The Topaz procedure is a minimally invasive surgical procedure performed under local anaesthetic to treat plantar fasciitis. The procedure involves using a special needle-like wand to create a series of holes into the damaged plantar fascia. Once the probe is inserted it emits a small burst of radiofrequency energy that creates tiny holes into the fascia, breaking up scar tissue.
How does it work?
The wand removes small amounts of damaged tissue using a light application of radiofrequency energy guided through the wand. Removing the scar tissue restores blood flow to the area. This promotes the healing process and allows your body to repair the damaged tissue. The multiple holes created by the wand also reduce plantar fascia tension, this is known as microfasciotomy. This is different to a traditional fasciotomy (plantar fascia release surgery) which sacrifices the plantar fascia by making a large cut in the tissue. The Topaz procedure preserves the plantar fascia structure which is integral for normal foot function.
The procedure involves using a special needle-like wand to create a series of holes into the damaged plantar fascia. Once the probe is inserted it emits a small burst of radiofrequency energy that creates tiny holes into the fascia, breaking up scar tissue.
Does it work?
The Topaz procedure is a highly successful treatment for plantar fasciitis with an average success rate of 84%. To date, there are 9 independent studies published (involving over 400 patients) on the Topaz procedure for plantar fasciitis.
If you would like to see references for these studies, click here.
Following the procedure, a protective boot is worn for 2 weeks, with a return to supportive footwear after this, followed by a gradual return to normal activities. The average recovery time to normal activities is 4 weeks.
The Topaz procedure is an excellent treatment for chronic plantar fasciitis and is preferable to plantar fascia release surgery. One of the benefits with this procedure is that it does not burn any bridges, meaning that if it doesn't work, patients can go on to try an alternative treatment option. There is a good amount of evidence to support this treatment option.
At The Heel Pain Expert, we provide provide the Topaz Procedure. If you would like to discuss this option schedule a call.