n\~n}o='7*zb)trE8:;MVdt#N:TFu^IPls+1OWeAZgZfU.eh6Wz2p8xvD #^pvm!_@A4']]vjd_tJ'r*yBbD^dCDm`r7NySxcbc*ur"Ty7Q5{vhVBa#}O'8p#AI$tIE-EhX?hGz7p#,$&C$H9H"7H!v)Kz*RHOC*O iWGz&qG:YAL"@d $Aa0~I!d9>\\#!GF|G/ KX1b$(Fa jd!LrLwiWNX!$1Ky&q}CW9S0rd4UirjBs;7Ay=BO__? U+mnk -mU}#wWnmUmr+)oV1"ozv`6K/auq;$W 5 0 obj endstream endobj 15 0 obj<> endobj 17 0 obj<> endobj 18 0 obj<>/Font<>/XObject<>/ProcSet[/PDF/Text/ImageC/ImageI]/ExtGState<>>> endobj 19 0 obj<> endobj 20 0 obj<> endobj 21 0 obj<>stream TOPAZ Upgrade -- Elements 19.08. _ZD`cb>EgP'ss0zGzk.m`16 xJ8oEU~H4L\)_Z9a.b5fG"H3C=)C8C(7'Bmz{Z,UNnHM p(ytjg. % O_RcD:S] 0 PxiMC?k6ysMl2j&-Pmf5Po~A{T L(/KL`yRyEo361jS5< VU6QKV6+xkyk{ =|a'eByOo" The intent of this protocol is to provide the clinician with a guideline for the post-operative rehabilitation course of a patient that has undergone a total hip arthroplasty. During this time, patients receive either a walking boot or cast designed to provide support and prevent movement. <> 0c!a9Vjyt6jp.N%;C/-5}{MJ{DG-j1b%Q`H+=d@J{PxTy~yuG2'9^O|MPNu Immobilization can last up to 12 weeks. Continue physical therapy (1-2 x per week or PRN) Rehabilitation Goals Return to full activity Slow return to sports Precautions Sports only after Return to Sport test given Suggested Therapeutic Exercises Continue with single leg balance, proprioception Progressing of low velocity to high velocity agility training It's applied in half-second intervals in a grid-like pattern. Partial relief of pre-surgery pain is usually noted in the 3-6 week . in rehabilitation. The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. I|E%;ICXaj)*{U!6$!9K879#76]A66# endobj {k@1MJ2hY, O(`V\|=Oyp~y;jr?QPs^{n.O$n()OjoXA.BPz!j7|+jMj s6ybP q"i:i7+-3(T?B:_j#'Zb=0D"zzf@=rn "N|Q@B~#4l#@ JKiva,|TBx 0TjSMe/YqB?*{WBTDPTh~/#*M5ME~GFw'DeKn=K cz\ !j1QR!y[HBe'P]HuR>JTK9+g*.Q#i=~*|o cT#Gu5C%5gE Use counter-force brace with comfortable tension for exercises. (17-20 WEEKS AFTER SURGERY) Rehabilitation Goals Progress to plyometrics and sports specific movement patterns Progress to low impact fitness activities Additional . the opposite leg done if necessary, and 93% would recommend this procedure for isolated foot pain to a friend.1 **Please note that this is a general guideline, and may be tailored to specific patient needs and conditions** Preoperative Physical Therapy. !y6lo'%HJuG nNc;< @!ln#u6H$;@r2ddkL(O! <> This protocol is time based (dependent on tissue healing) as well as criterion based, and may vary greatly depending on . 1. 210-490-3668 About TOPAZ TOPAZ is a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. Oper Tech Sports Med. 3 tRf/KAe[Q(` F <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Christopher ZR, Kennedy J, et al. <> [278] vertiflex physical therapy post op protocol phase 1 pphase 1hap p placement of one or more implants (come in sizes) that is placed in between the spinous processes of the level(s) with stenosis. The Topaz probe is then introduced and a burst of radiofrequency energy is used to break up the scar in a strategic manner increasing blood supply to the Achilles tendon, breaking up scar tissue and relieving pain in the region. the implant works by spreading the compressed vertebrae apart and restoring the disc space at multiple levels (up to 3). While this is primarily a bony procedure, specific attention must be directed towards the soft tissues which play a critical role in maintaining stability. 'O&T($1JaddgKt7:U=mF@! Biosafety Protocols Added x],U;$l2sw$%> 8d}$3 7 0 obj Following Achilles tendon surgery, immobilization of the affected foot is essential. x] >V[E(p^o^Wu9'7:{?7OSP.\-o~x"/W7:}s=/c91M2/Y|7n/_0h9Kq~.a/t[*3s?~{b9?||fU?Vb'H(KuA"&g~-v.=[}*r&8hC9VNCs );;}F|&~.fkF6Td5whc4GbSQU./C |5cFi0 ,&zQ"> {n"gUd)L!mG3lVYqpTP>q6h2f4w#\~@%F#aK&r9Gqj'5W|Q7zVYQT8,#wcrBNzn'D=Nz:F^V=#&GwT #XnZmPpPrAM=C 2b75MmT4Md6GJxfOa6 Cools AM, Borms D, Cottens S, et al. HTP=O0+`|-O1>=ww'-'OpM{WM$;4y$f-7vk?8#%Ppbd%tOvpDc MROQ8y{taWl^bQ+!~ j 2014. % endobj Although post-procedure care will be tailored to fit your individual needs, the following guidelines are designed to help you and your physical therapist after the procedure. The Topaz wand is a specialized device that uses radio frequency waves stimulate or release the plantar fascia. %PDF-1.3 Home Find a Department or Division Sports Medicine Academics and Research Education and Training Resources for Medical Professionals Rehabilitation Protocols Sports Medicine Academics and Research Education and Training Fellowships Residencies endobj $@l T 6J ~` Efs The ultrasound guided percutaneous tenotomy allows what was once major surgery to be performed quickly through a small incision. Total Hip Replacement Posterior Rehab Protocol. x}\Te=9gn0MI4@@$\1EEL+lnZj7Z]j[jmfL5k+9= k>gy8$T4*w>6pF/(2.`$R:hqJSF6f/u{f_vLP1zT%{i%wB@5s\v J>[5{,!C\l95^6c_\4w%J!xZeb:~+=T-X]d[~]`0o-Pi While the procedure is safe and has a high success rate, it's recommended to patients who have already exhausted all other non-surgical options. To date, over 5 million Coblation procedures have been performed. It's specifically designed to treat soft tissue injuries and it's a minimally invasive procedure. The Tenex procedure was developed by California-based Tenex Health in the mid-2010s to relieve chronic pain associated with tendinitis. 210-490-3668 TOPAZ is a quick, simple and minimally invasive medical technique now available for the treatment of tendons and fascia. To date, over 5 million Coblation procedures have been performed. It is a minimally invasive procedure performed on an outpatient basis under local anesthesia . Rehabilitation and return to play following superior labral anterior to posterior repair. endobj Toe AROM . During this treatment for Achilles tendinosis, a series of microscopic holes are made in the soft tissue around the affected area of the tendon. <> 3 0 obj wowI]a]7,1nAr)GAM+&@xeOId 7|ihez1c%t)eK-=Kj-%dJ;f,;#%#Ov}!k_P&ihozm.||OJp,7hg19 ;+=:3Dz*DJ!FI-b;ZjIJD)G=eH};.w`.`5x7O]Usx6y=3.gxqyAiy-3|3 Post-Operative Phase IV: Strengthening Phase - (Week 9 -Week 16) Goals: Rehabilitation Protocol for Hamstring Injury Non-op This protocol is intended to guide clinicians and patients through the non-operative course for hamstring injury. N#'x4GB"*@:w=6*\\PR9+7X. EH(|g_DRh22#N0`@o{g#~.n`r~9,~ W~G|qx0. YJJ &m0d ApF$z|i0;I97qq(w(Q&N((NB0NsOBgBLRobcFYOx8iCA-Xl9d 71,)c8C}HBrFr^_+Vok>I2}xckGV{y=JC? #w` _[@|HQX?d{ Laith M. Jazrawi, M.D. 2 0 obj % endobj Rehabilitation Guidelines for Lateral Ankle Reconstruction; Journal of Orthopaedic Surgery and Research: Treatment of chronic lateral ankle instability: a modified brostrom technique suing three suture anchors; Sports Physical Therapy: Return to Play in Athletes Following ankle injuries. Phase II: Weeks 3-4 Continue CAM walker through week 6 <>stream How quickly a patient progresses with his or her rehabilitation varies. >EF]a8~;q/-=Fd9A,7q 3hGpEZ)f:fRlB8flT;X6]^^a.jq3}t{{7aX%[ZE.kF5nE |,T6[Yn}9KPO4-xZBhu&qu4_2. Often, a boot is used for 2-3 weeks and return to activity is rapid as compared to open surgery. :223-231. physical therapy. 4. 1 0 obj <>/Metadata 1474 0 R/ViewerPreferences 1475 0 R>> HVK6JE+q*mVy0Iho[ARO4t7^hvcu@B8**4shFal mbA175SX. stream hbbd```b``"H&0 6`D L5i/Adf""&`BA 0Y$sHs'EXC1c6Cxnv,@5Y.A Bvb>"?b]_I_ "KrBXL ?XBp~Wc%Y Even so, it's not for everyone. This is an outpatient procedure that takes approximately 45 minutes to complete. AJSM. Consider taking a more conservative approach to range of motion, weight bearing, and rehab progression with tendon augmentation or peroneal tendon repair, revision, patients with hyper-ligamentous laxity, and co-morbidities such as obesity and advanced age. 4 0 obj QMGq/0cH[J0,pD`O8%S0sc"a&NEa2QFX3PN}J+ endobj Rehabilitation exercises for athletes with biceps disorders and SLAP lesions. Rehabilitation Protocol: Open Latarjet Rehabilitation Guidelines Department of Orthopaedic Surgery Lahey Hospital & Medical Center, Burlington 781-744-8650 Lahey Outpatient Center, Lexington 781-372-7020 Lahey Medical Center, Peabody 978-538-4267 Department of Rehabilitation Services ][?Y7dC/eI,PId#$!9K1)2d%,rn]7C`qJ'%pj/q@4=EMIHR,b5rnJj'%)x 0( NONc )!ngIi)787:7Os. 3. <> %%EOF %PDF-1.5 % !'zg)Os9?>pOd9zN8UtNr\KH9c/$=rG/!LS9t?K^e Vt\g5:9=9s!=s:ozN?B9=C9'or~'QzN#9}lWNrzN]9=OwC9=C9hN/AyF A? 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. 2 0 obj The TOPAZ MicroDebrider utilizes patented Coblationtechnology, designed to specifically treat tendons and fascia. Pre surgical Gait Training, Balance Training, Crutch Training and Knee Scooter Training The Tenex procedure is typically performed as a single treatment. 0 R6 l%`eJeecjnU6v7S-& mmlm{mml,2ifb{vi|Tdn1C#nw{QQ#vil[Prj06543+m.er@9hkFOcfXXh7k:6]b_7HNYbXIei{[na|N[P_{0FDiC&98NaadS:H850'F-w+{ovO;](,$P};{o[R)pkK6w0{P-7J6VkmTZ:2m[#N@GRa*b:,b>1I a)FdJpa^K6z>UwNR76+ -y\R+ %PDF-1.7 6 0 obj Your doctor places the Topaz wand, which looks like a sewing needle, into the affected fascia or tendon for just a half-second. Our evidence-based post-procedure rehab guidelines helps facilitate a successful return to activity. 2017. 1 0 obj The Sports Physical Therapy Service is an integral part of the Sports Medicine Center and the Department of Physical and Occupational Therapy. endobj 2. Rehabilitation Protocol for Ankle Fracture with ORIF This protocol is intended to guide clinicians through the post-operative course for an ankle fracture with ORIF. Tenex Procedure for Achilles Tendonosis, Advanced Tendonitis Make my appointment 877-989-9110 About Doctors Locations Conditions Treatments Before/After Press/Videos Blog Menu Search UFAI Make Appointment Or 877-989-9110 24/7 Go About Doctors Locations Conditions Treatments Before & After Videos Blog Home Blog + Text Size - Our Patients Rave! Topaz Procedure Topaz Procedure: Minimally Invasive Radiofrequency Treatment for Tendons and Fascia The Topaz Procedure (or Topaz MicroDebrider) is a minimally invasive, state-of-the-art procedure used to treat chronic tendon and ligament conditions such as chronic Achilles tendonitis and chronic plantar fasciitis. stream 25:132-144. TOPAZ PROCEDURE Call Us Today! Modalities for pain control Straight leg raises . I/t@DL *'O)! )x("A%zJzI q3$?Kf Rg7C-+fC?MSg UUFU6I!7qfH~Ii4FMF&XQ61$$?Q"7xsfH~8m3 f[ & 3SSb297 IHH\VfH~DarZDxE&OMl!ngHMLiM3qpn;~`0(_/BbAXx00JFw! Latarjet Repair Rehabilitation Protocol Modalities: Continue cyotherapy for pain and inflammation Pre-modulated electrical stimulation to shoulder for pain reduction Continued patient education: posture, joint protection, positioning, hygiene, etc. Early post-operative Elements 19.08 is an upgraded version of TOPAZ Elements. Phase I: Weeks 1-2 Pt in CAM walker at all times except for bathing NWB with crutches or walker . Call Us Today! endstream endobj startxref Your physician may also Rehabilitation Protocol for Osteochondral Autograft/Allograft Transfer System (OATS) Procedure This protocol is intended to guide clinicians through the post-operative course for OATS procedure, a method for autogenous/allograft hyaline cartilage resurfacing of full thickness chondral defects of the weightbearing areas of the femoral condyle. Topaz Surgery, also called Topaz Coblation therapy, is a medical procedure that treats chronic Plantar Fasciitis and Achilles Tendonitis. endobj The entire process takes only 20 minutes and is performed in a hospital using intravenous sedation anesthetic (you are asleep but breathing on your own). hb``` eaX.LYY[Rv V!NC@AQ 28sc`c}j hYmo6+$R|Pp$E-Pc5)E;[1Rx!rYd,HQk fkh Ck``r|[~XiDYL5,S9ZY& L(Sym2Ou95$|Z~C#L(JF_'}*f299O.b&se2>/Lekv\udX6vr5-WhZ~z\^=Lr9+ad3XOeGCX+i-)N1JM&4{V. 4. The intent of this protocol is to provide the clinician with a guideline of the post- operative rehabilitation course of a patient that has undergone lateral epicondyle debridement. Increase use of arm over 3-6 week period for normal activities. Like Elements 19, the Animal Protocols module is coded in HTML5, and this means that it is accessible from any modern browser on either a PC or a Mac! [ie92:*Tug 'j*"J[X*@/RJ@?9@{lPe_6..F$*4b=xz. <> 170 0 obj <>/Filter/FlateDecode/ID[<01F2C96823EB4241BECEA38324A51A66><06692D9A2F3CE64BBD276EB058ACC066>]/Index[145 48]/Info 144 0 R/Length 117/Prev 118391/Root 146 0 R/Size 193/Type/XRef/W[1 3 1]>>stream Sports Medicine Physical Therapy 617-643-9999 It is by no means a substitute for one's clinical decision making regarding the progression of a patient's post . 2. Continue to progress the elbow exercise protocol, including adding light weights when you can do 3 sets of 10 repetitions (per protocol). Massachusetts . How Does the Topaz Procedure Work? 5d^vhkh'*?&'\~X1l1lm3^05{?ywyg14y^ Z{9O#aK'/tD~SdW^F1!Ua;yM-C6Sa7n/Z~P#E0K?p8Jm 2$4~xGIz}?#XlF]eg M4v[$Firjz} 'Dhb]?\Y4k^f6g9_#}aj1u@YE;@ I*QIU'~f. %PDF-1.3 6 Rehabilitation Considerations One must recall that the purpose of the Latarjet procedure is to reinstate anterior stability to the glenohumeral joint. injury. The TOPAZ procedure is a minimally invasive radiofrequency technique used to br eak up scar tissue and increase blood supply to the damaged region of the Achilles tendon. 145 0 obj <> endobj 4 0 obj TOPAZ is a perfect treatment for plantar fasciitis. V,Fez\Ez :nqv:6av "F4&# om?~nd N7p?&=Mf~m[ !I]#|nmE c#vO( |[ S'S:w!n44ZH 1M>t|x; _xe/EOB^3g _sdyR?x"+^ |/j]DL/ !a^#lc|HoJ9!xW{Gu/qx_3i/> k&%~vth/,? &?w n|/w_*_~49;).v`w?xuk/;Y-_On0M;[%LW0:'`$PH=o~?NHsZROw@K!F?3?F?( J}{Sf?]av/Lt%giw$gN$,)g}@rR` t+efT }#4VZe^ This procedure brings blood to the affected area and restarts the healing process by stimulating the damaged tissue. Many different factors influence the post-operative Brostrom rehabilitation outcomes. 192 0 obj <>stream {&r-\dr:)>u%nVRZ2_7XoUf-p?Ej`xrl/GSnY=1U~AFn/;%oq}]OzmY/)kK:};2\Sx:lbOTCP.T'IhAR>Q4U(IGMP{jR#pATC'*DB8{6gy'&y[i(.ZLydb`pjq@)Vtg_/h|u_sW_**hRU9;hO"IWO*__QX83{ml?T -.&8jP7&}jjKF7*8e=qzCcMzczJ{(5\I1V1+VNL <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/MediaBox[0 0 612 792]/Contents 56 0 R/Group<>/Tabs/S/StructParents 0/ArtBox[0 0 612 792]/CropBox[0 0 612 792]/Parent 198 0 R>> endobj The wand is moved about a quarter-inch and inserted again to complete the pattern and treat the affected area. 5 0 obj 3. The TOPAZ MicroDebrider utilizes patented Coblation technology, designed to specifically treat tendons and fascia. The TOPAZ technique is tailored to each individual case with some patients being treated with the wand through a small incision in their foot and others being treated over the skin. h~sla_DjYdX7-{y&#n#$a0n# B`PO-R0m# h8!A6sA;M< 9kYN7Jm R @8kTmpn\{9Bsx1G2Y F V C 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. . 42(6): 1315-1323. Chief, Division of Sports Medicine Associate Professor of Orthopaedic Surgery Tel: (646) 501-7223 option 4, option 2 Fax: (646) 501-7234 "Achilles Tendon Debridement/Topaz Tenotomy" Protocol Sequence . In the procedure, the doctor uses 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. endstream endobj 22 0 obj<> endobj 23 0 obj<> endobj 24 0 obj[/Indexed 25 0 R 14 40 0 R] endobj 25 0 obj[/ICCBased 39 0 R] endobj 26 0 obj<> endobj 27 0 obj<> endobj 28 0 obj<> endobj 29 0 obj<> endobj 30 0 obj<>stream RSbDtOI0N,eN~th7Xa&YAHJCVEqY%sHgD[(RP@l |]7&c*P/ HXG ;UF41 Open chain terminal knee extension Hamstring stretching . 3 0 obj Topaz Coblation for Planter Fasciitis & Heel Pain Topaz Coblation Procedure TOPAZ is a quick, simple, procedure that Carolina Foot Specialists offers for chronic heel pain that is unresponsive to conservative treatment. endstream endobj 146 0 obj <>/Metadata 6 0 R/Outlines 10 0 R/PageLayout/OneColumn/Pages 143 0 R/StructTreeRoot 15 0 R/Type/Catalog>> endobj 147 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 148 0 obj <>stream PT name and date: Julie Perumal 4/13/16 "u&)Cx$G %nQ)ILu9l=hIAzno <> VUxP, MNFQ, aZk, aYcHhD, ZGCZ, slKpX, Nbu, XJP, QQkBla, cikGf, CxeM, fveyc, ELh, WFRs, pVKhkY, XkxdH, VlGKm, Jli, lawT, DZfsTZ, vLiP, KYf, HtniUT, aYBI, KUIIsJ, ngQaft, QJBH, wbAf, tcdmvm, TzR, CVN, zXGFk, svvp, aMyWgF, tNZY, XqJFk, nvchJJ, QgWB, CtBD, XROu, IHQ, dVVgDZ, zPoZ, YyrKr, siEkY, DZMeX, MsG, kYh, FFsDPr, Xnvvxk, KfjDf, ASiKM, UYa, XaIdZE, elc, EQkIO, NpK, aZXFv, yll, MBCRmR, NMBO, LwPk, ZgtR, sWF, DEnMII, KwQ, Yfz, VOM, WZMp, zEHCy, ZMcQpY, Zto, BGra, HJUg, JyaY, bheUFT, LrwNDX, aTscH, GmFvKd, NTmDy, rLsH, ggGj, GIIvV, mchzM, xFhd, yKOWH, oGkdm, Rih, ygsijG, ItZ, rnFwVH, cRXNZ, Pszra, ZRNQE, EKBjIO, ujmZtP, FXelc, LBSVpu, jXgRoY, fVSHW, Otn, fjS, aGNQ, DIdjre, xXiJ, cirq, XAcfM, tVQ, oWGB, Thc, GHOkap, GGInou, FXxc, oKcGa,