Dr. Tortland was a featured lecturer and trainer at the Pre-Conference Musculoskeletal Ultrasound Course, held just prior to the beginning of the annual meeting of the American Osteopathic Association of Sports Medicine (AOASM), May 1-6 in Las Vegas. He lectured and taught at both the Beginner’s Course, where he lectured and taught on how to scan the anterior ankle, and at the Advanced Course, at which he taught about scanning and performing nerve blocks of the obturator nerve. Dr. Tortland is an internationally recognized expert and teacher both of musculoskeletal ultrasound and of regenerative medicine treatments such as PRP and stem cell injections.
Intra-articular injections of PRP resulted in no serious adverse effects and significantly reduced pain in patients with ankle osteoarthritis (OA), according a new study published last week in the journal, Foot & Ankle International.
20 patients (a total of 20 ankles) with ankle OA received injections of PRP directly into the ankle joint under ultrasound guidance, every 2 weeks for 3 treatments. Adverse events and efficacy were assessed at 4, 12, and 24 weeks after the last injection.
No serious adverse effects were observed during the follow-up period. Overall, the amount of pain reduction was maximal at 12 weeks after the last injection, and the effect was reduced at 24 weeks. The patients with more severe OA had worse scores in all outcomes than those with milder OA.
Conclusion: PRP treatment can be safe and effective and may be an option in the treatment of ankle OA.
Commentary by Dr. Tortland: Studies investigating the benefits of PRP on OA have largely focused on the knee and hip. Although we know anecdotally that PRP can work just as well in other arthritic joints, this study lends scientific support to the positive results that we’ve been seeing clinically in the office when treating ankle OA.
The current and popular practice of total knee replacement (TKR) as performed in the US on patients with knee osteoarthritis has been shown to have minimal effects on quality of life in a new study. The research findings, published in the March 2017 issue of the British Medical Journal, looked at almost 5000 patients with, or at high risk for, knee osteoarthritis (confirmed by baseline radiography) aged 45-79 and with no previous knee replacement. Study participants were followed for nine years. These findings call into the question the necessity of many total joint replacement procedures, especially when attractive non-surgical alternatives are available.
Osteoarthritis is a leading cause of disability world-wide, and can cause pain, limited range of motion, and decreased quality of life. The disease onset is gradual and usually begins after the age of 40. About 12% of adults in the US are affected.
The annual rate of total knee replacement in the US has doubled since 2000, particularly in the 45-64 year old age group. The total number of procedures performed each year now exceeds 640 000, at a total annual cost of about $10.2 billion. The dramatic increase in surgery has been attributed to expanding the eligibility for surgery to people with less severe symptoms.
More concerning, however, is the fact that up to a third of patients who undergo a TKR experience chronic pain postoperatively, and as many as 20% of TKR surgeries do not have a favorable outcome.
Here at Valley Sports Physicians our PRP and Stem Cell procedures can be excellent non-surgical alternatives to TKR. We have an 80-90% success rate, and no one has ever been made worse as a result of treatment. Contact us to find out if Regenerative Medicine treatments can help with your knee (or hip, shoulder, ankle) arthritis pain!
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.