BMAC & MFAT: Cellular Orthobiologics
Introducing MFAT: Microfragmented Adipose Therapy Explained
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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 Board-Certified in Regenerative Medicine — treats osteoarthritis, back & spine pain, tendon injury, and nerve entrapment with ultrasound-guided orthobiologics, so surgery is the last option considered rather than the first. In practice for 30+ years.
Medically reviewed by Paul Tortland, DO — Sports Medicine & Orthobiologics, Glastonbury, CT · Last reviewed September 2026
double-Board certifiedOrthoBiologics Ethics Consortium active member30+ years in practiceServing Connecticut, New England, and the TRI-state regionsfirst physician board-certified in regenerative medicine
Quick answer
Paul D. Tortland, DO, FAOASM, CAQSM, RMSK is a sports medicine and regenerative orthopedic physician in Glastonbury, Connecticut, practicing for 30+ years, specializing in non-surgical treatment of osteoarthritis, back and spine injuries, tendon & ligament injuries, and nerve entrapment using PRP, cellular orthobiologics and ultrasound-guided procedures. High-Concentrate PRP, Cellular Orthobiologics - BMA (Bone Marrow Adipose stem cell) and MFAT (Micronized Fat Adipose Tissue), and Nerve Hydrodissection are non-surgical treatments that use your own tissue. He has practiced non-surgical orthopedic and sports medicine for 30+ years, performed the first PRP treatments in New England in 2007, performed the first bone marrow stem cell and adipose stem cell treatments in New England in 2008, and is the first physician in the world Board-certified in Regenerative Medicine. He is Registered in Musculoskeletal Sonography (RMSK) certification -- a credential for expertise in performing and interpreting musculoskeletal ultrasound. No referral is required; call (860) 430-2821 or email info@dtortland.com
Specialty
Regenerative orthopedics
and sports medicine
Location
59 Sycamore St, Suite 301
Glastonbury, CT 06033
Credentials
DO, FAOASM, RMSK
Four board certifications
Appointments
(860) 430-2821
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 has been in practice for 30+ years as a sports medicine physician specializing in orthobiologics. He is board certified in Sports Medicine, Osteopathic Manipulative Medicine, Family Practice and Regenerative Medicine, registered in musculoskeletal ultrasound (RMSK) through the ARDMS, and a Fellow of the American Osteopathic Academy of Sports Medicine. He holds active hospital affiliations with Hartford Hospital (Hartford HealthCare) and St. Francis Hospital (Trinity Health of New England).
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 to provide the highest quality concierge-level care. Initial appointments are booked for over 1 hour. Patients are never rushed. 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 using an Exo Advantage preparation system to 12 to 15 times baseline or higher, leukocyte-poor or leukocyte-rich by target tissue, and verified on a Beckman Coulter DxH 500 cell counter before it goes in.
How PRP is prepared →Diagnosis on live ultrasound
Every new patient's initial evaluation is scheduled for at least an hour and is never rushed. Live musculoskeletal ultrasound is included in that same visit — candidacy is determined by dynamic ultrasound examination, not by an MRI report or a phone conversation, and no separate imaging visit is required. 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 →"Dr Tortland is amazing. I destroyed my knees playing basketball over the years. One day with him for stem cell injections and I am dramatically better. I wish I had done it 5 years earlier."
Gray h. - Patient · Knee osteoarthritis · cellular orthobiologics
“Dr. Tortland has treated my knees with both PRP multiple times and stem cell therapy, and I’ve experienced meaningful improvement from both. He is incredibly knowledgeable, personable, and always takes the time to explain everything thoroughly. I trust him completely.”
laura d. - patient · Knee osteoarthritis · PRP · Cellular Orthobiologics
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.
**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.
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.