Topaz Procedure for Heel Pain and Plantar Fasciitis

Radio Frequency Topaz Microdebrider for Chronic Heel Pain

topaz treatment for plantar fasciitisHeel pain is a common presenting complaint causing patients to seek a foot and ankle surgeon or doctor.  One of the most common etiologies of heel pain is mechanical or repetitive overuse injury causing inflammation of the plantar fascia, termed Plantar Fasciitis.

Symptoms of Plantar Fasciitis

  • Pain and stiffness in heel (can be worse in morning)
  • Inability to walk long distances
  • Swelling around heel

Causes and Risk factors of Plantar Fasciitis

  • Repetitive loading or exercise
  • Change in activity level, duration, or training surfaces
  • Recent activity/long walking in unsupportive shoes or sandals
  • Abnormal foot mechanics and architecture
  • Recent weight gain or obesity
  • Acute trauma or injury

Conservative treatment options for Plantar fasciitis

  • Icing
  • Stretching of the Achilles tendon and plantar fascia complexes
  •  Rest or activity modifications
  •  Custom orthotics or over-the-counter orthotics
  •  Supportive and comfortable shoes
  •  Oral anti-inflammatories
  •  Physical therapy modalities
  •  Heel injections
  •  Night splints

Plantar fasciitis generally resolves with conservative management, however certain cases even fail 6 months of conservative treatment and may require surgical procedures to help alleviate the symptoms.  Podiatry Research has demonstrated that chronic injury and inflammation to the plantar fascia leads to micro-tears and degeneration of the plantar fascia, termed plantar fasciosis.  Plantar fasciosis lacks acute inflammatory tissue, accordingly, rendering conservative options unsuccessful at times.

Surgical options for Recalcitrant Plantar Fasciitis and Plantar Fasciosis

  • Topaz (ArthroCare) Microdebrider
  • Platelet Rich Plasma injection
  • Shockwave therapy
  • Open and Endoscpoic Realease

Topaz Coblation Microdebrider procedure is a minimally invasive surgical technique utilizing small holes to break up the scar tissue and attempt revascularization of the plantar fascia.  By “burning holes” into the ligament, the Topaz will turn a chronic process into an acute inflammatory process to cause an influx of inflammatory healing cells directly into the ligament.

The procedure is performed in the operating room.  The anesthesia team will administer sedation medications and then a local nerve block is performed by the foot surgeon. The surgeon will then mark  the area of the plantar fascia and make holes in the skin.  The topaz probe is then placed through these holes into the plantar fascia. The patient is then placed into a walking boot for a period of 2 to 3 weeks during the healing process.

The procedure only requires small holes compared to a larger open incision and surgery.  This lends to quicker healing and less pain and scar tissue and faster recovery.

Click below to watch a video of the Topaz heel pain treatment procedure.

Video: Topaz Procedure for Chronic Plantar Fasciitis Heel Pain

Think the Topaz procedure might help you? For help with your heel pain, contact UFAI, California’s leaders in foot and ankle care. To an appointment please Call 877-501-0193 or Request a Heel Pain Consultation online.

Dr. Bob Baravarian

Dr. Bob Baravarian

Dr. Bob Baravarian is a Board Certified Podiatric Foot and Ankle Specialist. He is currently a member of UCLA Medical Group, Chief of Podiatric Surgery at Santa Monica/UCLA medical center and Orthopedic Hospital and an assistant clinical professor at the UCLA School of Medicine. He also serves as co-director of University Foot and Ankle Institute. He is Editor Emeritus of the international medical journal, Foot and Ankle Specialist.

Dr. Baravarian been involved in athletics his entire life and played competitive tennis in high school and college. He has an interest in sports medicine, arthritis therapy and trauma/reconstructive surgery of the foot and ankle. He servers as a consultant to the ATP (Association of Tennis Professionals) tour, multiple running organizations and several shoe manufacturers. He is also fluent in five languages (English, French, Spanish, Farsi and Hebrew),

Podiatrist Dr. Bob Baravarian is available for consultation at the Santa Monica, Sherman Oaks and UCLA Westwood offices.
Dr. Bob Baravarian

Leave a Reply

Your email address will not be published.

Over 200,000 happy UFAI patients and growing
  • I hesitated to see a doctor because I thought I would be told to stop running... when I saw Dr. Franson, I got encouragement instead of discouragement. Suzanne at Physical Therapy not only got rid of the pain, but sh...
    Kerri
  • Yelp
    Was lucky to be referred to Dr. Babak Baravarian in Oct.2010 by my " Podiatrician " cousin. She told me good things about him and his experience in foot and ankle surgeries although she is a podiatrist herself. I re...
    Mahkameh S.
  • I am writing to praise your staff for the outstanding patient care I've received over the past several months. Well beyond professional, they are competent, pleasant, and they go out of their way to be accommodating.
    D. L.
  • CustomerSure
    I felt well cared for at this first session.
    Jeffrey C.
  • CustomerSure
    Awesome!
    Gayle H.
  • CustomerSure
    Dr. Campbell is a phenomenal podiatrist and surgeon!
    Amanda S.
  • CustomerSure
    So far everything is going well. I really like Dr. Baravarian and his staff, they did a wonderful job. They are very compassionate and professional at the same time. My family and I are very happy and thankful we fou...
    Jeanette D.
  • Yelp
    It's been five months since my surgery, performed by Dr. Sydney Yau, and I've been walking with no pain. Dr. Yau tried to fix my problem with no surgery, and when that was unsuccessful, we decided on surgery and he wa...
    Sandie E.
  • Yelp
    Dr. Bob is outstanding.  A week ago today he performed surgery on my tarsal tunnel, and I am well on the mend from his handiwork.  He is professional, patient, and thorough in explaining his procedures and opinions.  ...
    Karen L.
  • My surgery was an amazing success, and I was treated with great care, leading to a complete and painless recovery. I couldn't be happier!
    E.S.
Same Day Appointments
Now Available!

Or call 877-989-9110

24 hours a day, 7 days a week