Monday, July 15, 2013

Recovery after the Topaz procedure

Topaz Coblation for Planter Fasciitis & Heel Pain

Topaz Coblation Procedure

TOPAZ is a quick, simple, procedure that Carolina Foot Specialists offers for chronic heel pain that is unresponsive to conservative treatment. The TOPAZ MicroDebrider utilizes patented Coblation® technology, designed to specifically treat tendons and fascia. The TOPAZ technique has been associated with quick return to daily activities allowing for significant improvement in patient outcomes.

How TOPAZ Works

Through a small incision, approximately and inch long, the TOPAZ MicroDebrider is applied on and around the tendon for half-second duration treatments placed a quarter inch apart to form a grid-like pattern. With every fourth application, the device is inserted deeper into the tendon - approximately a quarter inch in depth. Small amounts of tissue are removed as a light application of radiofrequency energy is guided into the tissue. TOPAZ treatment typically takes less than 20 minutes to administer. Patients are ready to leave the clinic once recovered from local or light sedation.

Patient Selection

  • Fascia with partial tears may be at an increased risk of rupture
  • Patients with chronic heel pain that has been unresponsive to conservative treatment.

Patient Preparation

Access can be approached through tiny poke holes made through the skin with the use of a .062 K-wire under IV and local sedation. Procedure takes 20 minutes without the need for skin sutures.

Post Operative Care and Rehabilitation

First week
  • Immobilize with cam walker boot or surgical shoe.
  • Dressing changes performed by the patient after first postoperative visit
Week 2-Week4
  • Passive and active range of motion exercises
  • Night splint-Cam walker as appropriate
  • Sneaker with custom orthotic
1-3 months
  •  Low impact exercising with slow progression into higher impact exercising
  • Routine at home or work is okay at the discretion of a surgeon

7 comments:

  1. Useful information shared. I am very happy to read this article.
    Back Pain San Antonio

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  2. Dr.Micheal Nirenberg is the most recognized and experienced podiatrist surgeon in Northwest Indiana. He has a vast and professional experience in handling all kinds of foot and ankle cases and he has also expertise in forensic podiatrist.

    Foot Surgery Malpractice

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  3. This was by far the worst surgery that I have ever experienced. I don't think my foot will ever be the same. it has been a month and 2 days today and it is still painful to walk!!

    ReplyDelete
  4. This was by far the worst surgery that I have ever experienced. I don't think my foot will ever be the same. it has been a month and 2 days today and it is still painful to walk!!

    ReplyDelete
  5. How soon after the surgery do you get relief. My surgery was March 9 2016 and I still have the pain my doctor said it could take up to year for results. Is this true. The week after the surgery I had no pain the it was back and worse! ;(

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  6. How soon after the surgery do you get relief. My surgery was March 9 2016 and I still have the pain my doctor said it could take up to year for results. Is this true. The week after the surgery I had no pain the it was back and worse! ;(

    ReplyDelete
  7. I'm a little over 3 months since surgery and still cannot walk more than a mile. The pain is different than before surgery and I usually have to wear the boot by 2pm. I would give anything to wake up without any pain, the night boot helps but still painful.

    ReplyDelete