Non-Surgical Alternatives
5 Questions to Ask Before Choosing a PRP or Stem Cell Provider
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Regenerative Orthopedics · Glastonbury, CT · Serving Connecticut & New England
Pioneering non-surgical regenerative orthopedics.
Paul Tortland, DO — the first physician in the world certified in Regenerative Medicine — treats osteoarthritis, tendon injury and nerve entrapment with ultrasound-guided orthobiologics, so surgery is the last option considered rather than the first.
Medically reviewed by Paul Tortland, DO — Sports Medicine & Orthobiologics, Glastonbury, CT · Last reviewed August 2026
Board certifiedOrthoBiologics Ethics Consortium30+ years in practiceServing Connecticut & New England
Quick answer
Paul D. Tortland, DO, FAOASM, CAQSM, RMSK is a regenerative orthopedic physician in Glastonbury, Connecticut. He treats osteoarthritis, chronic tendon and ligament injury and nerve entrapment with ultrasound-guided High-Concentrate PRP, Cellular Orthobiologics - BMAC (Bone Marrow Adipose Concentrate) and MFAT (Micronized Fat Adipose Tissue), and Nerve Hydrodissection — non-surgical treatments that use your own tissue. He has practiced sports medicine for over 30 years, performed the first PRP treatments in southern New England in 2007, and was the first physician in the world certified in Regenerative Medicine. No referral is required; call (877) 836-1551.
Specialty
Regenerative orthopedics
and sports medicine
Location
59 Sycamore St, Suite 301
Glastonbury, CT 06033
Credentials
DO, FAOASM, RMSK
Triple board certified
Appointments
(877) 836-1551
No referral required
Start here
Not sure where to start?
Four common starting points. Pick the one that sounds like you.
Considering surgery?
Explore evidence-informed, non-surgical options before deciding on the operating room.
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Curious about PRP?
See what the evidence actually says about platelet-rich plasma and orthobiologic treatment.
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Living with joint or muscle pain?
Straightforward answers to the questions patients ask most about non-surgical care.
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An athlete managing an injury?
Clinical notes on sports injuries and getting back to activity safely.
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Procedures
Non-surgical orthobiologic treatment.
Every procedure is performed by Dr. Tortland personally, under live ultrasound guidance, using your own tissue.
PRP Therapy - High Concentrate
Platelet-rich plasma
Your own concentrated platelets injected into an injured tendon, ligament or joint to stimulate repair. Custom-formulated to the patient's age and condition in an on-site lab to a therapeutic target of 12 to 15 times baseline: a High-Concentrate PRP — not a preset commercial kit — and counted on a state-of-the-art Cell Counter.
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Cellular Orthobiologics
Bone marrow & adipose
When platelets alone are not a strong enough signal: cells harvested from your own Bone Marrow or Adipose / Fat tissue, processed same-day and placed precisely into the joint or tendon under ultrasound and / or fluoroscopic guidance.
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Nerve Hydrodissection
Ultrasound-guided nerve release
Fluid is used to separate an entrapped nerve from the scar tissue compressing it under precise ultrasound guidance— a non-surgical option for Carpal Tunnel release, Scar Tissue buildup post TKR (total knee replacement), Ulnar / Radial nerve entrapment, occipital neuralgia, and other complex nerve entrapment syndromes.
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Prolotherapy & Prolozone
Adjunct therapies
Prolotherapy / prolozone is a powerful anti-inflammatory treatment that also treats Hypermobility and ligament laxity, particularly in complex cases such as Cervical Instability, Low Back Pain, and Knee and Ankle Instability.
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30+
Years in sports medicine
2007
First PRP in southern New England
1st
Physician worldwide certified in regenerative medicine
100%
Procedures performed by Dr. Tortland
Fellowship-level orthobiologic expertise
About Paul Tortland, DO, FAOASM, CAQSM, RMSK.
Dr. Tortland is board certified in Sports Medicine, Osteopathic Manipulative Medicine and Family Practice, registered in musculoskeletal ultrasound (RMSK) through the ARDMS, and a Fellow of the American Osteopathic Academy of Sports Medicine.
In 2007 he performed the first platelet-rich plasma treatments in southern New England. He was later the first physician in the world to be certified in Regenerative Medicine by the American Academy and Board of Regenerative Medicine, earning the highest examination score awarded. He serves on the OrthoBiologics Ethics Consortium and teaches orthobiologic technique to physicians internationally.
His practice is deliberately small. Every ultrasound, every injection and every follow-up scan is performed by him, not delegated — and patients who are not good candidates are told so plainly.
Why patients travel here
A different standard of orthobiologic care.
Evidence-first, surgery-last
Non-surgical options are worked through thoroughly before surgery is discussed, grounded in the current PRP and orthobiologics literature rather than marketing claims. When the evidence does not support treating you, that is the answer you get.
Understand your options →Dose is measured, not assumed
Most clinics use bedside kits that yield roughly 2 to 3 times baseline platelet concentration. PRP here is custom-formulated in an on-site laboratory to 6 to 10 times baseline or higher, leukocyte-poor or leukocyte-rich by target tissue, and counted on a cell counter before it goes in.
How PRP is prepared →Diagnosis on live ultrasound
Candidacy is determined by dynamic ultrasound examination, not by an MRI report or a phone conversation. You watch the screen while the structure at fault is identified and, later, while it is treated.
Book an evaluation →Shared decision-making
Every plan reflects your imaging, your goals and your tolerance for risk and cost — never a one-size-fits-all protocol, and never a package sold at the first visit.
The approach →“I had been told the only option left was a knee replacement. Two years later I am hiking again, with the same knee.”
Patient · Knee osteoarthritis · PRP
Latest updates
From the Knowledge Hub.
Plain-language answers to the questions patients actually ask, written and reviewed by Dr. Tortland.
Common questions
Regenerative orthopedics, answered.
Who is Dr. Paul Tortland?
Paul D. Tortland, DO, FAOASM is a regenerative orthopedic physician in Glastonbury, Connecticut, with more than 30 years in sports medicine. He is board certified in Sports Medicine, Osteopathic Manipulative Medicine and Family Practice, registered in musculoskeletal ultrasound (RMSK), and was the first physician in the world certified in Regenerative Medicine by the American Academy and Board of Regenerative Medicine. He performed the first PRP treatments in southern New England in 2007.
What is regenerative orthopedics?
Regenerative orthopedics uses your own biologic tissue — platelets, bone marrow or adipose cells — injected under live ultrasound guidance to stimulate repair in a damaged joint, tendon, ligament or nerve. It is a non-surgical alternative for conditions that would otherwise be managed with tissue-damaging, non-healing steroid injections, prolonged bracing, or joint replacement.
What conditions does Dr. Tortland treat?
Osteoarthritis of the knee, hip, shoulder, ankle, and small joints including hands, fingers, and toes; chronic tendon disease such as tennis elbow, Achilles and rotator cuff tendinopathy; partial ligament tears; and nerve entrapment treated with nerve hydrodissection. End-stage arthritis and completely retracted tendon tears are usually not good candidates — and you will be told so directly if surgery is the better option. Dr. Tortland will provide referrals to trusted orthopedic surgeons, if needed.
Is PRP or orthobiologic treatment better than surgery?
The treatment depends on the patient's diagnosis. Orthobiologics are best suited to tissue that is degenerated but still structurally present; while surgery remains the right answer for complete tears, mechanical instability and end-stage joint destruction. The decision is made on examination and dynamic ultrasound, not on a phone call.
Is treatment covered by insurance?
Most orthobiologic procedures are not covered by United States insurers. Patients are provided detailed claim forms they can submit for potential reimbursement. Patients will always receive a "Good Faith Estimate" - part of the "No Surprises Act of 2022 - in advance to provide specific cost information.
Where is the office and do I need a referral?
The office is at 59 Sycamore Street, Suite 301, Glastonbury, CT 06033, open Monday through Friday, 9:00 a.m. to 5:00 p.m. No referral is required. Patients travel to see Dr. Tortland from across Connecticut, New England, out of state, and internationally; telehealth record review is available for distant second opinions.
Who performs the injections?
Dr. Tortland performs every procedure himself under live ultrasound guidance. Nothing is delegated to a technician, physician assistant or nurse.
This site is written for patient education and does not constitute medical advice or establish a physician-patient relationship. Individual results vary. Orthobiologic procedures are not FDA-approved drug therapies; they are performed as autologous same-day procedures under the practice of medicine. In a medical emergency, call 911.
Find out whether your joint can still be saved.
Candidacy is determined on ultrasound, not over the phone. Bring your imaging and get an honest answer in one visit. No referral required.