Straight answers about PRP, BMAC, MFAT and prolotherapy, how Dr. Tortland decides between non-surgical care and surgery, and what to expect from his Glastonbury, CT practice.
Dr. Tortland evaluates and treats knee, hip, shoulder, back and neck, elbow, wrist, hand, and Achilles/foot/ankle pain, along with cervical instability and nerve-related conditions, using a diagnosis-first approach, often with same-visit ultrasound, before recommending PRP, orthobiologics, prolotherapy, or another treatment.
Every evaluation starts with imaging review and, often, an in-office musculoskeletal ultrasound to identify the actual pain generator. When non-surgical options like PRP, orthobiologics or prolotherapy are appropriate, Dr. Tortland recommends them; when surgery is the better option, he says so directly, and can provide a second opinion either way.
Yes. Patients who have been told they need surgery, or who are unsure about a recommended treatment plan, can schedule a second-opinion consultation to review their imaging and discuss non-surgical alternatives.
Yes. While the practice is based in Glastonbury, Connecticut, patients regularly travel from throughout New England, and the practice has also treated international patients from Canada, the Caribbean, France, the United Kingdom, Germany, Italy, Australia, and Dubai, UAE.
New patient visits are un-timed and personally conducted by Dr. Tortland, never handed off to a physician assistant or technician. Most evaluations include a same-visit musculoskeletal ultrasound, so patients leave with a clear diagnosis and a discussion of every treatment option.
PRP concentrates platelets from a patient's own blood, BMAC concentrates cells from a patient's own bone marrow, and MFAT uses micronized fat from a patient's own tissue. PRP is typically used for tendon injuries and mild-to-moderate arthritis; BMAC for larger-joint arthritis and intraosseous injections; MFAT for joint and soft-tissue conditions.
Dr. Tortland's practice is direct-pay and does not bill insurance directly. After each visit, we provide a superbill (an itemized claim form) that you can submit to your insurance company for possible out-of-network reimbursement, and HSA/FSA funds can be used to pay for treatment.
No referral is needed. You can schedule directly with Dr. Tortland's office for an evaluation or consultation.
If you have prior imaging (X-ray, MRI or ultrasound), please bring the actual images on a disc or via a confirmed, verified link, not just the written report. Dr. Tortland reviews imaging directly, since reports alone have, in his experience, sometimes missed or misstated findings that change the diagnosis.
Yes. Dr. Tortland is a founding member of the Orthobiological Ethics Consortium, a group focused on establishing ethical standards of practice for orthobiologic and regenerative medicine care. This commitment guides his diagnosis-first approach and his honesty about when a treatment is, and isn't, appropriate for a patient.