TOPAZ tendon microdebridement is a minimally invasive procedure used in the management of certain chronic tendon and fascia conditions.

The procedure involves the use of specialized radiofrequency technology and may be considered for ongoing tendon- or fascia-related symptoms that have not improved sufficiently with conservative treatment.

At DeNova Health, TOPAZ may be discussed when symptoms, assessment findings, and previous treatment history suggest that a targeted procedure may be appropriate.

What This Procedure Does

TOPAZ tendon microdebridement is designed to create small treatment points in the affected tendon or fascia. These points are intended to stimulate a local healing response and address tissue that has become chronically irritated.

This procedure is commonly discussed for long-standing tendon or fascia conditions, such as chronic plantar fascia pain or certain tendon concerns.

TOPAZ is not used for every type of tendon pain. It is considered when the painful area can be clearly assessed and conservative options have not provided enough improvement.

When TOPAZ May Be Considered

It may be considered when:

• Pain has become chronic: Symptoms have lasted for an extended period and are not settling with standard care.
• A tendon or fascia is involved: The pain appears linked to a specific tendon or fascia problem.
• Conservative care has not been enough: Footwear changes, orthotics, bracing, physical therapy, activity modification, or injections have not provided enough relief.
• Movement is being limited: Walking, work, exercise, sport, or daily activity is affected by ongoing pain.
• A targeted procedure makes sense: The affected tissue can be identified and matched to a clear treatment plan.

What to Expect at Your Visit

Your visit starts with an assessment of your symptoms, movement, and treatment history. If TOPAZ is appropriate, the clinician will explain how the procedure works and why it may fit your care plan.

The treatment area is cleaned and prepared. A small probe is used to treat the affected tendon or fascia with radiofrequency energy. You may feel pressure, aching, or temporary discomfort during the procedure.

Aftercare and Recovery

Aftercare may include:

• Protected activity: You may need to reduce weight-bearing, sport, or heavy loading for a period of time.
• Temporary soreness: The treated area may feel tender, achy, or irritated after the procedure.
• Gradual return to movement: Activity is usually reintroduced in stages based on comfort and clinical guidance.
• Rehabilitation support: Physical therapy, stretching, strengthening, orthotics, or bracing may be recommended.
• Follow-up review: A follow-up visit may be used to monitor healing, pain, and function.

Possible Side Effects and Limitations

Possible side effects may include:

• Temporary pain flare-up: Symptoms may feel more irritated before they begin to settle.
• Bruising or swelling: Mild bruising, swelling, or tenderness may occur around the treatment area.
• Short-term stiffness: The tendon, fascia, or nearby joint may feel tight or sensitive during early recovery.
• Delayed improvement: Results may take time because the procedure is intended to support a healing response.
• Variable results: Some patients improve, while others may need more care, reassessment, or a different treatment option.

TOPAZ is not a guaranteed fix. It may be helpful when chronic tendon or fascia irritation is properly diagnosed and paired with the right recovery plan.

Book a TOPAZ Consultation

If chronic tendon, fascia, or heel pain is not improving with conservative care, DeNova Health can assess whether TOPAZ tendon microdebridement may be appropriate.

Book an appointment to review your symptoms, discuss your treatment options, and determine whether this procedure fits your care plan.