Recovery & Rehabilitation · After PRP, BMAC & MFAT · Glastonbury, CT

Post-Procedure Recovery: What Happens After Your Procedure

Care doesn't stop when the needle comes out. Every PRP, BMAC, or MFAT procedure includes an individualized recovery plan — starting with a written, joint-specific loading protocol tailored to the treated structure.

Performed by Dr. Tortland personallyEMTT & ESWT available on siteStructured follow-up visits

Quick answer

Recovery after PRP, BMAC, or MFAT is individualized to the joint, the procedure, and the patient's goals. Most patients follow a written activity and loading plan for the first two to six weeks, with soreness typically peaking at two to five days. When appropriate, Dr. Tortland often adds EMTT (extracorporeal magnetotransduction therapy) and/or ESWT (extracorporeal shockwave therapy, radial and/or focused) to support tissue healing, particularly for tendinopathies. Physical therapy is coordinated when the joint benefits from supervised strengthening. Structured follow-up visits, typically at six to ten weeks, confirm progress and determine whether further treatment is needed.

Recovery support offered

Individualized loading plans, EMTT, ESWT

Soreness timeline

Peaks days 2–5, most resolved by week 1

Augmentation modalities

EMTT, radial ESWT, focused ESWT

Return to activity

Individualized; typically days to a few weeks

First results

Weeks 4 to 16, depending on treatment

Who treats you

Dr. Tortland personally, every visit

Physical therapy

Coordinated with your PT when supervised strengthening helps

Insurance

Not covered; but HSA / FSA applicable

Why Recovery Matters

What is involved in recovery?

Recovery is treated as part of the procedure, not an afterthought — because the healing response needs support to finish the job.

Platelet-rich plasma, BMAC, and MFAT work by triggering a controlled inflammatory and repair response — the soreness patients feel in the first few days is part of that process, not a complication. What happens in the weeks after the injection often determines how well that response translates into lasting improvement.

Every patient leaves with a written, individualized plan: specific activity restrictions, a loading progression for the treated structure, and clear guidance on medications to avoid. For tendinopathies and select joint conditions, EMTT and/or ESWT (radial and/or focused shockwave) are often added to support the healing response, and physical therapy is coordinated when supervised strengthening will help. Progress is confirmed at a structured follow-up visit, not assumed.

  • Individualized activity and loading restrictions, in writing
  • EMTT and/or ESWT (radial and/or focused) added when it supports the treated tissue
  • Physical therapy coordinated when supervised strengthening is indicated
  • Structured follow-up visits to confirm progress, not just a phone check-in

Modalities

What recovery modalities are used?

Selected based on the treated structure, the procedure performed, and how the patient is responding — not applied by default.

EMTT (Extracorporeal Magnetotransduction Therapy)ESWT — Radial ShockwaveESWT — Focused ShockwavePhysical Therapy CoordinationIndividualized Loading ProtocolsActivity Modification GuidanceAnti-Inflammatory PrecautionsStructured Follow-Up VisitsProgress Re-EvaluationReturn-to-Sport PlanningHome Exercise ProgramSoreness & Pain Management GuidanceImaging Follow-Up (when indicated)Repeat Procedure Planning (when appropriate)Nutrition & Supplementation GuidanceBracing or Support Guidance (when appropriate)

Step by step

How recovery is managed, step by step

Recovery isn't generic — it's built around the procedure performed, the structure treated, and how you're responding.

01

Individualized recovery plan

Before you leave, you receive a written plan specific to the procedure and joint treated — activity restrictions, loading progression, and medications to avoid.

02

Activity & loading restrictions

Restrictions are matched to the treated structure and procedure type — a tendon protocol differs from a joint protocol, and timelines are adjusted for age, activity level, and healing response. Expect two to five days of soreness after the procedure — that inflammatory response is part of the treatment working — and avoid anti-inflammatory medication for two weeks unless instructed otherwise.

03

EMTT & ESWT augmentation, when indicated

For select tendinopathies and joint conditions, EMTT (Extracorporeal Magnetotransduction Therapy) and ESWT (radial and/or focused extracorporeal shockwave therapy) are often paired together in the recovery plan — typically over multiple sessions in the weeks following the injection — to support the tissue's healing response.

04

Physical therapy coordination

When supervised strengthening will help the treated structure, physical therapy is coordinated and timed to the healing stage rather than started too early or too late.

05

Follow-up and re-evaluate

Follow-up at six to ten weeks — or three to four months for a stem cell procedure  — to confirm progress against baseline, adjust the plan, and decide whether an additional procedure, EMTT/ESWT course, or continued physical therapy adds value.

Augmentation Options

What augmentation options are typically added?

Added selectively, based on the treated structure and how healing is progressing — never as a default add-on.

Considered post-procedure

Depending on what's being treated, recovery support may include:

EMTT (Extracorporeal Magnetotransduction Therapy)
ESWT (Extracorporeal Shockwave Therapy — radial and/or focused)
Physical therapy, coordinated with your treating therapist

Candidacy

Who benefits from added recovery support — and who follows the standard plan.

Good fit for EMTT/ESWT
  • Tendinopathy that responds well to mechanical or energy-based stimulation
  • Chronic tendon pain that has been slow to resolve
  • Patients wanting to accelerate the healing response between procedures
  • Athletes with a return-to-sport timeline to hit
  • Patients who prefer a non-invasive adjunct over repeat injections
  • Cases where imaging shows a structure likely to benefit from added stimulation
Not typically added
  • Fresh, acute injuries within the first 48–72 hours
  • Active infection, fever, or signs of systemic illness
  • Pacemakers or other implanted electronic devices (EMTT contraindicated)
  • Pregnancy, or a treatment area over a known malignancy
  • Patients unwilling to follow the individualized recovery plan
  • Cases where re-evaluation shows no mechanical-stimulation benefit

Comparison

Recovery augmentation options compared.

Option
What it does
Duration of benefit
Tissue impact
OptionPhysical therapy alone
What it doesBuilds strength and controls load on the healing tissue
Duration of benefitOngoing; benefit depends on continued exercise
Tissue impactNo direct effect on tissue; foundational to most plans
OptionRadial ESWT
What it doesDelivers pressure-wave energy to a broader, shallower area — useful for larger regions like the plantar fascia or gluteal tendons
Duration of benefitTypically 3–4 weekly sessions
Tissue impactModerate evidence for tendinopathies, including GTPS
OptionFocused ESWT
What it doesConcentrates energy at a specific depth and point — used for calcific and deeper tendon lesions
Duration of benefitTypically 3 sessions, spaced about 1 week apart
Tissue impactStrong evidence for calcific rotator cuff tendinosis
OptionEMTT
What it doesUses high-energy magnetic pulses to stimulate cellular repair processes, non-contact
Duration of benefitTypically 6 or more sessions over several weeks
Tissue impactEmerging evidence for tendinopathies and enthesopathies
OptionCombined EMTT + ESWT
What it doesCombines mechanical and electromagnetic stimulation for a stronger healing signal
Duration of benefitCourse length individualized to the tissue and response
Tissue impactEarly evidence suggests better outcomes than either alone for tendon conditions

Frequently asked

Recovery & rehabilitation questions.

How long does recovery take after PRP, BMAC, or MFAT?

It varies by procedure and joint, but most patients follow an individualized loading plan for two to six weeks, with soreness typically peaking at two to five days after the injection. First meaningful results are often seen at four to sixteen weeks, and progress is formally reassessed at a follow-up visit around six to ten weeks.

What are EMTT and ESWT, and how are they used in recovery?

EMTT (Extracorporeal Magnetotransduction Therapy) uses high-energy magnetic pulses, and ESWT (Extracorporeal Shockwave Therapy, radial and/or focused) uses acoustic pressure waves — both are non-invasive modalities sometimes added to a recovery plan to support the tissue's healing response, particularly for tendinopathies. They are selected based on the structure treated, not used by default.

Will I need physical therapy after my procedure?

Only when supervised strengthening will genuinely help the treated structure. When physical therapy is indicated, it's coordinated and timed to the stage of healing rather than started immediately or left until symptoms have already progressed.

What restrictions should I expect after my procedure?

Every patient leaves with a written plan specific to the joint and procedure — typically two weeks without anti-inflammatory medication, activity modifications for two to six weeks depending on the structure treated, and a gradual loading progression rather than a fixed return-to-activity date.

Is EMTT or ESWT painful?

ESWT can cause a pressure or discomfort sensation during treatment, which can be adjusted by changing the treatment settings. EMTT is generally well tolerated with minimal to no discomfort. Neither requires anesthesia, and most patients return to normal activity the same day.

How often will I need to come in for follow-up?

A structured follow-up visit is typically scheduled at six to ten weeks after the procedure to assess progress against baseline. Patients receiving a course of EMTT or ESWT are seen more frequently during that series, and additional check-ins are added if recovery isn't progressing as expected.

Can I take anti-inflammatory medication during recovery?

No. NSAIDs blunt the platelet and cellular signaling these treatments depend on. Avoid them for roughly seven days before the procedure and two weeks afterward unless instructed otherwise. Acetaminophen is fine for pain.

Is EMTT/ESWT covered by insurance?

Like PRP, BMAC, and MFAT, EMTT and ESWT are generally not covered by most U.S. insurers when used for orthobiologic recovery support and are paid out of pocket; HSA and FSA funds can be used.

Who manages my recovery plan?

Dr. Tortland personally reviews your progress at every follow-up visit and adjusts the plan directly — the same physician who performed your procedure decides whether EMTT, ESWT, physical therapy, or a repeat procedure adds value, not a technician or a generic protocol.

Sources

References & further reading.

01

Mulvaney SW, Tortland PD, Shiple B, Curtis K. Regenerative medicine options for chronic musculoskeletal conditions: a review of the literature. Endurance and Sports Medicine. 2018.Endurance and Sports Medicine. 2018.

02

Dai WL, et al. Efficacy of platelet-rich plasma versus hyaluronic acid in knee osteoarthritis: meta-analysis of randomized controlled trials.

03

Klüter T, et al. Electromagnetic transduction therapy and shockwave therapy in patients with rotator cuff tendinopathy: a prospective randomized controlled trial. Electromagn Biol Med.

05

Gerdesmeyer L, Knobloch K, Gollwitzer H, Ringeisen M. Prospective double-blinded placebo-controlled trial of high-energy magnetic transduction therapy in shoulder joint enthesiopathies. GOTS Congress, 2023.

06

Huisstede BM, Gebremariam L, van der Sande R, Hay EM, Koes BW. Evidence for effectiveness of extracorporeal shock-wave therapy (ESWT) to treat calcific and non-calcific rotator cuff tendinosis: a systematic review. Manual Therapy. 2011;16(5):419-433.

**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.

Ready to plan your recovery?

Every recovery plan is individualized to you and the procedure performed. Ask Dr. Tortland directly about EMTT, ESWT, or physical therapy coordination.