depth of knowledge that is unmatched. This ensures that every patient benefits from evidence-based, cutting-edge spine treatment informed by global leadership in the field.
Fewer Risks, Faster Recovery
When compared to traditional open spine surgery, endoscopic spine treatment results in fewer risks, less blood loss, smaller incisions often under 1 cm, fewer complications, and recovery that is much quicker, often by several weeks.
Go Home the Same Day with Only a Band-Aid
A remarkable 95% of patients are able to leave on the same day and resume light activities without delay. They require only a small custom ESINY band-aid, not layers of dressings or complicated wound care. There is no need for overnight hospitalization and no extended downtime to hinder recovery.
Skip General Anesthesia
This procedure is also distinct in its use of light sedation and local anesthesia to keep you comfortable throughout. General anesthesia can still be administered when necessary, but many patients find they can avoid it entirely.
A Solution For Every Stage
Endoscopic spine treatment works for individuals at every stage of their journey, whether they are new to exploring solutions, have tried injections, or have undergone previous surgeries. It provides a proven route to relief and has already helped over 30,000 people.
The Go-To For Other Spine Doctors
Even spine specialists themselves come to us when they require treatment. Having treated more than 40 spine surgeons, we are proud to be recognized as the surgeon’s surgeon.
What We Treat
Meet Your Team
ESINY leads the way in the field of endoscopic spine treatment, earning recognition through an award-winning team of neurosurgeons and orthopedic surgeons who prioritize precision and patient safety. By addressing the exact source of spinal symptoms, our care often provides longer-lasting improvements while also reducing side effects. Patients also benefit from recovery times that are generally much quicker than the extended downtime typically linked with open surgeries or injection therapies.
What To Expect
When you arrive for your consultation, we begin by listening carefully to your concerns and gathering information about your symptoms. We also review your medical history to understand what other treatments you may have tried before. If you are found to be a candidate, we will explain the treatment in full detail so you know what to expect.
Endoscopic spine treatment is regarded as the most minimally invasive spinal surgery available today involving an incision. This approach provides patients with a significantly faster recovery compared to conventional procedures and comes with far fewer side effects. For most individuals, a local anesthetic is all that is required, and patients are discharged to go home the very same day.
In the days following your procedure, your ESINY doctor will personally check in with you, review your progress, and ensure all of your questions are answered.
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 represents the least invasive approach to spinal surgery that exists today. The procedure uses an endoscope, which is a thin device fitted with a camera, and specialized tools that allow the surgeon to operate through an incision only about the width of a pencil. ESINY is proud to stand as the only institution in America focused entirely on performing this highly specialized technique.
Choosing endoscopic spine treatment provides patients with the opportunity to receive highly accurate care with reduced risks and fewer complications. Recovery times are often much shorter when compared to injections or open spine surgery, and patients frequently find themselves able to return home the very same day of their procedure without the need for extended hospital stays.
In more traditional spinal surgeries, surgeons often need to create large openings, cut through muscles and tissues, and remove bone, which increases the amount of pain during recovery. Screws and rods are commonly used to stabilize the spine, making the process more invasive and difficult to heal from. Endoscopic spine surgery, on the other hand, is done through a small incision with minimal muscle disruption and gives patients the opportunity for a faster recovery and a same-day discharge.
Those who have tried injections for spinal disorders understand the benefits of minimally invasive care. Endoscopic spine surgery enhances that same concept by addressing the root cause of pain directly rather than masking it. By targeting the problem precisely, this approach may lead to more lasting relief and improved overall function.
Many patients come to us after injections no longer provide meaningful results. Endoscopic spine surgery allows for a gentle procedure that is highly focused and minimally disruptive, yet it offers the potential for significant and durable benefits. This treatment can support recovery, reduce discomfort, and help patients return to their normal routines with greater ease.
Endoscopic spine surgery is extremely safe when conducted by skilled and experienced surgeons. It typically involves lower risks than open spine surgery, with reduced blood loss, fewer complications, and a faster healing process.
This is determined by patient preference and the specific procedure. Many patients are able to undergo endoscopic spine surgery with only local anesthesia and light sedation, promoting quicker recovery. General anesthesia remains an option for those who wish to be fully asleep during the operation.
Patients are usually able to walk out of the clinic on the same day and resume light daily activities immediately. Relief from arm or leg symptoms may be noticed shortly after surgery. Overall recovery is frequently faster than traditional open surgery, sometimes by several weeks.
Endoscopic techniques are used to treat herniated discs, sciatica, spinal stenosis, bone spurs, and some types of chronic back pain. The minimally invasive approach allows the surgeon to precisely target the area causing discomfort while limiting tissue damage.
Most patients experience very little pain after the procedure. Discomfort is usually much less than what is associated with traditional surgery, and many patients do not require strong pain medications.
The incision is tiny, approximately the size of a pencil eraser, and heals to form a minimal scar. Incisions are closed with medical glue and protected with a specially designed ESINY bandage.
The field of endoscopic spine surgery is growing at a remarkable pace worldwide, but proper training is not yet universal. Even for surgeons who have completed training, the number of cases they perform is critical for achieving mastery. The procedure demands highly specialized skills and equipment, which limits the number of surgeons capable of offering high-quality care. At ESINY, we are the only endoscopic spine institute in America, and our team includes four internationally trained experts in endoscopic spine surgery. This concentration of knowledge and experience makes us the highest-volume center in the country for this type of treatment.
If you are an Upper East Side resident living with chronic spinal pain, you may qualify for advanced endoscopic spine treatment, even if you were previously told surgery was not an option or that open surgery was required. Those who have already undergone injections or prior spinal procedures without relief may also be candidates. At ESINY, our endoscopic spine surgeons and pain management experts evaluate your condition and design a tailored plan. Using precise, minimally invasive techniques, we target the source of your pain while protecting nearby tissues, offering the possibility of quicker recovery and more effective pain relief.
Results from endoscopic spine procedures often match or exceed traditional surgical outcomes, while offering much shorter recovery times. Our team is focused on precision surgery that prioritizes both effectiveness and patient quality of life.