TOPAZ Procedure

Arterial Doppler Studies

Radiofrequency nerve ablation uses radiofrequency energy to create heat in a very small area in order to disrupt the myelin sheath on the surface of sensory nerves. The application of heat at 80º to 90ºC for 90 seconds results in gaps in the sheath, thereby stopping conduction of the nerve. Using radiofrequency nerve ablation, one can easily control pain associated with Morton's neuroma & plantar fasciitis by eliminating the sensory perception of inflammation. In fact, this technology is effective at reducing or eliminating pain from a variety of etiologies associated with heel pain, including nerve entrapments, scars from open plantar fascial releases, calcaneal bursitis and, of course, plantar fasciitis.

Shockwave Therapy (ESWT)

This minimally invasive procedure takes about 20 minutes, and is performed in a hospital setting using local anesthetic and intravenous sedation. Dr. Cappa places the Topaz wand, which looks like a sewing needle, into the affected fascia or tendon for just a half-second. Then, the wand is moved about a quarter-inch and pushed in again. This action is repeated until a grid-like pattern is formed around the affected area.

The procedure brings blood back to the affected area and restarts the healing process by increasing the growth factors in the damaged tissue region.

Radiofrequency Ablation Therapy

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Peripheral Artery Disease (PAD)
Non-invasive system for collaborative arterial testing.

Peripheral Arterial Disease (PAD) is a serious circulatory condition where clogged or narrowed arteries cause poor circulation to the arms, legs, brain or kidneys. It occurs most often in the lower extremities, causing decreased blood flow to the legs and feet. Just like buildup in the heart, clogged arteries in the lower extremities can cause stroke or heart attack.

Shock wave therapy is a noninvasive method that uses pressure waves to treat various musculoskeletal conditions.

High-energy acoustic waves (shock waves) deliver a mechanical force to the body’s tissues. Shock wave therapy may treat conditions such as degenerated tendons (Achilles tendonitis) and heel pain (plantar fasciitis). A noninvasive probe is applied to the skin. An electrical charge creates an energy wave that is focused on the area of concern. The shock waves create a force on the tissues that may induce healing. It’s not clear why this approach to healing works for some people, but it may be that shock waves cause inflammation and improve blood flow to encourage the body to repair and heal itself.