Dr. Donato and Dr. Carley are one of the first foot and ankle surgeons in the country utilizing this new technique for the treatment of Achilles tendonitis, posterior tibial tendonitis, peroneal as well as plantar fasciitis and Achilles enthesopathy. This technique is minimally invasive, minimal disability yet produces signigicant relief and ability to return to activity with out disability.

TOPAZ is a simple and quick procedure ... utilizing the exceptionally controllable properties of Coblation.

Through a small incision about an inch long ... the TOPAZ MicroDebrider is applied on and around the affected tendon for 1/2 second duration treatments a quarter inch apart ... until a grid-like pattern is formed. With every fourth application, the device is inserted deeper into the tendon - approximately 1/4 inch in depth.

Small amounts of tissue are removed as a light dose of radiofrequency energy is directed into the tissue.

The entire TOPAZ procedure typically takes less than 20 minutes and the patient is ready to leave the clinic once recovered from light anesthesia.

The TOPAZ Microdebrider utilizes the same proven technology that is used in more than 10,000 operating rooms and 2 million patients worldwide.

New Treatment Options: Bipolar RF Electrosurgery

  • Improved vascularity stimulates healing
  • Recent research suggests that, in addition to ablation, Bipolar RF treatment also induces a healing response by improving vascularity
  • Significant VEGF production growth factor production
  • Creation of local micro-vessels
  • Increases local perfusion