A new study shows that PRP (platelet-rich plasma) is effective for treating advanced osteoarthritis (OA) in older patients. The study, published in a recent issue of the The Orthopedic Journal of Sports Medicine, looked at 75 patients with advanced knee OA (Grade 3-4) and compared the difference between PRP treatment and cortisone injection. Patients who had the PRP reported significantly better improvement than those who had the steroid injection at both 3 and 6 months after receiving the respective treatments. This study is important because many of the studies looking at PRP have focused on younger patients with milder forms of OA (Grades 1-2). This paper showed that PRP is also effective for treating late-stage OA in people who are older than 67. Here at Valley Sports Physicians we’ve been performing PRP injections since 2007 – longer than anyone in New England and longer than most in the U.S. Few in the country have as much experience with PRP as we do.
February 2017 –
Dr. Tortland has become the first physician in New England, and one of only 20 practices currently in the country, to introduce the revolutionary Aquicell® fat-derived stem cell harvesting system. Aquicell® is an FDA-approved virtually painless liposuction technique for harvesting stem cells and regenerative cells from the belly or buttocks fat. Fat-derived stem cells are increasingly being shown to be more desirable than bone marrow-derived stem cells, especially for people over 40 years old. Unlike other fat harvesting approaches for stem cells, Aquicell® is actually able to extract the cells from the fat matrix. This dramatically increases the stem cell yield, resulting in better clinical outcomes and less inflammation from treatment.
Dr. Tortland has been performing stem cell treatments since 2008 – the first in Connecticut, and longer than most in the country. Contact our office to learn more or to find out if you are candidate for this exciting treatment.
A new study, published Oct. 3, shows that patients who undergo arthroscopic knee surgery for arthritis and degenerative meniscal (cartilage) tears have a 3-fold increased chance of needing a total knee replacement in the future! The study, published in the journal Osteoarthritis and Cartilage, followed over 3337 patients yearly for 9 years. Enrolled patients either had, or were at high risk for developing, symptomatic arthritis.
This study comes as no surprise for those of us who practice Regenerative Medicine and non-surgical orthopedics. We routinely see patients whose condition worsens following surgery. Given that there are excellent non-surgical alternatives for treating osteoarthritis and meniscal tears, such as fat-derived stem cell injections, patients should think long and hard before undergoing surgery for treating symptomatic arthritis and degenerative cartilage tears.
Here at Valley Sports Physicians we’ve been performing PRP and stem cell injections since 2007 and 2008, respectively – longer than most in the country. Few practices have the skill and experience that we have in utilizing these exciting treatments. Contact us today to see if we can help you!
Dr. Tortland was among a select group of international caliber instructors who taught a recent course on ultrasound guided injections for musculoskeletal injuries. The 2-day course was held at Eastern Virginia Medical School in Norfolk, VA on October 7-8, 2016. The 28 attendees included physicians from the US, Canada, Taiwan, and Bermuda. Dr. Tortland helped teach physicians how to perform ultrasound guided injections for the shoulder, elbow, hand/wrist, low back, hip, knee, and foot/ankle. Dr. Tortland is considered an international expert in musculoskeletal ultrasound and teaches many courses around the country each year.
August 5, 2016 – A new paper was published in the June 2016 issue of the American Journal of Sports Medicine looking at the effectiveness of PRP (platelet-rich plasma) in the treatment of chronic tendon injuries. The study concluded that “There is good evidence to support the use of a single injection of PRP under ultrasound guidance in tendinopathy.”
However, the authors were careful to point out the following: “Both the preparation and intratendinous injection technique of PRP appear to be of great clinical significance.“
In other words, if the PRP isn’t prepared properly, or injected properly, the results will not be as good. So you need a very good physician who is using a very good quality PRP.
At Valley Sports Physicians Dr. Tortland is an internationally recognized expert in ultrasound guided musculoskeletal injections. He also developed and pioneered his own proprietary method for creating a high quality PRP. So you can be assured of excellence both in the preparation of our PRP and in the injection technique!
June 10-12, 2016 – LAS VEGAS
Dr. Tortland was among a list of international speakers at the 7th annual Orthobiologic Institute PRP & Stem Cell Symposium. The annual event features lectures and workshops focused both on sharing the latest in PRP and stem cell science for orthopedic conditions and for training physicians in various regenerative medicine techniques.
Dr. Tortland spoke as part of a panel discussion exploring the use of bone marrow-derived vs. fat-derived stem cells. Click here to see Dr. Tortland’s comments. Dr. Tortland also was one of the faculty teaching a hands-on workshop on how to perform bone marrow aspirations for stem cell harvesting.
Dr. Tortland is an internationally recognized expert in Regenerative Medicine, including the use of PRP and bone marrow derived and adipose- or fat-derived stem cells for orthopedic and musculoskeletal conditions.
MAY 20-21, 2016 – LOS ANGELES
Dr. Tortland was among a group of 10 elite instructors teaching at an international ultrasound-guided injection techniques course. The course featured 40 physicians from the US, Hong Kong, Taiwan, and Dubai who attended the course to learn how to perform joint, ligament/tendon, nerve, and spine injections under ultrasound guidance on human cadavers. Dr. Tortland is an internationally recognized expert in, and teacher of, both musculoskeletal ultrasound and Regenerative Medicine including PRP, prolotherapy/Prolozone, and stem cells injections.
May 5, 2016 – TEMPE, AZ
Dr. Tortland was honored to deliver the Allan W. Jacobs Memorial Lecture at the annual meeting of the American Osteopathic Academy of Sports Medicine (AOASM). He spoke on unique, but clinically significant and often overlooked aspects of hip anatomy and pathology. The Jacobs lecture is intended to focus on important or clinically relevant aspects of human anatomy to help physician diagnose and treat patients more effectively.
Allan Jacobs DO, PhD was an outstanding and beloved sports medicine physician and professor of anatomy at Michigan State University. He died suddenly at age 54, and the lecture series, which is given each year at the annual AOASM meeting, is named in his honor.
Dr. Tortland is a highly respected and sought after speaker and teacher at medical meetings around the country. He is a member of the AOASM and has been awarded the status of Fellow of the American Osteopathic Academy of Sports Medicine (FAOASM) in recognition of his level of sports medicine expertise.
The AOASM is the country’s leading professional sports medicine organization for Osteopathic Physicians. It is the oldest primary care based sports medicine specialty. It was formed in 1984 to fulfill the mission of a branch of the healing arts profession which utilizes a holistic, comprehensive approach to the prevention, diagnosis, and management of sport and exercise-related injuries, disorders, dysfunctions and disease processes. The founders, pioneers and expert sports medicine specialists, realized that while there were several physician organizations that support sports medicine, there was not a forum specific for Osteopathic sports medicine physicians.
The purpose of the AOASM is to advance a mutually respectful relationship among dedicated, competent sports medicine specialists, and to provide a quality educational resource for AOASM members, allied health sports medicine professionals, and the general public.
April 14-15, 2016 – LA JOLLA, CA
Dr. Tortland spent two days undergoing private training with world renowned plastic surgeon, Steven Cohen MD, at Dr. Cohen’s clinic in La Jolla, California. Dr. Tortland sought out Dr. Cohen’s expertise specifically to receive training in how to perform facial cosmetic and aesthetic procedures using the patient’s own fat as a natural filler.
Since 2008 Dr. Tortland has been performing minimally invasive liposuction procedures to harvest the patient’s stem cells for re-injection for orthopedic conditions, such as arthritis and rotator cuff tears. (Dr. Tortland was the first physician in Connecticut to begin performing fat-derived stem cell injections.) So extending his treatment repertoire to include minimally invasive cosmetic procedures using fat and fat-derived stem cells is a natural extension of his existing skills. His use of fat for cosmetic purposes will be limited to facial and superficial skin; he will not be performing breast or buttocks augmentation.
January 22-23, 2016 – San Diego
Dr. Tortland was among a small group of featured faculty teaching a course in diagnostic musculoskeletal ultrasound. The 2-day course, held in San Diego, CA, was designed to teach physicians how to perform ultrasound evaluations of the major joints in the body. Dr. Tortland is a nationally recognized expert in musculoskeletal ultrasound, and he frequently teaches courses around the country in both diagnostic ultrasound and in ultrasound-guided injection techniques.