Topaz Procedure

Updated 7/7/2020
Topaz Procedure for Plantar Fasciitis- University Foot and Ankle Institute

The Topaz Procedure (or Topaz MicroDebrider) is a minimally invasive, state-of-the-art procedure used to treat chronic Achilles tendonitis and chronic plantar fasciitis. Topaz is intended for patients who have not received satisfactory symptom relief from more conservative treatments, such as orthotics, physical therapy, stretching, massage or injections.

 

What you gain from UFAI’s years of experience

While other practices advertise Topaz as “the latest and greatest,” we’ve been researching and helping with its development for over 10 years. As a result, we have superior experience getting our patients the very best outcome using Topaz technology. We have also been involved in several advanced research projects that use the Topaz probe for other foot and ankle ailments. It is a very exciting technology.

How Does the Topaz Procedure Work?

The entire process takes only 20 minutes and is performed in a hospital using intravenous sedation anesthetic (you are asleep but breathing on your own). Your doctor places the Topaz wand, which looks like a sewing needle, into the affected fascia or tendon for just a half-second. Then, the wand is moved about a quarter-inch and pushed in again. This action is repeated until a grid-like pattern is formed around the affected area.

 

The Topaz wand uses cobalation technologies, which are radio frequency waves that gently cause microscopic “trauma” to the scar tissue your body hasn’t yet been able to heal. The procedure brings blood back to the affected area and restarts the healing process by increasing the growth factors in the damaged tissue region. The strategically placed Topaz wand greatly minimizes any damage to surrounding healthy tissue.  

 

Because the method is minimally invasive, recovery time from the Topaz procedure can be measured in weeks instead of months.  After a week in a walking boot, most patients can begin wearing athletics shoes with orthotics.

 

 

What is the Success Rate?

The topaz treatment is successful 80% of the time. It’s important to note that the pain relief is not instantaneous and it may actually get worse before it gets better. However, once your recovery is complete, your pain is relieved and the tendon is back to normal. As long as you stretch the tendon and wear supportive shoes and/or orthotics, your condition should not recur.

 

Is Topaz Covered by Insurance?

Most insurance plans will cover the Topaz procedure. We have had it covered in our practice and are happy to help you should you require this procedure. Please note we did the initial clinical studies on the Topaz procedure and have extensive experience with it.

 

Topaz Surgery - University Foot and Ankle Institute

How UFAI Leads the Way

The podiatrists at University Foot and Ankle Institute are nationally recognized as experts in the treatment of chronic plantar fasciitis and Achilles tendon pain.  They pride themselves in offering the very latest treatment options and often assist in the development of advanced technologies, including Topaz procedure.

 

Determining your best course of treatment begins with an analysis of your physical ailment, as well as assessing how your personal and professional demands impact your foot and ankle condition. Sometimes a patient’s lifestyle doesn’t allow for the amount of recovery time required for some treatments, such as those who cannot get enough time off their feet at work or professional athletes. UFAI doctors always take these factors into account when discussing treatment options and making recommendations.

 

If you are not getting adequate relief from your plantar fasciitis or heel pain, please call to set up a consultation. You and one of our friendly (and very experienced) doctors will review your current condition, the physical demands of your lifestyle and help you chart a course of action that gets you on the road to recovery.

  • Foot and Ankle Surgeon at University Foot and Ankle Institute
    Dr. Justin Franson, DPM, University Foot and Ankle Institute, Foot and Ankle Surgeon

    Dr. Justin Franson, DPM, is a Board Certified Podiatric Foot and Ankle Specialist and Diplomate of the American Board of Podiatric Surgery. He attended the School College of Podiatric Medicine in Chicago, graduating in 2001. Dr. Franson then accepted a three-year residency program at the Greater Los Angeles VA and UCLA County Hospital. 

     

    Dr. Franson specializes in several areas including total ankle replacement and sports medicine. Treating athletes and weekend warriors like himself brings him a lot of joy. Dr. Franson keeps active with running marathons, triathlons, hiking, basketball, and golf.

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