Some of us have started doing a modified lateral epicondylar release using a Topaz thermal cautery device. 225 W. 34th Street (14 Penn Plaza), Suite 1005New York, NY 10122, 162-16 Union Turnpike, Suite 306Fresh Meadows, NY 11366. 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. To date, over 5 million Coblation procedures have been performed. ArthroCare Sports Medicine TOPAZ MicroDebrider utilizes Coblation technology and is considered an alternative to standard invasive surgical procedures. 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. TOPAZ Wands allow for the application of radiofrequency energy and precise removal of tissue with minimal damage to untargeted tissue. Plantar fasciitis is an inflammation of the plantar fascia - a ligament that runs between your heel and toes at the bottom of your foot. In preparation for the procedure, the patient is positioned and local anesthesia is administered. This information resource is provided to help you understand the most common disorders, and to assist you in making decisions. 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 technique has been associated with quick return to daily activities allowing for significant improvement in patient outcomes. 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." TOPAZ is a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. Topaz is typically intended for patients who have not responded to more traditional . 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. The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. Topaz Treatment is a microscopic minimally invasive technique used to break up scar tissue and increase blood supply to a . The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. 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. Failed cases were operated using either technique. The doctors of UFAI's Achilles Institute are at the forefront of Topaz research and therapy. Your billing company was providing you with the best option, CPT 28899 "unlisted procedure, foot or toe." 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. . Topaz Microdebrider Surgical Technique - Smith & Nephew Along as give security through knowledge for after care and peace of mind. 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. To date, over 5 million Coblation procedures have been performed. Along as give security through knowledge for after care and peace of mind. TOPAZ Microdebrider Designed for tendon and fascia application, the TOPAZ MicroDebrider provides a quick 4,7 outpatient procedure. Q. 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. 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). 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 current study evaluates the results of the treatment. 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 main advantage is quicker time to full recovery and less pain after surgery. This vast resource of information is for your benefit in understanding and making an informed decisions. To date, over 5 million Coblation procedures have been performed. TOPAZ enables the microdebridement of soft tissue present within the tendons of the knee, shoulder, elbow, ankle and foot. 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. The Topaz procedure is undertaken under general or regional anesthesia. Open technique is more effective than percutaneous technique for TOPAZ radiofrequency coblation for plantar fasciitis Foot Ankle Surg. 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. TOPAZ is a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. 225 W. 34th Street (14 Penn Plaza), Suite 1005. TOPAZ Wands allow use of a minimally invasive technique, requiring only a small incision. Coblation technology gently dissolves tissue, minimizing damage to surrounding healthy tissue. A tourniquet is applied to ensure bloodless operative field. The surgical removal of tissue is often necessary for treatment of the tendons found in the small joints. 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 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. Feb 2, 2009. During this treatment for Achilles tendinosis, a series of microscopic holes are made in the soft tissue around the affected area of the tendon. The TOPAZ technique has been associated with quick return to daily activities allowing for . We are foot & ankle surgeons who specialize in podiatry, sports medicine, trauma, revisional, and reconstructive surgery of the foot & ankle. 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. 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 . The 0.8 mm tip of the TOPAZ Wand allows . 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 a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. Response: There is no CPT code for the Topaz procedure. The Topaz probe is then introduced and a burst of radiofrequency energy is used to . As well as in ankle arthroscopy surgery. 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 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). 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. The TOPAZ technique has been associated with quick return to daily activities allowing for significant improvement in patient outcomes. 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. Since launching TOPAZ with expanded indications for tendonotomy in 2005, Topaz is a minimally invasive alternative for thousands of patients for . The Topaz . Often, a boot is used for 2-3 weeks and return to activity is rapid as compared to open surgery. The procedure involves using a special needle-like wand to create a series of holes into the plantar fascia region of pain. I billed CPT 28008 (fasciotomy, foot and/or toe). Also, to provide peace of mind through knowledge of common disorders, procedures, and after care. To date, over 5 million Coblation procedures have been performed. 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 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. For more information on the Topaz procedure, please contact our office at 863-299-4551. 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. Topaz Procedure. This animation will show the minimally-invasive technique. The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. We are grateful that you have chosen us as the health care provider for your foot and ankle problems. 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. We are grateful that you have chosen us as the health care provider for your foot and ankle problems. TOPAZ Wands provide patients with a minimally invasive alternative to surgical debridement. The Topaz probe is then inserted which emits a small . 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. This is a revolutionary new medical device called the Topaz MicroDebrider, offering a minimally invasive alternative for the treatment of tendons and fascia. What Does the TOPAZ Wand do? It's the perfect treatment for tendons and fascia. Topaz Treatment is a microscopic minimally invasive technique used to break up scar tissue and increase blood supply to a damaged region of tendon. Preparation. This technology is rapidly being adopted by surgeons around the country specializing in sports medicine procedures. "The TOPAZ technique is a great tool to help patients and I think a lot of people are benefiting from it. I have presented this technique at conferences around the United States. The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. TOPAZ Wands allow for the application of radiofrequency energy and removal of tissue. Plantar Fibromas Lumps in the Arch of the Foot. The TOPAZ technique has been associated with quick return to daily activities allowing for significant improvement in patient outcomes. 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 is a quick, simple and minimally invasive medical technique now 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 performed the Topaz treatment with great success, for tendinitis. The Topaz procedure, also known as Topaz Coblation therapy, is a minimally invasive surgical procedure performed under local anaesthetic to treat plantar fasciitis. 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. I performed a fasciotomy on a patient's left foot using the Topaz technique. A series of microscopic holes are made in the soft tissue along the region of Achilles trauma or scar formation. ADVANTAGES WITH USING TOPAZ About TOPAZ TOPAZ is a quick, simple and minimally invasive medical technique now 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. #6. TOPAZ is a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. Query: Fasciotomy Using the Topaz Technique. The patients were all treated conservatively according to a standardized protocol. TOPAZ coblation is a quick, simple, and minimally invasive medical procedure. About TOPAZ 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. 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. We welcome you as a patient to our practice in Manhattan and Queens! TOPAZ has offered [] A series of microscopic holes are made in the soft tissue along the region of Achilles trauma or scar formation. 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. This technique is ideal for patients suffering from plantar fasciitis. 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. It has been described for conditions including tennis elbow and rotator . 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. Quick, simple, minimally invasive procedure. 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. To date, over 5 million Coblation procedures have been performed. TOPAZ is a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. TOPAZ Wands allow use of a minimally invasive technique, requiring only a small incision. To date, over 5 million Coblation procedures have been performed. After a few weeks, patients usually transition to a supporting shoe. 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 utilizes patented Coblation technology, designed to specifically treat tendons and fascia. Surgical technique. 2012 Dec;18(4):287-92. doi: 10.1016/j.fas .2012.05. . 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. 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. This vast resource of information is for your benefit in understanding and making an informed decisions. Topaz Procedure: Minimally Invasive Radiofrequency Treatment for Tendons and Fascia. 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. It's a minimally invasive technique that's already been used in more than 5 million procedures. Topaz Treatment is a microscopic minimally invasive technique used to break up scar tissue and increase blood supply to a damaged region of tendon. There were 24 TOPAZ procedures and 39 endoscopic plantar fascia releases, choice of treatment was not randomized and depended on surgeon's assessment. Lateral epicondylar release. Topaz Procedure. (RF) probe is a minimally invasive procedure for treating chronic tendinopathy. 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