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.

Follow me

2 comments

  1. Dr. Shaheed Naseeb

    I am orthopedic surgeon and would like to know about topaz surgery for Plantar Fasciitis?

Leave a Reply

Your email address will not be published.

11,739 Total 1st Party Reviews
4.9 out of 5 Stars
  • Google
    Everyone is very nice and recieved outstanding care.
    Theresa W.
  • GatherUp
    110 % well treated!
    Martha C.
  • Yelp
    Surgeons are in a position of moral hazard. They make more money from surgery than from a low-tech solution. I was impressed th...
    Andy S.
  • GatherUp
    Very happy!!
    Martha G.
  • GatherUp
    Very friendly and personable staff and very comfortable and confident with the doctor.
    William M.
  • GatherUp
    The staff were polite, communicative and efficient.
    Lauralee A.
  • GatherUp
    Doctor Briskin is caring, knowable and one of the best doctors I have ever come in contact with. There is physical therapy ava...
    Howard F.
  • GatherUp
    Excellent concerned, friendly service from the staff to the Dr. Knowledgeable personnel provided answers to questions/concerns....
    Robert J.
  • GatherUp
    I'll be back as needed. Thank you.
    Dale W.
  • Yelp
    After over 3 years of relentless research and visiting over 10 different board-certified orthopedic surgeons, podiatrists, phys...
    Justin P.
  • GatherUp
    Dr Feldman is the best! He is caring, attentive to details, responsive and a very responsible doctor! I highly recommending Dr ...
    Lian P.
  • GatherUp
    I appreciate the medical treatment.
    Nino M.
Same Day Appointments
Now Available!

Or call 877-989-9110

24 hours a day, 7 days a week