In Delaware, spine surgery is being reimagined to focus on the patient’s comfort and outcomes. Performed through an incision as small as a pencil eraser, minimally invasive spine surgeons treat back and neck problems with remarkable precision. Patients often report faster relief from symptoms, enduring benefits, and fewer risks than they would face with traditional surgical methods or repeated injections.
The Smallest Spine Surgery Designed For Your Biggest Comeback in Delaware
Delaware patients now have the option to experience minimally invasive endoscopic spine surgery that focuses on precision, safety, and rapid recovery. At the Endoscopic Spine Institute of New York, our highly experienced neurosurgeons and orthopedic specialists guide Delaware patients through advanced procedures designed to alleviate pain, restore spinal function, and improve quality of life.
Using a tiny incision and a miniature camera the size of a pencil eraser, our surgeons employ state-of-the-art endoscopic techniques that maximize accuracy, minimize tissue trauma, and accelerate the recovery process.
Your Precise, Powerful Solution From The Spine Experts
Your spinal health deserves the expertise of world-class professionals. ESINY’s team of neurosurgeons and orthopedic surgeons has earned international recognition for excellence in endoscopic spine treatment. They have contributed to more than 300 medical journal articles, presented at over 500 conferences worldwide, and been honored by the American Academy of Neurological and Orthopedic Surgeons. Patients benefit from treatment that combines the most advanced techniques with decades of experience and peer-validated knowledge.
The Safest Spine Surgery in the World
Minimally invasive endoscopic spine surgery offers exceptional safety and efficiency. Patients experience far less blood loss, a significantly lower infection risk, and a smoother recovery. This approach allows individuals to return to work and everyday life more quickly than conventional spinal surgeries.
95% Walk Out the Same Day—with Less Pain
Nearly all patients leave the hospital on the day of surgery, resuming light activity without extended downtime. The procedure is far less painful than traditional open surgeries, promoting a faster return to routine activities.
Say Goodbye To General Anesthesia
Local anesthesia with light sedation is often sufficient, allowing patients to remain conscious yet relaxed. This technique reduces the risks of traditional anesthesia and supports a safer, more comfortable procedure and recovery.
Join the 30,000+ Patients Who Have Found Relief
This minimally invasive surgery has provided lasting pain relief to thousands of patients. Those who struggled with prior injections or conventional surgeries often achieve better outcomes thanks to the precision and focus of endoscopic techniques.
The Go-To For Other Spine Doctors
ESINY is highly regarded even by fellow spine surgeons. With experience treating numerous specialists, the institute has become the trusted leader in minimally invasive spine care, known for precision, skill, and superior patient outcomes.
What We Treat
Meet ESINY
Meet Your Team
ESINY has earned a reputation as a national leader in endoscopic spine procedures. By focusing directly on the source of spinal problems, our award-winning team ensures that patients receive highly precise treatment, often resulting in longer-lasting relief, a reduction in adverse effects, and recovery timelines that are shorter than those associated with conventional surgery or injection interventions.
What To Expect
During the consultation, our team focuses on gaining a complete understanding of your spine condition by asking detailed questions about your symptoms, prior treatments, and any factors that may influence your care. Once it is determined that you are a suitable candidate for endoscopic spine treatment, we explain each step of the procedure and outline what you can expect during and after the surgery to achieve optimal results.
Endoscopic spine treatment is widely regarded as the most precise minimally invasive option, performed through a small incision that allows for maximum accuracy while minimizing trauma to surrounding tissues. Recovery is usually faster than with traditional surgical methods, side effects are minimized, and patients frequently only require local anesthesia. Many individuals can return home on the same day as their procedure and resume light activity shortly thereafter.
Within the first week after your procedure, your ESINY doctor will personally follow up with you to monitor your progress, answer questions, and provide expert guidance to ensure that your recovery continues safely and that you experience the full benefits of the treatment.
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 in Delaware
Frequently Asked Questions
Endoscopic spine surgery is the most advanced form of minimally invasive spinal treatment available today. It uses a small camera, called an endoscope, along with specialized instruments to operate through a tiny incision roughly the size of a pencil.ESINY is the only institute in the United States devoted entirely to providing patients with this innovative spine care.
Traditional surgery often involves large cuts, muscle separation, bone removal, and the placement of rods or screws. Endoscopic surgery avoids most of these steps, focusing only on the affected area. This method minimizes tissue trauma, reduces postoperative pain, and allows patients to leave the hospital on the same day.
This procedure is extremely safe when performed by experienced surgeons. Patients benefit from reduced complications, less blood loss, faster recovery, and outcomes that are often equal to or better than conventional surgery.
Anesthesia options are flexible. Many patients can undergo the procedure with local anesthesia and light sedation, promoting a quicker recovery. If full unconsciousness is preferred, general anesthesia is also available and completely safe.
Recovery is typically rapid. Patients often walk immediately after surgery, resume light activity the same day, and notice relief from pain right away. Complete recovery usually occurs weeks earlier than with traditional open procedures.
Herniated discs, sciatica, spinal stenosis, bone spurs, and select cases of chronic back pain can all be addressed using endoscopic surgery. This precise approach targets the source of pain while minimizing harm to surrounding tissues. Learn more about What We Treat.
Most patients experience minimal discomfort after surgery. Pain levels are far lower than with open surgery, and strong pain medications are rarely necessary.
The incision is typically less than one centimeter, approximately the size of a pencil eraser. The use of surgical glue and a specialized ESINY bandage ensures the scar is barely noticeable once healed.
Endoscopic spine surgery is growing in popularity across the globe, but not all surgeons have the specialized education and extensive experience required to perform it well. Even with formal training, a significant number of procedures are needed to achieve mastery and consistent, high-quality results. The procedure requires both precise technique and sophisticated instruments, limiting its availability. ESINY unites four internationally trained spine surgeons in one location, making it the only American center with this level of expertise concentrated in a single facility. The institute has become the highest-volume provider in the country, offering patients access to world-class endoscopic spine treatment.
Delaware residents with persistent spinal pain may be candidates for endoscopic spine treatment, even if they were previously told that open surgery was required or that surgery was not an option. Individuals who have already undergone injections or prior surgeries without relief may still benefit. At ESINY, our team of expert endoscopic spine surgeons and pain specialists carefully evaluates each patient and creates a tailored plan for care. Using advanced minimally invasive procedures, we address the root cause of pain while protecting surrounding tissues, helping Delaware patients achieve faster recovery and improved quality of life.
In many cases, endoscopic spine procedures achieve outcomes that meet or exceed those of conventional spinal surgery. By focusing on precision and minimizing disruption to healthy tissue, patients experience faster healing, fewer complications, and durable improvement in function and comfort.
Endoscopic surgery operates on the same principle as injections by providing a precise, low-impact approach. It takes this concept further by resolving the root cause of pain, ensuring long-lasting benefits and a safer recovery experience compared to more invasive procedures.
Delaware patients often reach out after injections no longer ease their spinal pain, seeking a treatment that truly works. Endoscopic spine surgery offers that solution. By providing precise, minimally invasive intervention with long-lasting results, Delaware patients can target the root of their pain, regain function, and return to their everyday routines with less discomfort.