Topaz Procedure

What Is the Topaz Procedure?

The Topaz Microdebridement Procedure uses radiofrequency energy delivered through a small wand inserted into the damaged tendon or fascia. The energy creates controlled micro-injuries that trigger the body’s regenerative response, breaking down scar tissue and stimulating new collagen production and blood flow.

The result? A natural repair of the tissue without cutting or detaching tendons — making it a minimally invasive alternative to traditional foot surgery.

Conditions Treated with Topaz

• Chronic Plantar Fasciitis (Heel Pain)
• Chronic Achilles Tendinitis
• Tendinosis (Degenerated Tendon Tissue)
• Scar Tissue and Fibrosis from Prior Injury
• Persistent Heel Spur Pain (non-responsive to conservative care)

This procedure is especially beneficial for patients who’ve had symptoms for 6+ months and failed physical therapy, orthotics, cortisone injections, or shockwave therapy.

Why Choose the Topaz Procedure?

✅ Minimally Invasive – No large incisions or tendon detachment
✅ Quick Recovery – Most patients return to walking in a supportive shoe within days
✅ High Success Rate – Clinical studies show 80–90% success rates in relieving pain
✅ Outpatient Procedure – Done under local anesthesia in an outpatient surgical setting
✅ Low Risk – Lower chance of complications compared to open surgery

What to Expect During and After the Procedure

During:

• Performed in a sterile surgical setting (often outpatient)
• Local anesthesia is used
• A thin probe is inserted through small skin punctures
• The treatment typically takes under 30 minutes

After:

• Mild soreness or bruising may occur for 1–2 weeks
• Return to normal footwear within 1–2 weeks
• Gradual return to activity over 4–6 weeks
• Physical therapy may be recommended for optimal recovery

Most patients report noticeable improvement within 4–6 weeks and continue to improve over 3 months.

Complementary Advanced Therapies

At SoCal Foot and Ankle Doctors, we often combine the Topaz Procedure with other regenerative options for enhanced results:

• Shockwave Therapy – Boosts blood flow and collagen synthesis
• Amniotic Injections / Fetal Tissue Allografts – Enhances tissue regeneration
• Custom Orthotics – Reduces mechanical stress to protect healing tissue
• PRP Injections – Platelet-rich plasma to accelerate tendon healing

We tailor your post-procedure care to your unique diagnosis and recovery goals.

Is the Topaz Procedure Right for You?

If you’ve tried physical therapy, orthotics, anti-inflammatories, or injections with limited relief, Topaz may be your solution. Our specialists will assess your condition, imaging, and medical history to determine if you are a good candidate.