Orthobiologics, Custom PRP & Stem Cell Care for Greenwich, CT
Custom Orthobiologics for Greenwich Patients
Get Directions →Who We See From This Area
Orthobiologic Care for Greenwich's Active Lifestyle
Golf, Tennis & Sailing Injuries
Greenwich's private clubs and the town's OnePass tennis and pickleball program draw a competitive, active membership. Rotator cuff tendinopathy, tennis and golfer's elbow, and shoulder overuse from racquet sports, golf, and sailing are common presentations — addressed with custom-formulated PRP under ultrasound guidance.
Tod's Point Coastal Overuse
Greenwich Point Park draws a steady stream of walkers, runners, and kayakers along its waterfront trails. Plantar fasciitis, Achilles tendinopathy, and shoulder overuse from paddling are regular presentations.
Audubon Greenwich Hiking Injuries
Audubon Greenwich's 700-acre sanctuary and seven miles of forest and meadow trails have uneven, root-covered footing — a common source of ankle sprains and acute knee injuries in regular hikers.
Active-Family Joint Wear
Knee and hip osteoarthritis in patients who want to keep golfing, sailing, and walking Tod's Point without surgery — PRP and BMA stem cell therapy are front-line options for grade I to III OA.
Life in the Area
Treatments & Procedures Dr. Tortland Provides
Every patient starts with a comprehensive evaluation to confirm an accurate diagnosis before any treatment is discussed. Depending on what that evaluation finds, care may include any of the following — always presented as options, not a single prescribed path.
PRP
Platelet-Rich Plasma
Your own platelets, custom-formulated to 12 to 15 times baseline concentration on-site, for tendon, ligament, and joint injuries.
Learn more →BMAC / MFAT
Cellular Orthobiologics
Bone marrow aspirate concentrate and microfragmented adipose therapy — your own cellular material, for more advanced joint degeneration.
Learn more →Diagnostics
Musculoskeletal Ultrasound
Live diagnostic ultrasound in the same visit as your evaluation — no separate imaging appointment required.
Learn more →Intraosseous
Intraosseous Injections
Fluoroscopy- and ultrasound-guided injections directly into bone marrow lesions, for advanced knee osteoarthritis.
Learn more →Prolotherapy
Prolotherapy & Prolozone
Regenerative injection therapy for chronic ligament laxity and joint instability that hasn't responded to conservative care.
Learn more →Hydrodissection
Nerve Hydrodissection
Ultrasound-guided fluid injection to release entrapped or irritated nerves, including carpal tunnel syndrome.
Learn more →Common Conditions Treated
A focused, evidence-based approach spanning chronic musculoskeletal pain, sports and overuse injuries, and joint degeneration that hasn't resolved with conventional care.
Spine
Chronic Low Back Pain & Sciatica
Lumbar radiculopathy, facet-mediated pain, and sacroiliac joint dysfunction. Evaluation includes live ultrasound and, when appropriate, PRP or cellular orthobiologic injection targeting the actual pain generator.
Back & Neck care →
Joints
Knee & Hip Osteoarthritis
PRP custom-formulated to 12 to 15 times baseline concentration is a front-line regenerative option for grade I to III osteoarthritis, for patients seeking an alternative to repeated cortisone or surgery.
Knee & Hip care →
Shoulder
Rotator Cuff Tears & Tendinopathy
Partial-thickness rotator cuff tears, supraspinatus tendinopathy, and chronic impingement respond well to ultrasound-guided PRP — for the right candidate, this can defer or replace surgical repair.
Shoulder care →
Tendon
Tennis Elbow, Golfer's Elbow & Plantar Fasciitis
Chronic tendinopathy that hasn't resolved with rest, physical therapy, or steroid injection often responds to PRP tailored specifically for tendon healing.
Elbow, Wrist & Hand care →What It Costs
Pricing is transparent, with no surprise bills. HSA and FSA accepted.
Initial Evaluation: $500
A full hour to an hour and a half, unrushed. Includes a comprehensive musculoskeletal exam, review of any prior imaging, and a live musculoskeletal (MSK) ultrasound diagnostic exam performed in the same visit — no separate imaging appointment required. The goal is to confirm an accurate diagnosis first, then present treatment options.
Not All PRP or Cellular Orthobiologics Are the Same
Regenerative medicine has grown quickly, and not every provider offering PRP, stem cell, or "regenerative" injections holds the same standard. Before choosing where to be treated, it's worth knowing what separates a legitimate, evidence-based practice from one that isn't.
Worth a Consultation
✓ Uses your own (autologous) blood, bone marrow, or fat tissue — never donor/allogeneic “stem cell” products
✓ Measures actual platelet concentration on a cell counter before injecting, rather than assuming a fixed multiplier
✓ Places every injection under live ultrasound or fluoroscopic guidance, confirmed on-screen
✓ Physician holds relevant board certification and discloses training and experience openly
✓ Gives an honest answer about what treatment cannot do, including when surgery is the better option
Red Flags to Watch For
⚠ “Stem cell” products from a donor, amniotic fluid, or umbilical source — not FDA-approved for orthopedic use and contain no living cells
⚠ A single standardized kit and protocol used for every patient and every joint, regardless of injury or age
⚠ Injections performed “blind,” without live imaging to confirm needle placement
⚠ Guarantees of specific outcomes, cartilage regrowth, or a cure — no legitimate provider promises this
⚠ Pressure to commit to an expensive package of treatments before any diagnostic evaluation
Frequently Asked Questions
Do you treat golf, tennis, and sailing injuries?
What does the initial evaluation include?
What makes your PRP different from other providers?
**Medical Disclaimer:** Information on this page is provided for educational purposes and does not constitute medical advice, diagnosis, or treatment, guarantee a particular outcome, or establish a physician-patient relationship. Treatment suitability and expected results vary by patient and depend on individual clinical circumstances and the available scientific evidence. The inclusion of a procedure, treatment, or therapy on this website does not mean that it is appropriate for every patient, effective for every condition, superior to other treatment options, or guaranteed to produce a particular result. Orthobiologic procedures discussed on this website are medical procedures performed under the practice of medicine. The FDA regulatory status of any particular product, device, or use may vary, and FDA approval or clearance should not be inferred unless specifically stated. Dr. Tortland reports no financial interest in the products or devices described on this page. Individual results vary, and treatment decisions require an appropriate clinical evaluation, including an in-person examination when indicated.
Schedule a Consultation
No referral needed. Most initial evaluations run over an hour, un-rushed, and many patients combine evaluation and diagnostic treatments into a single visit.