Lumbar Radiculopathy

You don’t need a massive, painful surgery for your pinched nerve.There’s a much smarter and safer solution.

At ESINY, we treat lumbar radiculopathy with the most advanced spine surgery in the world. Our New York team uses a tiny incision—smaller than a pencil eraser—and cutting-edge techniques to target the problem with the lowest risk and a faster recovery.

What is Lumbar Radiculopathy?

Lumbar radiculopathy happens when a disc in your lower back presses on a nearby nerve. This pressure often leads to pain, tingling, or weakness that travels from your lower back down your leg. It can come on suddenly from an injury or develop slowly from wear and tear. The symptoms can interfere with everything from walking to sleeping, making your everyday life frustrating, exhausting, and painful.

Endoscopic spine surgery treats the problem at its source through a very tiny incision, less than 1 cm. Instead of cutting through muscle, we move between muscle layers, which reduces trauma to your body. Most patients go home the same day and start feeling better much faster compared to traditional spine surgery.

You’ve likely tried physical therapy, medications, or injections. These are smart first steps. But when pain persists or keeps returning, that’s when it’s time for a lasting solution. We’re here to help you take that step.

Without endoscopic surgery, the next step often means a large open spine procedure with rods and screws. Our bodies rarely welcome foreign objects, and living with implanted hardware can bring its own challenges. Endoscopic surgery gives you a chance to step away from that path, offering relief without permanent hardware or the toll of a major operation.

Your Path to Relief with Endoscopic Treatment

Endoscopic spine treatment offers the most precise, minimally invasive solution for treating your lumbar radiculopathy.

Lowest Risk of Any Spine Surgery

For lumbar radiculopathy, our endoscopic approach often keeps risk to a minimum, with an infection rate of just 0.001% and ten times less blood loss than traditional spine surgery. Most of our patients return to their work and daily life up to ten days faster, without the higher complication rates linked to traditional open procedures.

Lowest Risk of Any Spine Surgery

Minimally Invasive to Support a Smoother Recovery

Traditional lumbar spine surgery often involves large incisions, cutting through muscle, and significant disruption to reach the affected nerve. Our endoscopic approach avoids all of that. Through the smallest incision and a high-definition camera, we access the compressed nerve directly while leaving surrounding structures intact. The result can mean less pain, less scarring, and a faster recovery.

Minimally Invasive to Support a Smoother Recovery

95% Walk Out the Same Day—with Only a Band-Aid

Almost every patient goes home the same day with just a custom ESINY band-aid rather than endless bandages. There’s no overnight stay, no large incision, no drawn-out recovery, and most patients begin light activity right away.

95% Walk Out the Same Day—with Only a Band-Aid

Say Goodbye To General Anesthesia

Unlike traditional lumbar spine surgeries that rely on general anesthesia, our endoscopic treatment often uses only minimal sedation and local anesthesia. You stay relaxed and at ease throughout the procedure. While general anesthesia is sometimes still used, many patients don’t need it.

Say Goodbye To General Anesthesia

Precision Treatment For Your Symptoms

Our endoscopic treatment is designed to address:

  • Persistent lower back pain
  • Difficulty standing up straight or walking long distances
  • Pain that radiates into the hip, buttock, or leg
  • Burning or electric-like sensations down the leg
  • Tingling, numbness, or “pins and needles” in the leg or foot
  • Reduced mobility in the lower back
  • Sharp, shooting pain when standing, walking, or bending
  • Loss of reflexes in the leg or ankle
  • Sharp, shooting pain when standing, walking, or bending
  • Discomfort that worsens with coughing, sneezing, or sitting for long periods

Meet ESINY

Meet Your Team Transforming the World of Spine Surgery

ESINY leads the way in endoscopic spine treatment. Our award-winning doctors focus on treating the exact source of your symptoms with exceptional precision, potentially longer-lasting results, fewer side effects, and recoveries often faster than traditional surgery or injections.

With decades of combined experience, our internationally recognized team has presented at more than 500 conferences — including the North American Spine Society and the Society for Minimally Invasive Spine Surgery — and published over 300 papers in peer-reviewed medical journals. They are also members and leading endoscopic experts invited frequently to teach the American Academy of Neurological and Orthopedic Surgeons, giving you access to precision medicine supported by unmatched expertise.

What To Expect

During your consultation and physical exam, we take a close look at your symptoms, such as lower back pain, radiating leg pain, numbness, tingling, or weakness. We also review the treatments you have already tried. If you are a candidate for endoscopic spine surgery, we will guide you through exactly what to expect.

Our approach is the most minimally invasive surgical option available in the world for treating lumbar radiculopathy. Using a tiny incision (less than 1 cm), we directly target the compressed nerve while preserving surrounding muscles and tissues. This often leads to faster recovery, fewer complications, and avoids the large incisions and muscle disruption seen in traditional surgery. Most patients only need a local anesthetic, and 95 percent return home the same day.

On the day after your procedure, your ESINY doctor will personally call you to check your progress and answer any questions, making sure you have guidance every step of the way.

What To Expect
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Are You a Candidate?

You might be a candidate for this treatment even if you’ve been told surgery is not an option or would be too risky. In fact, many people come to us after injections, physical therapy, or a previous spinal surgery has failed. We always evaluate each case individually, focusing on precision treatment that relieves pressure in the spinal canal, protects your nerve roots, and supports long-term function.

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