This is a minimally invasive procedure I use to treat Plantar Fasciosis and Achilles Tendonosis. A microdedrider from ArthroCare is used to create small holes in a chronically scarred Achilles Tendon or Plantar Fascia Ligament. This causes an inflammatory process to the tissue and increases blood flow and healing. I perform this procedure in an outpatient setting at a surgery center or hospital with local anesthesia and a mild sedation. No incisions are required.
A small grid of puncture holes are made with a needle to pass the Topaz instrument to the affected area. This allows for less scarring, pain and therefore a quicker recovery. Patients will wear a walking boot for approximately 2 to 3 weeks. So far there have been no scientifically published studies showing the efficacy of these procedures.
However, I have found them to be an effective alternative to other procedures which may be precluded due to a patient's contributing factors such as foot type, failure of previous treatments to name a few.