I would recommend the treatment to other people who have Achilles tendonitis." Dear Dr. Gallina, We tell everyone about you and how wonderful it is. Many experience no pain at all or only minimal and temporary pain. So I came Dr. Wellens office and she said there is something they can do about it. I felt nothing during surgery and I could tell immediately the pain was gone when I woke up. The procedure, as said before, only requires small holes compared to a larger open incision with other surgeries related to TOPAZ. This lends to quicker healing and less pain and scar tissue, and also a faster recovery. AND HAMMERTOE SURGERY: ( I would highly recommend Dr. Gallina to everyone I know. I would recommend to try them and stick with them for a while and you will definitely love them." TOPAZ RF coblation is a good and effective method for the treatment of recalcitrant plantar fasciitis. I had pain everyday and now 3 weeks into the recovery I would say I am 90% better. The sutures came out at about 2 weeks, and I only had swelling for a few months. Now after the surgery I look and feel like a girl again and can dance and walk again. I would walk 10 feet then stop and wait 10 minutes and then walk another 10 feet. Also, the orthotic inserts are great! I had my neuroma for almost 2 years and tried everything. The Topaz procedure, also known as Topaz Coblation therapy, is a minimally invasive surgical procedure performed under local anaesthetic to treat plantar fasciitis. The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. A recent study showed a 92% success rate in pain reduction reported by patients. TOPAZ is a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. You are a breath of fresh air and are a credit to your profession. The Dellon Procedure has certainly worked forme and I would recommend it to anyone who has diabetic neuropathy." learn more Clinical results improve with time for up to 1-year post-operatively. In preparation for the procedure, the patient is positioned and local anesthesia is administered. Topaz Procedure- Foot Surgery: Patient Testimony 6,333 views Feb 10, 2009 8 Dislike Share Save flfootandankle 71 subscribers "I have had pain in my heel for the past 4 years so I had non-invasive. I have been taking Neurontin (1800 mg.Daily) for about 3 years and it did help a little, but the pain and the tingling numbness were so bad at night that I had troublesleeping. TheTOPAZprocedure minimally invasive radiofrequency. It serves Utah County communities including Alpine, Highland, Lehi, Eagle Mountain, Saratoga Springs, Cedar Hills, Pleasant Grove, Lindon, Orem, Provo and Springville. I couldn't do anything like shopping, go to the store, or mall or anything. I would say that I have at least 75% of the feelingback in my feet and none of the sharp shooting pain from my toes into my legs. I spoke with my primary care physician and he recommended that I try it. My foot is healed and thanks to him I am on my way to a full recovery. I was in a lot of pain at night mostly and some during day and couldn't even go to the bathroom but now I am 90% improved. Minimally Invasive Treatment for Tendons and Fascia. I had pain for 1 & 1/2 years and it was excruciating pain. It was like I never had it. -- Gail T. "Your kindness is greatly appreciated. To help reduce these risks and make sure you are a good candidate for Topaz, your doctor may do an MRI or ultrasound of the foot prior to the procedure. A radiofrequency wand is then inserted into each puncture to make a small hole in the plantar fascia. learn more The risks of open surgery are eliminated and patients are able to walk on their feet immediately. -- Teri, Morton's Neuroma: "I had Morton's Neuroma in my foot for a couple months. -- Claire, SHOCKWAVE THERAPY ( We tried several treatments and finally decided to do the topaz compilation treatment. 25272 McIntyre St STE H, Laguna Hills 92653, Post Surgery Center ) "I had surgery 8 weeks ago, and I had my bunion removed and 2 hammer toes straightened. Once recovery from surgery I couldn't feel any burning or pain. It is an alternative to surgery. He is the best in the state of Florida." :-) I went and got my toenails done last night and they are clean again. I couldn't walk. After the surgery my pain level is now a 1. I was in a lot of pain before coming to see Dr. Wellens. Fascia Rupture: If your plantar fascia has a partial tear (you may not be aware of this), Topaz may put you at risk for Plantar Fascia rupture. -- Molly, Plantar Fasciitis Surgery "I had plantar fasciitis on my left and it was very very painful before my surgery. I HAD HAMMERTOE SURGERY ABOUT A YEAR AGO AND IT WAS AN overall pleasant experience. Help, it Feels Like Broken Glass is Stuck in My Heel! Michael Gallina, who performs the procedure. I made an appointment withDr. It's applied in half-second intervals in a grid-like pattern. What a nice surprise! ", Dear Dr. Gallina, Do this for two to three minutes. -- Janet. Several studies have shown that it is effective for treating stubborn cases of Plantar Fasciitis; however, it can be somewhat painful, and some insurance companies are reluctant to cover this procedure. I was told by other doctors that there was nothing they could do about my condition and I would wear these braces forever. I never thought the surgery would go this well but it was fantastic. The TOPAZ technique is tailored to each individual case with some patients being treated with the wand through a small incision in their foot and others being treated over the skin. As the wand enters the skin and fascia, it emits a small burst of radio wave energy, which creates a tiny cut and removes a small amount of tissue. TOPAZ is a perfect treatment for plantar fasciitis. I would do it again on the other foot when it comes time. We tried several techniques and nothing worked. It was much better than I thought is was going to be. "This is just a small token of my appreciation for your fine care and professionalism in your office. Hold it for 10 seconds while massaging the bottom of your foot. To date, over 5 million Coblation procedures have been performed. Get the orthotics they will make the pain go away." Well it never healed so I asked for a new doctor and they sent me to Dr. Gallina. Radiation therapy uses small doses of radiation to target the damaged tissue in the fascia. If you have severe foot pain, you may want to seek treatment with a podiatrist. Radiation therapy is another nonsurgical treatment option that may be a good alternative to Topaz, especially for patients with a partial rupture or abnormalities in the foot that might be further complicated by Topaz. -- Judy, Bunion and Hammertoe Surgery: "I had bunion and hammertoe surgery on the same day and I was very satisfied with the results. I would recommend bunion surgery if they have Dr. Wellens as their doctor. The surgery wasn't painful at all and after the surgery I have no pain at all. Physical therapy was great and the Dr. Wellens was wonderful. My level of pain was about an 8 and I had pain in my legs and feet. It had gotten so bad, it wastotally consuming me. Generally, patients take a week following Topaz surgery wearing a walking boot, then normal sneakers with orthotic insoles. ) "I was in agony because of my hammertoes. They put 2 pins in straight out my toes and 2 screws in for my bunion. He gave me an exam and said the chances of it helping me were only about35%. I have no pain at all after the surgery and it was absolutely 100% worth while. I am walking today without nuts, bolts, and screws. I still have asmall amount of the numbness and tingling in my toes, but it is so much better. THANK YOU for being who you are, a kind and caring individual." The procedure can be performed as a minimally-invasive procedure through the skin, or it can be performed as part of an open surgical procedure. I hear you talking to your patients and you have a heart. I came in to get a Ritchie brace and it feels good. Thank you for being so nice and so easy to relate to." So we decided to use orthotics and they definitely helped. The TOPAZ wand delivers radio-frequency energy to the affected tendon, which breaks up the scar tissue and helps improve blood flow to the damaged area. George W. They did a great job..I feel much better. The procedure may be performed with either local anesthesia or sedation and takes only 10-20 minutes. ) I had 4 doctors say it was broken and all they did was put me in a boot and said carry on with your daily life. During this procedure, the surgeon uses a radiofrequency device called a TOPAZ microdebrider to break up scar tissue in a painfully-inflamed plantar fascia (a band of tissue at the bottom of the foot). I had a lot of pain for about a month or two and I had limited walking outside. -- Robert, Arthritis and Joint Replacement Surgery - "I had my last evaluation today from my joint replacement surgery I had on March 5th. I was in a lot of pain. I tried orthotics, and we tried injections and nothing helped. Would highly recommend. learn more I couldn't even find shoes that would fit my feet. I couldn't put any weight on my foot at all and I couldn't walk at all. During open surgery, the plantar fascia is cut and heel spurs are filed down. 11480 South St STE 208, Cerritos, CA 90703, Laguna Hills This is the second time I have been to you and I am totally impressed with your honesty, professionalism and suburb personality. The surgery is a long process but I would highly recommend coming to Dr. Wellens to have the surgery. While fascia release surgery, or plantar fasciitis surgery, is often the last resort because of the downtime, pain, and expense involved, the surgery has a high success rate and may still be a good option for many people with chronic plantar fasciitis. learn more She put an artificial joint in my foot and it was definitely worth having the surgery. What a pleasure it was to meet you and welcome you into my life as my doctor. The surgery was very simple and after about a week the pain to go away. Pull back on your toes to stretch the bottom of your foot. -- Bobby H. "Thank you Dr. Wellens, my foot is feeling MUCH better and thank you for your making it better. "I would like to thank you for taking such wonderful care of my foot. Treatment for painful heel syndroms. I 3 treatments of shockwave therapy with 1 week apart and I am at least 90% better now. The success rate of TOPAZ is also equal to the surgical approach. While the following complications are rare, its important to talk to your doctor about whether or not they might be significant for your unique situation: Fascia Rupture: If your plantar fascia has a partial tear (you may not be aware of this), Topaz may put you at risk for Plantar Fascia rupture. -- Gail, Bunion Surgery "I had bunion surgery 3 & 1/2 months ago and had my neuromas removed also. For 6 weeks I wore a boot and tried everything and nothing worked so I had to have surgery. I could walk right away going back and forth in the air cast w/ minimal help." ) "I have had pain in my heel for the past 4 years so I had non-invasive surgery on my heel. learn more . Thank you!" TOPAZ is a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. -- Carmen, RICHIE BRACE ( I think you and your office team are truly great." -- LOUIS, Dellon Procedure: ( My pain level is very minimum and I would recommend having the surgery done. " If it was not for you I would have never had a cast. Northridge To date, over 5 million Coblation procedures have been performed. Thank you for your thoughtfulness and yes - you are all awesome." How TOPAZ Works During the procedure, a device called the TOPAZ MicroDebrider (the "TOPAZ wand") is applied to the affected area through a small port site. The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. TOPAZ is a minimally invasive alternative for the treatment of plantar fasciitis, Achilles tendinitis, Posterior Tibialis tendonitis, Anterior Tibialis tendonitis, and other tendon and ligament problems in the foot and ankle. During the procedure, approximately 20 small punctures are made in the bottom of the heel, about the size of a pencil point. The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. I am extremely pleased with last surgery and you cant even tell I had anything done. Thank you and your staff for a very professional and productive visit. No one up north had heard of this and I can't wait to tell them that I did get relief." I would highly recommend this surgery to anyone who has the same problem and if it happened to my other leg I would have the surgery done right away. The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. The procedures each lasted about 5 minutes, and 2 weeks after the last treatment I have no more pain." . I had 3 treatments in the office, and they were not painful at all because of the local aesthesia I received. I was sore the 1st couple of days but the pain medications helped. I had the pain for years and finally decided to go see a podiatrist. The shots worked right away and I haven't had any pain for 2 weeks. Topaz is an innovative, state-of-the-art technology that takes a novel approach to dealing with chronic soft tissue (tendon and ligament) injuries that just won't respond to non-invasive treatments. Extracorporeal shock wave treatment, or ESWT, is a safe and effective way to provide relief for patients who have experienced heel pain for an extended, Nail fungus, also called onychomycosis, affects many patients, with Laser Nail Fungal Treatment being the primary solution. I had orthotics made and special shoes for more support and cushion on my ankle. Thank you." TOPAZ is a procedure used for heel pain in cases of heel spurs or plantar fasciitis. We tried non surgical treatment and it didn't work. I had to get numbed up because I was in so much pain just for the doctor to touch me. Now I am going to the gym and walking everywhere. Then I came to see Dr. Gallina and I found out the Dellon Procedure has put me on high and changed my life for the good. -- Gerdie, Heel Pain - Custom Made Orthotics "I had heel pain for 2 months and the pain was crippling and I would dread working the next day. I'm in my late forties, female, runner, triathlete, weight lifter. I am so glad that I had it done, because the pain that I experienced from my feet and into my leg is no longer there. I had surgery on my right foot on November 4, 2005 and followed with the left foot onDecember 2, 2005. The procedure worked very well and patients would be allowed to put weigh of the foot after about one week. Dr Hassid was super nice, very thorough, and explained all my options clearly. On a scale of 1-10 I was a 10 with severe pain. learn more These are considered to be conservative treatment options for this condition: During open surgery, fenestration is performed on the plantar fascia. Please fill out the form and we'll contact you shortly. The TOPAZ MicroDebrider utilizes patented Coblationtechnology, designed to specifically treat tendons and fascia. Arrogance serves no one well, but as the old saying goes; friendliness is the grease that lubricates the wheels of life. The surgery was great. " The procedure involves using a special needle-like wand to create a series of holes into the plantar fascia region of pain. During the procedure, the Los Angeles podiatrist at Socal Foot and Ankle doctors use a special needle-like wand to create two or three dozen small holes, a quarter-inch apart, in a grid pattern over the plantar fascia. Sincerely, REQUEST AN APPOINTMENT Topaz Procedure. If you arent a good candidate for Topaz surgery, or you determine that the procedure isnt the right fit for your situation, the following medical interventions may be good alternatives: ESWT is a nonsurgical medical treatment option for Plantar Fasciitis that, similar to Topaz Surgery, uses energy waves to treat the damaged arch. All of the pain from fascia is gone, overall very pleased w/ surgical results." The wand is moved about a quarter-inch and inserted again to complete the pattern and treat the affected area. So we decided instead of open surgery we did shockwave therapy treatment. Before the surgery I had so much pain that I could only walk for 1 mile a day and only 10 feet at a time. The pain and tingling were there 24 hours a day, 7 days a week. -- Debbie, Hammertoe Surgery: ( I am pretty pain free and very happy I didn't have to get surgery. I came in to see Dr. Gallina because I couldn't walk. 3 Simple Exercises To Prevent Plantar Fasciitis, BYU Football Players Suffering With Plantar Fasciitis, Plantar Fasciitis - The Most Common Cause Of Heel Pain. Request an Appointment It is an alternative to surgery. "Thank you for seeing me today about my foot. How Does the Topaz Procedure Work? I read an article in the local newspaper about the Dellon Procedure. ) "I had Morton's Neuroma on both feet. I would definitely recommend the surgery and it was done very well and the results are amazing. 818-981-1900; SAME DAY APPOINTMENTS AVAILABLE. Loosen the plantar fascia by rolling the bottom of your foot along a frozen water bottle or rolling pin. Go for the surgery it is worth it." learn more 18433 Roscoe Blvd, Ste 214, Northridge CA 91325, Agoura Hills TOPAZ has offered a minimally invasive alternative for thousands of patients for the treatment of Plantar Fasciitis, Achilles Tendinitis and other fascia and tendon in the Foot and Ankle. I put these Richie Braces on they feel so great and I even walked all around the Strawberry Festival all day this past weekend. My right foot has not felt so well for the past fifteen years. It has been about 6 weeks and I am doing very well. -- Nancy, Heel Spurs - Cortisone Injections for Plantar Fasciitis "I feel wonderful 3 weeks after my cortisone injections for heel spurs (plantar fasciitis). I was scared but knew I had to have it done and I thank you." Understanding your foot function while you walk and stand. TOPAZ is a procedure used for heel pain in cases of heel spurs or plantar fasciitis. -- Beverly, REMOVAL OF NEUROMAS ( ) "I didn't have a lot of feeling in my legs and I started out with numbness and tingling and burning in my toes. I had been to a Podiatrist who gave me arch supports and shots but said the next step was to completely cut the tendon. Sincerely, 11645 Wilshure Blvd., STE. It hurt to walk and do steps. It interfered with my lifestyle. I had a little physical therapy after surgery but didn't need much." IT WORKED!!! It was definitely worth my while having the surgery." I could hardly walk or stand for long periods of time. The Topaz procedure is a surgical procedure that is used to treat plantar fasciitis. Toe Stretch. -- Paul L. "Your kindness in sending 2 cents stamps was awesome. I had a spur in my Achilles tendon. I decided to have the procedure. ) "I have arthritis and flat feet and they hurt terribly all day. The risks of open surgery are eliminated and patients are able to walk on their feet immediately. Topaz Procedure: Minimally Invasive Radiofrequency Treatment for Tendons and Fascia The Topaz Procedure (or Topaz MicroDebrider) is a minimally invasive, state-of-the-art procedure used to treat chronic tendon and ligament conditions such as chronic Achilles tendonitis and chronic plantar fasciitis. -- Ellen. Non -invasive therapy for painfull heel syndrome. I had a lot of pain and on a pain scale of 1-10 I was a 10 with the worst pain. I wish that I could find a personal physician who is just like you. They are the most caring and professional staff I have ever visited. TOPAZ PROCEDURE Call Us Today! I still have a little bit of pain but I appreciate what you have done for me. Foot and Ankle Institute 2018. I made an appointment withDr. M 6:00-3:00 T 8:00-5:00 W 10:00-7:00 Th 8:00-5:00 F 7:00-4:00, 2022 Mountain West Foot & Ankle Institute, All Rights Reserved, Reproduced with Permission. Because of the shorter healing period, people with chronic Plantar Fasciitis in both feet sometimes decide to have both feet treated with the Topaz Procedure at once. learn more I had 3 sessions with 1 week apart on both feet. I'm feeling much better and I would do it again w/out hesitation. It's specifically designed to treat soft tissue injuries and it's a minimally invasive procedure. The pain is often Lorem ipsum dolor sit amet, consectetur adipiscing elit. --BARBARA, TARSAL TUNNEL SURGERY - "It has been 4 years since my Tarsal Tunnel surgery in my right leg. -- Vashti, Achilles Tendon Surgery: "I had surgery almost 6 months ago and it wasn't something I planned. Chandler AZ Podiatrist Family Foot & Ankle Care, PC 600 South Dobson Chandler, AZ 85224 (480) 732-0033 Call For Financing Options The fascia was then fenestrated with the Topaz probe and a burst of energy breaks up the scar and stimulate the body's own response to help heal the region. This therapy is effective for about 80% of patients, reasonably priced, has minimal side effects and risks, and is not painful. 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