Topaz is a quick, simple and minimally invasive medical technique available for the treatment of tendons and fascia. The TOPAZ technique has been associated with quick return to daily activities allowing for significant improvement in patient outcomes. I have presented this technique at conferences around the United States. It's the perfect treatment for tendons and fascia. TOPAZ has offered a minimally invasive alternative for thousands of patients for the treatment of Plantar Fasciitis, Achilles Tendinitis and other fascia and tendon in the Foot and Ankle. The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. Often, a boot is used for 2-3 weeks and return to activity is rapid as compared to open surgery. The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. TOPAZ is a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. Plantar fasciitis is an inflammation of the plantar fascia - a ligament that runs between your heel and toes at the bottom of your foot. The lateral epicondyle is marked (Figure 1) and a curved incision is made anteriorly to it (Figure2) and the lateralepicondyle and common extensor origin is exposed (Figure 3). TOPAZ enables the microdebridement of soft tissue present within the tendons of the knee, shoulder, elbow, ankle and foot. 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. The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. 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. To date, over 5 million Coblation procedures have been performed. TOPAZ Wands allow for the application of radiofrequency energy and removal of tissue. #6. This animation will show the minimally-invasive technique. The Topaz technique has been associated with quick return to daily activities allowing for significant improvement in patient outcomes. About TOPAZ TOPAZ is a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. I performed a fasciotomy on a patient's left foot using the Topaz technique. TOPAZ Wands allow for the application of radiofrequency energy and precise removal of tissue with minimal damage to untargeted tissue. TOPAZ is a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. To date, over 5 million Coblation procedures have been performed. Considered the gold standard, Coblation technology is now employed in more than 10,000 operating rooms and has been used in the treatment of over 5 million patients worldwide. After a few weeks, patients usually transition to a supporting shoe. We are grateful that you have chosen us as the health care provider for your foot and ankle problems. The Topaz probe is then inserted which emits a small . In preparation for the procedure, the patient is positioned and local anesthesia is administered. University Foot and Ankle Institute is proud to have performed the original research that led to the development of the Topaz procedure in plantar fasciitis cases. The TOPAZ technique has been associated with quick return to daily activities allowing for significant improvement in patient outcomes. TOPAZ is a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. The coblation procedure can be performed as a minimally-invasive procedure through the skin, or it can be performed as part of an open surgical procedure. TOPAZ has offered [] The TOPAZ technique has been associated with quick return to daily activities allowing for significant improvement in patient outcomes. A series of microscopic holes are made in the soft tissue along the region of Achilles trauma or scar formation. The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. 225 W. 34th Street (14 Penn Plaza), Suite 1005 New York, NY 10122, 162-16 Union Turnpike Suite 306 Fresh Meadows, NY 11366. Topaz Procedure. The TOPAZ technique has been associated with quick return to daily activities allowing for significant improvement in patient outcomes. Along as give security through knowledge for after care and peace of mind. The TOPAZ technique has been associated with quick return to daily activities allowing for significant improvement in patient outcomes. Topaz Microdebrider Surgical Technique - Smith & Nephew The Topaz probe is then introduced and a burst of radiofrequency energy is used to . Topaz Treatment is a microscopic minimally invasive technique used to break up scar tissue and increase blood supply to a damaged region of tendon. The main advantage is quicker time to full recovery and less pain after surgery. The Topaz technique has been associated with quick return to daily activities allowing for significant improvement in patient outcomes. TOPAZ has offered a minimally invasive alternative for thousands of patients for the treatment of Plantar Fasciitis, Achilles Tendinitis and other fascia and tendon in the Foot and Ankle. TOPAZ has offered a minimally invasive alternative for thousands of patients for the treatment of Plantar Fasciitis, Achilles Tendinitis and other fascia and tendon in the Foot and Ankle. If you would like more information please contact us. Our staff is committed to providing the finest podiatric care in a warm and friendly environment in order to make you feel relaxed and comfortable. TOPAZ is a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. We were one of the first organizations to use the Topaz procedure and developed many of the minimally invasive techniques used around the world today. Topaz Procedure. Failed cases were operated using either technique. The current study evaluates the results of the treatment. The TOPAZ technique has been associated with quick return to daily activities allowing for significant improvement in patient outcomes. A tourniquet is applied to ensure bloodless operative field. This information resource is provided to help you understand the most common disorders, and to assist you in making decisions. The revolutionary benefits of Coblation technology have led to its adoption across a number of surgical specialties, including shoulder and knee arthroscopic surgery, spine, neurosurgery and ENT surgery. TOPAZ coblation is a quick, simple, and minimally invasive medical procedure. . While most radiofrequency-based surgical products, such as lasers and electrosurgical devices, use heat-driven processes to remove or cut tissue, Coblation-based devices operate at low temperatures. Since launching TOPAZ with expanded indications for tendonotomy in 2005, TOPAZ has offered a minimally invasive alternative for thousands of patients for the treatment of tendons and 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 . . The Topaz probe is then introduced and a burst of radiofrequency energy is used to break up the scar in a strategic manner increasing blood supply to the Achilles tendon, breaking up scar tissue and relieving pain in the region. The TOPAZ technique has been associated with quick return to daily activities allowing for . During this treatment for Achilles tendinosis, a series of microscopic holes are made in the soft tissue around the affected area of the tendon. Topaz Treatment is a microscopic minimally invasive technique used to break up scar tissue and increase blood supply to a . The procedure involves using a special needle-like wand to create a series of holes into the plantar fascia region of pain. Feb 2, 2009. Your billing company was providing you with the best option, CPT 28899 "unlisted procedure, foot or toe." Preparation. TOPAZ Microdebrider Designed for tendon and fascia application, the TOPAZ MicroDebrider provides a quick 4,7 outpatient procedure. As well as in ankle arthroscopy surgery. Originally, the procedure required an incision.But after our research, we determined that the procedure could be just as effective through a series of small needle holes instead of a large incision. It has been described for conditions including tennis elbow and rotator . Surgical technique. The doctors of UFAI's Achilles Institute are at the forefront of Topaz research and therapy. TOPAZ Wands allow use of a minimally invasive technique, requiring only a small incision. TOPAZ is a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. Since launching TOPAZ with expanded indications for tendonotomy in 2005, Topaz is a minimally invasive alternative for thousands of patients for the treatment of tendons and fascia. The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. The 0.8 mm tip of the TOPAZ Wand allows . The Topaz The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. Topaz is typically intended for patients who have not responded to more traditional . We are grateful that you have chosen us as the health care provider for your foot and ankle problems. "The TOPAZ technique is a great tool to help patients and I think a lot of people are benefiting from it. TOPAZ is the only radiofrequency Wand indicated for the debridement of tendons and fascia.I have used this technology with great success in hundreds of patients with plantar fascitiis and Heel spurs. Coblation technology gently dissolves tissue, minimizing damage to surrounding healthy tissue. (RF) probe is a minimally invasive procedure for treating chronic tendinopathy. Also, to provide peace of mind through knowledge of common disorders, procedures, and after care. 2012 Dec;18(4):287-92. doi: 10.1016/j.fas .2012.05. . This technique is ideal for patients suffering from plantar fasciitis. Lateral epicondylar release. The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. Quick, simple, minimally invasive procedure. The Topaz MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. Our practice continues to utilize the latest non-invasive and minimally invasive techniques for eradiating heel pain and we have extensive experience with state-of the art technologies to get patients pain-free and back on their feet quickly. Since launching TOPAZ with expanded indications for tendonotomy in 2005, Topaz is a minimally invasive alternative for thousands of patients for . For more information on the Topaz procedure, please contact our office at 863-299-4551. Open technique is more effective than percutaneous technique for TOPAZ radiofrequency coblation for plantar fasciitis Foot Ankle Surg. A series of microscopic holes are made in the soft tissue along the region of Achilles trauma or scar formation. We welcome you as a patient to our practice in Manhattan and Queens! Plantar Fibromas Lumps in the Arch of the Foot. To date, over 5 million Coblation procedures have been performed. We are foot & ankle surgeons who specialize in podiatry, sports medicine, trauma, revisional, and reconstructive surgery of the foot & ankle. TOPAZ Wands provide patients with a minimally invasive alternative to surgical debridement. To date, over 5 million Coblation procedures have been performed. See below for images of my patients, To understand more about the science behind the Topaz coblation technique , please visit http://www.topazinfo.com/patient.aspx?pid=30, Address: 4520 Executive Drive Suite 215 San Diego, CA 92121, Advanced Foot & Ankle Center of San Diego, Foot And Ankle Doctor San Diego / La Jolla Podiatrist, Flatfoot Posterior Tibial Tendon Dysfunction, Ankle Replacement Surgery For ankle Arthritis, Medical Care on Lien Arrangement After an Accident, Ankle Replacement Zimmer Trabecular Metal, http://www.topazinfo.com/patient.aspx?pid=30, Quick return to activities of daily living (ADL). The Topaz Procedure (or Topaz MicroDebrider) is a minimally invasive, state-of-the-art procedure used to treat chronic tendon and ligament conditions such as chronic Achilles tendonitis and chronic plantar fasciitis. The Topaz procedure is undertaken under general or regional anesthesia. TOPAZ is a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. I billed CPT 28008 (fasciotomy, foot and/or toe). This vast resource of information is for your benefit in understanding and making an informed decisions. 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. Some of us have started doing a modified lateral epicondylar release using a Topaz thermal cautery device. Along as give security through knowledge for after care and peace of mind. Response: There is no CPT code for the Topaz procedure. This vast resource of information is for your benefit in understanding and making an informed decisions. Would we be able to report 25290Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon; 24310Tenotomy, open, elbow to shoulder, each tendon; and 24356 . During this procedure, the surgeon uses a radiofrequency device called a TOPAZ microdebrider to break up scar tissue in a painfully-inflamed plantar fascia (a band of tissue at the bottom of the foot). We believe that evidence-based medicine, prompt diagnosis, early intervention, and prevention are essential for the care and treatment of your foot & ankle ailments. The TOPAZ Microdebrider allows for the execution of more precise procedures compared to those achieved with traditional surgical tools, which tend to destroy tissue structure under high temperatures. 225 W. 34th Street (14 Penn Plaza), Suite 1005New York, NY 10122, 162-16 Union Turnpike, Suite 306Fresh Meadows, NY 11366. Q. . TOPAZ is a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. To date, over 5 million Coblation procedures have been performed. The TOPAZ procedure is a minimally invasive radiofrequency technique used to br eak up scar tissue and increase blood supply to the damaged region of the Achilles tendon. Topaz Treatment is a microscopic minimally invasive technique used to break up scar tissue and increase blood supply to a damaged region of tendon. What Does the TOPAZ Wand do? To date, over 5 million Coblation procedures have been performed. Post-operative care and rehabilitation following the TOPAZ procedure typically involves wearing some type of brace or what's termed a "walking cast" or walking boot. ArthroCare Sports Medicine TOPAZ MicroDebrider utilizes Coblation technology and is considered an alternative to standard invasive surgical procedures. The coblation procedure can be performed as a minimally-invasive procedure through the skin, or it can be performed as part of an open surgical procedure. Our staff is committed to providing the finest podiatric care in a warm and friendly environment in order to make you feel relaxed and comfortable. About TOPAZ TOPAZ is a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. It's a minimally invasive technique that's already been used in more than 5 million procedures. There were 24 TOPAZ procedures and 39 endoscopic plantar fascia releases, choice of treatment was not randomized and depended on surgeon's assessment. This technology is rapidly being adopted by surgeons around the country specializing in sports medicine procedures. Topaz Procedure: Minimally Invasive Radiofrequency Treatment for Tendons and Fascia. The Topaz procedure, also known as Topaz Coblation therapy, is a minimally invasive surgical procedure performed under local anaesthetic to treat plantar fasciitis. I have performed the Topaz treatment with great success, for tendinitis. The patients were all treated conservatively according to a standardized protocol. The Topaz Procedure (or Topaz MicroDebrider) is a minimally invasive, state-of-the-art procedure used to treat chronic tendon and ligament conditions such as chronic Achilles tendonitis and chronic plantar fasciitis. Query: Fasciotomy Using the Topaz Technique. The Topaz MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. This is a revolutionary new medical device called the Topaz MicroDebrider, offering a minimally invasive alternative for the treatment of tendons and fascia. ADVANTAGES WITH USING TOPAZ 225 W. 34th Street (14 Penn Plaza), Suite 1005. http://www.topazinfo.com/knowledgebase.aspx?pid=00, I use a no cut no incision technique for Topaz treatment of Achilles tendonitis and Plantar Fasciitis. The surgical removal of tissue is often necessary for treatment of the tendons found in the small joints. In some cases, a person may require further treatment or traditional surgery, but in a high percentage of the cases where the TOPAZ procedure has been used, no further treatment is necessary." The TOPAZ procedure, in conjunction with Coblation technology, preserves the anatomical structure of the tissue while delivering a precisely controlled amount of radiofrequency energy to the tissue. TOPAZ Wands allow use of a minimally invasive technique, requiring only a small incision. 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