Non-surgical orthopedics and regenerative medicine in Glastonbury, CT

Platelet-rich plasma (PRP) is prepared from a blood sample and emphasizes platelets and plasma. Bone marrow aspirate (BMA) is collected from the patient’s bone marrow, while microfragmented adipose tissue (MFAT) is prepared from the patient’s fat tissue. These are different autologous approaches, not interchangeable treatments. Their potential benefits, risks, evidence, and suitability vary by diagnosis, and none guarantees cartilage regrowth or replaces surgery for every condition.

Joint pain and sports injuries can have different causes that require different treatment. Dr. Tortland reviews the history, examination, and relevant imaging, using diagnostic musculoskeletal ultrasound when appropriate and image guidance for procedures when indicated. This helps determine whether rehabilitation, an orthobiologic treatment, another specialist, or surgery is the most appropriate option for the diagnosis and severity.

Yes. Dr. Paul Tortland personally evaluates patients and performs the image-guided injections he recommends at his Glastonbury, Connecticut, practice. He uses live musculoskeletal ultrasound and/or fluoroscopic (X-ray) guidance as appropriate to the anatomy and procedure. Image guidance helps him visualize anatomy and guide placement; it does not eliminate procedural risks.

Dr. Tortland evaluates persistent back and neck pain; osteoarthritis affecting the knee, hip, shoulder, hand, and foot; sports injuries; and tendon and ligament conditions. Depending on the diagnosis, care may include rehabilitation guidance, activity modification, diagnostic assessment, or image-guided procedures and orthobiologics when appropriate. Advanced arthritis, complete tears, or significant instability may require a surgical opinion.

Paul D. Tortland, DO, FAOASM, CAQSM, RMSK is a sports medicine and non-surgical orthopedics physician in Glastonbury, Connecticut, with more than 30 years of medical experience and PRP experience dating to 2007. He is dual board certified in Sports Medicine and Osteopathic Manipulative Medicine (OMM) and Regenerative Medicine, holds the RMSK musculoskeletal ultrasound credential, and became the first physician in the world to earn board certification in Regenerative Medicine in 2015 (Diplomate, American Board of Regenerative Medicine). He also teaches orthobiologic techniques to physicians.

Regenerative orthopedics is a term used for approaches that include biologic preparations such as platelet-rich plasma (PRP), bone marrow aspirate (BMA), and microfragmented adipose tissue (MFAT) in selected musculoskeletal conditions. These procedures differ in preparation, evidence, risks, and limitations. They do not guarantee tissue regeneration or replace surgery for every condition. A clinical evaluation helps determine whether an option is reasonable for a specific diagnosis.

Neither PRP nor other orthobiologics are automatically better than surgery. The right option depends on the diagnosis, severity, examination and imaging findings, goals, and the evidence for that condition. Some patients may consider non-surgical care; others, such as those with end-stage joint damage, complete tears, or significant mechanical instability, may need a surgical opinion. Dr. Tortland discusses potential benefits, risks, limitations, and alternatives before treatment.

Orthobiologic procedures are out of network and direct pay; an itemized superbill is provided for reimbursement, and HSA and FSA funds can be used. Patients will always receive a "Good Faith Estimate" - part of the "No Surprises Act of 2022 - in advance to provide specific cost information.

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 from across Connecticut, New England, out of state, and internationally. Telehealth record review is available for distant second opinions.