TOPAZ® Procedure for Achilles Tendinosis

During the TOPAZ® procedure, your surgeon will use a specialized radiofrequency instrument to break up scar tissue in your inflamed Achilles tendon. The procedure can be performed as a minimally-invasive procedure through the skin, or it can be performed as part of an open surgical procedure.

What You Need To Know About TOPAZ® Procedure for Achilles Tendinosis

What is the TOPAZ® Procedure for Achilles Tendinosis?

The TOPAZ® procedure is a minimally invasive radiofrequency technique used to break up scar tissue and increase blood supply to the damaged region of the Achilles tendon.

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® probe delivers a burst of radiofrequency energy, which breaks up scar tissue and triggers increased blood flow to the Achilles tendon and initiates the body's healing process in a targeted manner. recovery time after TOPAZ® procedure for Achilles tendon is very short.

The TOPAZ® treatment for Achilles tendinosis is a revolutionary breakthrough in treatment. Schedule an appointment with a Resurgens Foot & Ankle physician to learn more about Achilles tendinosis surgery!

Why is the TOPAZ® Procedure for Achilles Tendinosis Performed?

The Achilles tendon attaches the calf muscle to the heel bone. Overuse or injury can cause the tendon to become chronically inflamed, resulting in pain and decreased mobility. Over time, scar tissue can accumulate on the tendon.

he TOPAZ® procedure breaks up this scar tissue and triggers the body's natural healing process, relieving pain and restoring lost mobility.

How to Prepare for the TOPAZ® Procedure for Achilles Tendinosis

Your Resurgens physician will review your pre-operative checklist with you. These precautions for Achilles tendinosis surgery include:

  • Stopping the use of anti-inflammatory medications (NSAIDs) three days prior to the procedure. This includes ibuprofen, naproxen, and other NSAIDs.
  • Stopping the use of any steroid-based medication, such as cortisone or medrol, for at least two weeks prior to the procedure.
  • In some cases, the use of blood thinners, such as aspirin, Plavix, or Coumadin, should be suspended at least seven days prior to the procedure. Your Resurgens physician will determine if this is necessary, and you must get approval from your cardiologist and/or primary care physician before stopping any blood thinning medication.
  • Arranging for transportation to and from your procedure, as the light sedation used will affect your ability to drive.

What Happens During the TOPAZ® Procedure for Achilles Tendinosis?

Preparation - In preparation for Achilles tendinosis surgery, the patient is positioned and local anesthesia is administered. The surgeon draws a grid pattern on the back of the ankle, indicating the locations that will be treated.

Coblation - At each of these locations, the surgeon carefully inserts the TOPAZ® device, which resembles a specialized sewing needle, through the skin and guides it down to the Achilles tendon. When activated, the device emits radio frequency waves that dissolve inflamed scar tissue within the tendon. By dissolving this thickened tissue, the surgeon strategically creates a new injury on the tendon that brings blood flow back to the area and will heal under controlled circumstances.

End of Procedure - When the procedure is complete, the ankle is bandaged. Some patients may be allowed to bear weight on the foot immediately, others may be placed in a cast or splint for two to four weeks. Over time, new, healthy tissue will develop in the Achilles tendon, improving mobility and reducing pain.

Are there Risks Associated with the TOPAZ® Procedure for Achilles Tendinosis?

No surgery is without the risk of complications. However, the TOPAZ® procedure is less invasive and carries a lower risk of complications than traditional surgical treatments for Achilles tendinosis. Recovery time after the TOPAZ® procedure for the Achilles tendon is also shorter.

The most common post-treatment side effect is pain, which decreases as recovery progresses and the tendon returns to normal function. Following the procedure, proper footwear, orthotic inserts, and physical therapy must be used to prevent a recurrence of the condition.

Post TOPAZ® Procedure for Achilles Tendinosis & Recovery

The TOPAZ® procedure is minimally invasive and performed in an outpatient setting. It requires no incision, and patients may notice improvement within a matter of days. Following the procedure, patients may wear walking boots or cast for approximately 1-2 weeks, after which they can transition to athletic shoes with orthotics.

Finding the best possible treatment for Achilles tendinosis starts with a visit to Resurgens Foot & Ankle Center. Visit one of our Metro Atlanta locations to learn more.

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