The Topaz procedure, also known as Topaz Coblation therapy, 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 plantar fascia region of pain. The Topaz probe is then inserted which emits a small burst of radio wave energy that creates tiny holes into the fascia, breaking up scar tissue.
Does it work?
Several studies have shown the Topaz procedure to be effective in treating chronic plantar fasciitis and is less invasive than plantar fascia release surgery.
Following the procedure, a protective boot is usually worn for 3 weeks, with a return to supportive footwear after this, followed by a gradual return to normal activities.
The Topaz procedure appears to be a safe and effective treatment option 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. The procedure is currently not available in the UK.
If you would like to know more about the Topaz procedure, check out the video by American podiatrist Lowell Weil below.