At ESINY, our team incorporates cutting-edge endoscopic techniques to provide spine surgery with the highest degree of accuracy while keeping the procedure as minimally invasive as possible. This approach can support faster healing, improve overall strength, and help you reclaim the life and comfort that you may have thought was beyond reach.
Finally, The Relief You've Been Waiting For.
Endoscopic spine procedures are transforming patient experiences and advancing the standard of spinal care in modern medicine. At the Endoscopic Spine Institute of New York, our focus is on redefining surgery by making it safer, less invasive, faster to recover from, and more empowering for patients of all backgrounds. With unparalleled expertise from leading neurosurgeons and orthopedic surgeons in endoscopic spine surgery, and as the only Endoscopic Spine Institute across the United States, we dedicate ourselves to helping you regain the life and comfort you deserve.
Through the use of a tiny incision, generally less than one centimetre, and a highly specialised camera no larger than a pencil eraser, we perform cutting-edge endoscopic techniques to deliver precision and minimal tissue impact.
Your Precise, Powerful Solution From The Spine Experts
Spine treatment should reflect the highest possible standard of medical care, and at the Endoscopic Spine Institute of New York that is exactly what you will find. Our internationally respected, award-winning team of neurosurgeons and orthopedic surgeons brings unmatched decades of experience in endoscopic spine surgery. Their leadership within the field includes presenting groundbreaking techniques at more than 500 professional conferences, including the North American Spine Society and the Society for Minimally Invasive Spine Surgery. They have also authored more than 300 research papers that have appeared in peer-reviewed medical journals and have been awarded esteemed titles such as Honorary Member of the American Academy of Neurological and Orthopedic Surgeons. Every part of this legacy supports our promise to deliver precision medicine backed by true expertise.
Fewer Risks, Faster Recovery
Endoscopic spine treatment provides clear benefits compared to open surgery, including less bleeding, lower risks, an incision often smaller than 1 cm, fewer complications, and faster recovery, sometimes weeks ahead of what traditional surgery would allow.
Go Home the Same Day with Only a Band-Aid
Statistics show that 95% of patients leave the facility on the same day and can begin light activities almost immediately. Instead of layers of dressings, patients require nothing more than a specially designed ESINY band-aid. There is no hospital admission overnight and no long recovery to slow you down.
Skip General Anesthesia
Unlike the standard surgical experience, patients usually remain comfortable with just local anesthesia and light sedation. Although general anesthesia is still an option when needed, the majority of cases do not require it.
A Solution For Every Stage
Endoscopic spine treatment is designed to support you regardless of your history, whether you are just starting to look into solutions, have tried injections, or have already undergone spine surgery. With over 30,000 patients successfully treated, it is a proven and reliable method of care.
The Go-To For Other Spine Doctors
Other doctors also recognize this. In fact, more than 40 spine surgeons have entrusted their own treatment to our team, reinforcing our role as the spine surgeon’s choice for care.
What We Treat
Meet Your Team
As the leader in endoscopic spine treatment, ESINY delivers patient care that consistently rises above conventional standards. Our award-winning surgeons and specialists are highly trained in techniques that directly target the origin of your symptoms with exceptional precision. This commitment to accuracy supports results that may last longer, involve fewer complications, and promote a healing process that is significantly faster when compared to the prolonged recoveries often associated with traditional surgery or injections.
What To Expect
At your consultation, we take the time to understand your concerns, evaluate your symptoms, and talk with you about any other therapies or procedures you may have already pursued. Should you be identified as a candidate, we will guide you through the process and give you a clear picture of what to expect.
Endoscopic spine treatment represents the most minimally invasive surgical option available today that still uses an incision. Because of its advanced technique, the procedure often leads to a quicker recovery than standard spine surgery and is associated with far fewer side effects. In many situations, patients only need a local anesthetic and can comfortably go home the same day.
Within the first week after treatment, your ESINY physician will personally follow up with you, making sure your healing is progressing well and addressing any concerns 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 the most advanced form of minimally invasive spinal surgery available today. Using an endoscope equipped with a miniature camera, along with slender instruments, surgeons can access and repair spinal problems through a very small incision, usually no larger than a number 2 pencil. At ESINY, we are recognized as the only endoscopic spine institute of its kind in the United States.
The advantages of endoscopic spine treatment include the ability to directly target the painful area with unmatched precision, while minimizing risks and limiting side effects. Compared with injections or more traditional spine operations, patients can expect a faster recovery and significantly less discomfort. In many cases, it is possible to have the procedure and return home the very same day without the need for a hospital stay.
Conventional spine surgery usually requires larger cuts into the neck or back, significant damage to muscle and surrounding tissues, and sometimes removal of bone material. These procedures often involve the use of rods and screws for stabilization, which lengthens the recovery time and increases post-surgery pain. By contrast, endoscopic spine surgery involves a very small incision, avoids extensive muscle damage, and makes it possible for patients to be discharged on the same day as their treatment.
If you have already explored options such as spinal injections to manage pain, you are likely aware of the limitations of symptom-focused treatments. Endoscopic spine surgery takes a more targeted approach, aiming to correct the source of your pain with precision and minimal disruption. This allows for the possibility of more effective and enduring results.
Patients often come to us after injections no longer offer sufficient relief, seeking a treatment that can make a real difference. Endoscopic spine surgery provides a minimally invasive solution with the precision of injections while offering the potential for long-term improvements. This approach empowers patients to move forward, reduce pain, and enjoy a higher quality of life.
Yes, it is highly safe when carried out by trained specialists. Compared to conventional spine surgery, endoscopic techniques are associated with fewer complications, less blood loss, and a quicker overall recovery period, providing patients with a lower-risk treatment option.
This depends on patient preference. Many procedures are successfully performed under light sedation with local anesthesia, enabling faster recovery and reduced side effects. General anesthesia remains available for patients who wish to be fully asleep during surgery.
Most patients leave the clinic on the same day and are able to return to light activities immediately. In some cases, relief from arm or leg pain can be felt almost right away. The overall recovery is often faster by several weeks compared to traditional open spine surgery.
Endoscopic spine surgery can treat herniated discs, sciatica, spinal stenosis, bone spurs, and some forms of chronic back pain. These procedures allow surgeons to precisely target the affected areas while causing minimal disruption to surrounding tissues.
Most patients report only mild discomfort following the procedure. Pain levels are generally much lower than those experienced after traditional spine surgery, and many patients do not require strong prescription pain medication afterward.
The incision is very small, often less than 1 cm in length, comparable to a pencil eraser. The scar is minimal and typically barely visible after healing. Our team closes the incision using medical glue and a custom ESINY bandage to support optimal recovery.
Endoscopic spine surgery is becoming increasingly recognized around the world, yet very few surgeons have the required training to perform it at an expert level. Even trained surgeons need substantial case volume to fully master the procedure. Because it requires specialized tools and highly developed skills, very few spine surgeons offer this type of care effectively. ESINY stands apart as the only endoscopic spine institute in America, uniting four internationally trained experts in this advanced surgical technique. This combination of expertise and volume has established our center as the nation’s leading facility for endoscopic spine procedures.
For patients in the Upper West Side who have been told surgery is too risky or that open surgery is the only choice, there may still be hope. If you’ve had injections or prior procedures without improvement, you could be a candidate for endoscopic spine treatment at ESINY. Our team of highly trained endoscopic spine surgeons and pain specialists evaluates your condition carefully and creates a customized plan. Advanced endoscopic techniques allow us to treat the source of your pain while preserving surrounding tissue, offering the potential for reduced pain and faster recovery than traditional approaches.
For many patients, endoscopic surgery delivers results comparable to or better than conventional methods while minimizing recovery time. ESINY prioritizes precision, safety, and a patient-centered approach that focuses on improving everyday life.