Sports Medicine & Surgery

Podiatric Sports Medicine is a sub-specialty that focuses on the understanding, management, and prevention of lower extremity sports and fitness injuries. We strive to promote a healthy approach to fitness with our knowledge and expertise of biomechanics, functional analysis, and field experience. As athletes ourselves, we can empathize and create a game plan for a return to sports with safety and prevention of future injuries in mind. The foot is a complex structure that controls impact and pressures of the lower extremity. We work with orthotics, shoe modifications, and core form and strength to achieve excellent results.

Custom Orthotics

for Specific Sports & Lifestyles

An orthotic for the foot is an podiatric device designed to adjust or accommodate for a variety of biomechanical foot disorders. Orthotics range from a temporary over-the-counter device to more permanent devices customized to your individual foot alignment. Orthotics can be used to treat a variety of conditions including but not limited to Achilles tendonitis, posterior tibialis tendonitis, plantar fascitis, metatarsalgia, iliotibial band syndrome, knee pain, hip pain, and lower back pain.

Temporary over-the-counter orthotics may be utilized to alleviate acute discomfort or in some cases determine the appropriateness of a more permanent custom device. There are two major types of custom orthotics, accommodative and biomechanical. Accommodative orthotics are typically composed of softer materials and function to provide cushioning and shock absorption to the lower extremities. Biomechancial orthotics are typically composed of slightly more rigid materials and function to correct faulty alignment of the foot. This type of orthotic may include posting (small wedges that correct the alignment of the front and back of the foot and control excessive movement) depending on your foot’s alignment. Biomechanical devices are often appropriate for individuals who have excessive pronation (rolling in of the foot) during functional activities such as walking and running.

Measuring for custom orthotics typically takes 10-15 minutes including fabrication of a mold of your feet. Additionally, evaluation for custom orthotics includes gait analysis during walking and when appropriate, running. Custom orthotics should take into account your lifestyle including sports participation and shoe wear.

Not everyone requires a custom foot orthotic and much of the time physical therapy is prescribed in conjunction with orthotics to improve muscular flexibility and strength, joint mobility, and core control. This typically results in improved outcomes in conjunction with a custom foot orthotic. You may be a candidate for orthotics if you experience any of the following:

  •     Chronic foot, knee, hip, or back pain.
  •     Pain associated with your feet rolling in when you run or walk (pronation).
  •     Lower extremity pain when participating in athletic events.
  •     Frequent, recurrent ankle sprains.
  •     Persistent, recurrent tendonitis in the lower extremities.

MLS® Laser Therapy


Manage Pain.
Reduce Inflammation.
Speed Recovery.

MLS® Laser Therapy is the use of specific wavelengths of light to treat painful and debilitating conditions.

How does it work?

Light energy enters the damaged cells and stimulates inter-cellular activity. This redices pain in the area and speeds recovery of the damaged cells. Once the cells recover, the healing process is completed.

What can I expect during a treatment?

You may experience a comfortable sensation at the point of application. Treatment lasts an average of 8 minutes.

What can I expect after the treatment?

Most people experience positive resilts in 1 to 3 treatments, with the average course of treatment being 7 to 10 sessions. Swelling is greatly reuced and there is a rapid relief of pain. Acute conditions usually subside quickly, typically withing one phase of treatments, while chronic conditions can be controlled with regular treatments.

The effects of MLS® Laser Therapy are cumulative; therefore, expect to see improvement as you proceed through your treatment plan. It is critical that once you start, you complete the course of treatments recommended by your doctor or symptoms are likely to occur.

MLS® Laser Therapy effectively treats:

  • Tendo & ligament injuries
  • Sore muscles, muscle strains & tears
  • Degenerative joint conditions
  • Neurological & general pain & bruising
  • Musculoskeletal disorders
  • Pre & post-surgical treatment
  • Anti-inflammation applications
  • Specific neurological conditions

Benefits of MLS® Laser Therapy:

  • Rapid relief of pain
  • Strong anti-inflammatory effect
  • Timely healing of sprains & strains
  • Rapid recovery of the structural integrity of injured region
  • Rapid resolution of swollen areas
  • Immediate improvement of local blood circulation
  • Rapid repair of superficial injuries, such as wound and ulcers

3-D CT Scan

CurveBeam PedCAT Weight-bearing 3-D CT Scan, Digital X-Ray & Ultrasound

Step into Standing CT and get the most accurate diagnosis for your injury

Your doctor may determine your X-Ray does not provide enough information about your injury and may order a standing CT scan. CT scans provide a complete 3D picture of your bone alignment and joint spaces.

The American Orthopedic Foot & Ankle Society recommends standing (weight bearing) imaging, when possible, to get the most accurate assessment of the functional bony anatomy of the foot and ankle.

Deformities of the forefoot, midfoot, and hindfoot have been shown to be more visible in standing position.

Standing CT is perfect for:

  • Preoperative planning
  • Postoperative planning
  • Diagnosis of fractures
  • Evaluation of arthritic joints
  • Evaluation of bunion deformity
  • Evaluation of ankle instability
  • Evaluation of foot alignment
  • Sesamoid position and condition

At The Running Institute, we have all the proper equipment in-house, eliminating the need for you to schedule another appointment at a different medical facility.



Extracorporeal Pulse Activation Treatment

The Storz Duolith® is the newest EPAT® technology to receive FDA approval. The Running Institute is proudly one of the first clinics to implement this treatment in the nation. 

Extracorporeal Pulse Activation Treatment (EPAT®) (‘extracorporeal’ meaning ‘outside the body’) is a fast, safe and effective non-invasive treatment option that reduces the recovery period and eliminates the risks associated with traditional surgery.

This non-invasive (no incision) treatment involves the delivery of our unique acoustic pressure waves to the effected areas of the body which stimulates the body’s own natural repair mechanisms and fast-tracks the healing process.

EPAT® is an innovative step forward in non-invasive technology. Precisely controlled and released via a hand piece applicator, the unique sets of acoustic pressure waves transmit from the point of contact at the skin surface to the affected area. The pressure wave energy is propagated through a radial expansion, to the affected soft tissue.

Sports & Internal Medicine

Dr. Natarajan’s dual specialties uniquely qualifies him to treat the “whole patient”, including caring for athletes with diabetes, abdominal pains and asthma as well as treating the muscular and skeletal systems of the human body. Dr. Natarajan is focused on helping patients train safer, smarter, longer and better so they can reach their individual goals, no matter how high or deep these goals go.

  • Injections
  • Manual Therapy
  • Osteopathic Manipulations
  • Taping/Bracing
  • Compartment Pressure Testing
  • Home Exercise Programs
  • Aspirations