At ESINY, patients from Flatiron benefit from the expertise of an award-winning spine surgeon in New York who is revolutionizing the way spinal conditions are addressed. Working with a team that sets new benchmarks in spinal care, we deliver personalized treatment plans built around safety, comfort, and effectiveness. Our advanced surgical techniques allow for smaller incisions and a smoother recovery process, helping Flatiron patients regain strength and mobility with confidence.
You Deserve the Smallest, Least Invasive Spine Surgery
Endoscopic spine treatment is transforming the landscape of spinal surgery and patient care. At the Endoscopic Spine Institute of New York, we strive to create a new standard in spine health by offering procedures that are safer, less invasive, and more effective than ever before. Our institute, the only one of its kind in America, brings together highly experienced neurosurgeons and orthopedic surgeons who specialize exclusively in endoscopic techniques. Every treatment is designed to restore movement, ease pain, and help patients regain control of their daily lives.
With the help of a small incision measuring under one centimeter and a microscopic camera roughly the size of a pencil eraser, our experts carry out advanced surgical techniques that target the root cause of spinal conditions. This precision-driven method results in less trauma, minimal scarring, and faster recovery, so patients can return to their routines sooner and with renewed confidence.
Your Precise, Powerful Solution From The Spine Experts
Precision and innovation define our spine care. Our world-class team of neurosurgeons and orthopedic surgeons has earned global recognition for advancing the field of endoscopic spine treatment. Having presented their work at over 500 conferences and published more than 300 medical papers, they’re among the foremost authorities in minimally invasive techniques. Honors from organizations such as the American Academy of Neurological and Orthopedic Surgeons reflect their dedication to safer, more effective outcomes for patients everywhere.
The Safest Spine Surgery in the World
With the latest endoscopic technology, spine surgery has never been safer. Patients experience an infection rate of just 0.001%, far less bleeding, and faster recovery times than with any traditional approach. The procedure requires only a small incision, typically under 1 cm, and allows most people to return to work within a week. It’s an exceptional leap in spine care that reduces complications while improving results.
95% Walk Out the Same Day—with Less Pain and Only a Band-Aid
With endoscopic spine surgery, patients recover quickly and comfortably. Most leave the same day, able to move about freely and resume light activity. The incision is so small that a single ESINY band-aid is all that’s needed for protection, eliminating the need for extended hospital recovery.
Say Goodbye To General Anesthesia
Traditional spine surgery often requires deep anesthesia, but that’s not always necessary with endoscopic methods. Many patients undergo treatment using only mild sedation and local anesthesia, remaining relaxed, conscious, and comfortable from start to finish.
Join the 30,000+ Patients Who Have Found Relief
Tens of thousands of patients have already discovered how this approach provides lasting relief where other treatments fall short. It’s a trusted path for anyone seeking effective, minimally invasive care for spine-related pain and mobility issues.
The Go-To For Other Spine Doctors
Our reputation extends across the medical community. More than 40 spine surgeons have chosen ESINY for their own care, reinforcing our position as the preferred destination for world-class endoscopic spine procedures.
What We Treat
Meet Your Team
When it comes to modern spine care, ESINY is leading the way with endoscopic treatment options that prioritize precision and safety. The practice’s award-winning specialists tailor every procedure to address the exact source of each patient’s discomfort. As a result, patients frequently enjoy potentially longer-lasting improvements, minimal side effects, and a smoother healing process than they would after standard surgical or non-surgical interventions.
What To Expect
Flatiron patients seeking relief from spine pain at ESINY begin with a thoughtful consultation designed to uncover the root of their discomfort. Each conversation includes an in-depth review of symptoms and any prior interventions. If the patient qualifies for an endoscopic procedure, the medical team provides a clear overview of what the treatment entails and what outcomes can be expected.
This minimally invasive spine surgery method is the smallest of its kind, allowing Flatiron patients to experience less trauma to surrounding tissue, reduced pain, and a much faster recovery. Many find that only local anesthesia is needed, enabling them to leave the facility the same day.
Afterward, ESINY physicians remain engaged, conducting follow-up calls or visits during the following week to ensure the patient’s progress remains positive and all post-treatment concerns are addressed.
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 next evolution in minimally invasive spinal care. It utilizes a tiny endoscope, equipped with a fiber-optic camera and specialized instruments, which are inserted through a small incision no larger than the width of a pencil. This provides clear visibility and surgical precision without the need for large openings. ESINY leads the way as the first and only endoscopic spine institute in the country.
This method brings together precision, safety, and speed. Because the approach disturbs so little tissue, pain and swelling are minimized, and recovery can begin almost immediately. Many patients go home the same day, resuming normal life within days rather than weeks. The combination of accuracy and minimal invasiveness makes it a preferred choice for treating complex spinal problems.
Unlike traditional spine operations that rely on big incisions, muscle cutting, and metal hardware, endoscopic procedures rely on micro-instruments and high-definition imaging. The difference is remarkable: minimal bleeding, small scars, and a dramatically shorter healing period. The focus is always on preserving healthy tissue and restoring function as quickly as possible.
If you’ve managed your pain with injections before, you already understand the value of avoiding major surgery while still getting relief. Endoscopic spine surgery gives Flatiron patients that same minimally invasive experience, only this time with the ability to truly correct the underlying cause of pain. It’s a forward-thinking approach that aims for healing, not just symptom control.
Many of our Flatiron patients seek us out after injections no longer bring the results they hoped for. Endoscopic spine surgery offers a lasting alternative, one that combines gentle precision with powerful outcomes, helping you move comfortably and enjoy life in the heart of New York City again.
Yes, it’s an extremely safe option, particularly when performed by surgeons who specialize in this field. Because the procedure uses advanced visualization and minimal incisions, it often results in less blood loss and fewer complications than open spine surgery. Recovery is also faster, and the overall patient experience tends to be more comfortable.
That depends on your comfort level. Many patients do well with local anesthesia and mild sedation, allowing them to recover more quickly and with less grogginess afterward. However, general anesthesia is always available for those who prefer to be asleep during the procedure. Both options are designed to keep you relaxed and secure.
One of the biggest benefits is how quickly most patients bounce back. Many go home the same day and can resume normal movement right away. When arm or leg pain is part of the symptoms, relief may be noticeable immediately following surgery. Full recovery usually occurs much sooner compared to open surgical techniques.
Endoscopic spine surgery can address a wide variety of conditions, including herniated discs, bone spurs, spinal stenosis, and chronic nerve pain. It’s a targeted approach that allows the surgeon to reach the source of the issue directly with less impact on surrounding muscles and tissues. Learn more about What We Treat.
Most patients are pleasantly surprised by how mild the discomfort is after surgery. Because the procedure is minimally invasive, there’s less swelling, less muscle disruption, and faster healing. Many patients find they don’t need strong painkillers and can return to normal routines within a few days.
The incision is very small, usually under 1 centimeter, about the size of a pencil eraser. Once healed, it often blends naturally with your skin. We close it using medical-grade adhesive and a custom dressing designed for optimal recovery. The result is a barely visible mark and a smoother healing experience.
Endoscopic spine surgery is still an emerging specialty in the U.S., even though it’s well established in many other countries. The technique requires special equipment, years of training, and a high level of precision. ESINY is proud to be the first and only dedicated endoscopic spine institute in America, led by surgeons trained around the world and bringing that expertise to local patients.
Even if you’ve heard that surgery isn’t right for you or that open surgery is your only option, that may not be the case. Patients throughout Flatiron who have not responded to injections, physical therapy, or prior procedures often find renewed hope through endoscopic spine surgery. At ESINY, we take a personalized approach, evaluating each case carefully to ensure every patient receives the right solution for their pain.
Our advanced endoscopic techniques allow us to address the true cause of your back, neck, arm, or leg pain while protecting healthy tissue. This precision often translates into a faster, smoother recovery and better long-term outcomes, helping Flatiron patients return to their lives with comfort and confidence.
In numerous instances, patients see outcomes that are on par with, and sometimes better than, what open surgery can provide, but without the extended downtime. The procedure is performed with exceptional accuracy, offering a more controlled way to treat spinal conditions while supporting faster healing. Whether the challenge lies in the lower back or along the spinal cord, the primary goal is to enhance spinal stability and improve the chances of long-term recovery.