This animation will show the minimally-invasive technique. 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. ADVANTAGES WITH USING TOPAZ ArthroCare Sports Medicine TOPAZ MicroDebrider utilizes Coblation technology and is considered an alternative to standard invasive surgical procedures. To date, over 5 million Coblation procedures have been performed. Quick, simple, minimally invasive procedure. TOPAZ Wands allow for the application of radiofrequency energy and removal of tissue. Topaz Treatment is a microscopic minimally invasive technique used to break up scar tissue and increase blood supply to a damaged region of tendon. This information resource is provided to help you understand the most common disorders, and to assist you in making decisions. The Topaz procedure is undertaken under general or regional anesthesia. Feb 2, 2009. "The TOPAZ technique is a great tool to help patients and I think a lot of people are benefiting from it. (RF) probe is a minimally invasive procedure for treating chronic tendinopathy. 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). Topaz Procedure. The Topaz MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. TOPAZ has offered [] Plantar Fibromas Lumps in the Arch of the Foot. The procedure involves using a special needle-like wand to create a series of holes into the plantar fascia region of pain. 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 . TOPAZ Wands allow use of a minimally invasive technique, requiring only a small incision. It's a minimally invasive technique that's already been used in more than 5 million procedures. About TOPAZ TOPAZ is a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. 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. I have presented this technique at conferences around the United States. If you would like more information please contact us. 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. Along as give security through knowledge for after care and peace of mind. Lateral epicondylar release. Your billing company was providing you with the best option, CPT 28899 "unlisted procedure, foot or toe." 2012 Dec;18(4):287-92. doi: 10.1016/j.fas .2012.05. . TOPAZ is a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. 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 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. Failed cases were operated using either technique. The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. It's the perfect treatment for tendons and fascia. 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). What Does the TOPAZ Wand do? Open technique is more effective than percutaneous technique for TOPAZ radiofrequency coblation for plantar fasciitis Foot Ankle Surg. Topaz Procedure: Minimally Invasive Radiofrequency Treatment for Tendons and Fascia. 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 significant improvement in patient outcomes. 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. Often, a boot is used for 2-3 weeks and return to activity is rapid as compared to open surgery. 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. The Topaz MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. 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. This vast resource of information is for your benefit in understanding and making an informed decisions. The current study evaluates the results of the treatment. A series of microscopic holes are made in the soft tissue along the region of Achilles trauma or scar formation. 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. To date, over 5 million Coblation procedures have been performed. The TOPAZ technique has been associated with quick return to daily activities allowing for . The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat 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. I performed a fasciotomy on a patient's left foot using the Topaz technique. The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. 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. 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). 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 is a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. About TOPAZ 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. This technique is ideal for patients suffering from plantar fasciitis. 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. Also, to provide peace of mind through knowledge of common disorders, procedures, and after care. The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. 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. Topaz Treatment is a microscopic minimally invasive technique used to break up scar tissue and increase blood supply to a . 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. TOPAZ Wands provide patients with a minimally invasive alternative to surgical debridement. TOPAZ is a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. In preparation for the procedure, the patient is positioned and local anesthesia is administered. . The Topaz As well as in ankle arthroscopy surgery. The TOPAZ technique has been associated with quick return to daily activities allowing for significant improvement in patient outcomes. 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. 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 coblation is a quick, simple, and minimally invasive medical procedure. The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. Coblation technology gently dissolves tissue, minimizing damage to surrounding healthy tissue. Along as give security through knowledge for after care and peace of mind. TOPAZ Wands allow for the application of radiofrequency energy and precise removal of tissue with minimal damage to untargeted tissue. 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 . Topaz is typically intended for patients who have not responded to more traditional . There were 24 TOPAZ procedures and 39 endoscopic plantar fascia releases, choice of treatment was not randomized and depended on surgeon's assessment. #6. 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. We welcome you as a patient to our practice in Manhattan and Queens! We believe that evidence-based medicine, prompt diagnosis, early intervention, and prevention are essential for the care and treatment of your foot & ankle ailments. For more information on the Topaz procedure, please contact our office at 863-299-4551. Q. This technology is rapidly being adopted by surgeons around the country specializing in sports medicine procedures. . The TOPAZ technique has been associated with quick return to daily activities allowing for significant improvement in patient outcomes. To date, over 5 million Coblation procedures have been performed. To date, over 5 million Coblation procedures have been performed. The patients were all treated conservatively according to a standardized protocol. 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. Since launching TOPAZ with expanded indications for tendonotomy in 2005, Topaz is a minimally invasive alternative for thousands of patients for . 225 W. 34th Street (14 Penn Plaza), Suite 1005. Surgical technique. Query: Fasciotomy Using the Topaz Technique. Topaz Treatment is a microscopic minimally invasive technique used to break up scar tissue and increase blood supply to a damaged region of tendon. To date, over 5 million Coblation procedures have been performed. It has been described for conditions including tennis elbow and rotator . A series of microscopic holes are made in the soft tissue along the region of Achilles trauma or scar formation. 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. 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). Response: There is no CPT code for the Topaz 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. TOPAZ Microdebrider Designed for tendon and fascia application, the TOPAZ MicroDebrider provides a quick 4,7 outpatient procedure. Preparation. We are grateful that you have chosen us as the health care provider for your foot and ankle problems. The TOPAZ technique has been associated with quick return to daily activities allowing for significant improvement in patient outcomes. Some of us have started doing a modified lateral epicondylar release using a Topaz thermal cautery device. Topaz is a quick, simple and minimally invasive medical technique available for the treatment of tendons and fascia. The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. TOPAZ enables the microdebridement of soft tissue present within the tendons of the knee, shoulder, elbow, ankle and foot. TOPAZ is a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. Topaz Microdebrider Surgical Technique - Smith & Nephew The Topaz technique has been associated with quick return to daily activities allowing for significant improvement in patient outcomes. The TOPAZ technique has been associated with quick return to daily activities allowing for significant improvement in patient outcomes. During this treatment for Achilles tendinosis, a series of microscopic holes are made in the soft tissue around the affected area of the tendon. 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. The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. 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. The surgical removal of tissue is often necessary for treatment of the tendons found in the small joints. 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 TOPAZ technique has been associated with quick return to daily activities allowing for significant improvement in patient outcomes. 225 W. 34th Street (14 Penn Plaza), Suite 1005 New York, NY 10122, 162-16 Union Turnpike Suite 306 Fresh Meadows, NY 11366. The Topaz probe is then inserted which emits a small . Topaz Procedure. TOPAZ is a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. A tourniquet is applied to ensure bloodless operative field. The 0.8 mm tip of the TOPAZ Wand allows . I have performed the Topaz treatment with great success, for tendinitis. TOPAZ Wands allow use of a minimally invasive technique, requiring only a small incision. We are foot & ankle surgeons who specialize in podiatry, sports medicine, trauma, revisional, and reconstructive surgery of the foot & ankle. 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. 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. . After a few weeks, patients usually transition to a supporting shoe. This is a revolutionary new medical device called the Topaz MicroDebrider, offering a minimally invasive alternative 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. This vast resource of information is for your benefit in understanding and making an informed decisions. The doctors of UFAI's Achilles Institute are at the forefront of Topaz research and therapy. The Topaz probe is then introduced and a burst of radiofrequency energy is used to . 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, also known as Topaz Coblation therapy, is a minimally invasive surgical procedure performed under local anaesthetic to treat plantar fasciitis. 225 W. 34th Street (14 Penn Plaza), Suite 1005New York, NY 10122, 162-16 Union Turnpike, Suite 306Fresh Meadows, NY 11366. We are grateful that you have chosen us as the health care provider for your foot and ankle problems. 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." 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