Topaz, Not Just a Pretty Jewel

If I were to tell you there were a procedure called the Topaz would you think it involved the use of a glittery precious stone? I would hope not, but wouldnt it be amazing if that were truly the case.

The Topaz procedure is used as a possible treatment option for plantar fasciitis and heel pain. I know we have discussed in prior blogs what plantar fasciitis is so I will not spend any time reviewing. The Topaz is another weapon used in the war against plantar fasciitis. Please know it is not the only available option for treatment and as many treatments it does not come with a 100% guarantee that it will cure your problem.

What is it and how does it work?

The Topaz procedure is a minimally invasive surgical technique used NOT just for plantar fasciitis, but it is a very common indication for its use. It involves making a dotted grid pattern on the bottom of your heel with a marker. This grid is made overlying the origin of the plantar fascia. After the grid is made, the dots are punctured penetrating the skin BUT not the fascia. A metal tipped wand is then inserted into each individual hole where the actual Topaz procedure now begins. A bipolar radiofrequency is transmitted through the wand that debrides the fascia. The idea is to create an angiogenic response and increase vascularity. Increased vascularity brings necessary cells for healing.

The biggest plus that has most people looking at this procedure is that it is minimally invasive. Again, this is not the only option for treatment.

If you suffer from plantar fasciitis and are in need of TLC for your feet, please contact Dr. Bowman at 713-467-8886 or visit

Category: Heel Pain

Tags: Feet, Plantar Fasciitis, topaz procedure