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.

Certified Acupuncture

Acupuncture Acts on the Pain Areas in the Brain

A study appearing in the journal NeuroImage (2001;14:60-66) looked at the effect acupuncture has on a PET scan. A positron emission tomography (PET) scan is an imaging test that shows how the organs and tissues inside the body are actually functioning. It can measure such vital functions as blood flow, oxygen use, and glucose metabolism. It measures metabolic changes happening on a cellular level. In a PET scan, the subject is injected with a radiotracer (a small dose of a radioactive chemical). The scanner detects and records the energy given off by the tracer substance and creates computerized images of the body.

In this study, 13 subjects between the ages of 21 and 32 were given PET scans before and after (25 minutes after treatment) acupuncture treatment. Activation could be seen in areas of the brain that are involved with chronic pain (the left anterior cingulus, the insulae bilaterally, the cerebellum bilaterally, the left superior frontal gyrus, and the right medial and inferior frontal gyri).

Chiropractic Medicine

Chiropractic is a wholistic, hands-on approach for treatment of disorders and dysfunctions of the body without the use of drugs or surgery.  The human body has the capacity to heal itself.  Our chiropractic care enhances and amplifies this natural ability. 

Chiropractic, as we know it, was developed in 1895 by Daniel David Palmer. In truth, spinal manipulation has been an effective healing art for thousands of years. In the 19thcentury there were “bonesetters” who practiced a healing art much like chiropractic. The ancient Egyptians and the ancient Chinese both practiced spinal manipulation as a healing art. Hippocrates also used spinal manipulation. 

Chiropractic is a natural, hands-on method of healing. The Greek word Chiropraktikos, meaning "effective treatment by hand" is the origin of the word chiropractic. Chiropractors correct misalignments in the spine and all joints of the body in order to preserve range of motion and healthy cartilage. 

A misaligned joint (in the spine or elsewhere) does not move quite normally. Have you ever had your arm in a cast? When a joint doesn’t move for weeks, it becomes hard to move it. It is stiff and sore. It is the same when joints in the spine become misaligned. Along with the stiffness and pain, much of the nervous system can be affected.  The nerves in your body must initially travel through openings in the spine in order to get to your muscles, joints and organs. When the joints of the spine become stiff, sore and swollen through trauma, arthritis and poor posture, the nervous system is adversely affected. A chiropractor helps to restore normal motion and function to the joints, thereby alleviating the pain and restoring health. 

Since chiropractic does such a good job in relieving musculoskeletal pain, many think of them as bone doctors. In reality, a chiropractor is a doctor who helps the body to heal itself without the use of drugs or surgery. Any person, with any disease process like asthma, allergies, digestive disorders, headaches, and, of course, neck and back pain can benefit from wholisitic chiropractic care.

Class 4
Laser Therapy

Class 4 Laser Therapy, or "photobiomodulation", is the use of specific wavelengths of light (red and near-infrared) to create therapeutic effects. These effects include, but are not limited to, improved healing time, pain reduction, increased circulation, decreased swelling and vasodilation. Laser Therapy has been widely utilized in Europe by physical therapists, nurses, and doctors as far back as the 1970's. Now, after FDA clearance in 2002, Laser Therapy is being used extensively in the United States. 

During Class 4 Laser Therapy, the infrared laser light interacts with tissues at the cellular level, and metabolic activity increases within the cell, vastly improving the transport of nutrients across the cell membrane. This initiates the release of nitric oxide that leads to a cascade of beneficial effects, increasing cellular function and health.


Patient Information/Forms


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.


Patient Information/Forms

Nutrition Coaching

Health is a presence, not just the absence of disease. It is an active process that requires constant attention to how we eat, drink, breathe, think and move. Nutritional advice and dietary planning is often needed by those with specialized needs including athletes of all levels, people with various health issues like diabetes, cholesterol problems, high blood pressure, allergies and asthma, and weight loss problems.

People who don't fit into these categories also often need help understanding what it means to eat healthfully, and how to feed their families nutritiously and conveniently.

Nutritional counseling in our office may include taking diet histories and using hair or saliva testing to assess nutrient status in order to design an effective eating and supplement plan.  The goal is to design a "personal fuel mix" that optimizes health, and allows people to perform at the highest level possible.

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.

Manual Therapy
Osteopathic Manipulations
Compartment Pressure Testing
Home Exercise Programs

Video Gait Analysis (VGA)

& Running Shoe Fitting

The Running Institute has a treadmill and video camera to assess your running and walking gait. Additionally, we are able to evaluate your running and walking shoes to ensure that you are getting the proper support. It's easy--bring in your shoes and we'll have you walk and/or run on the treadmill and provide you with an analysis of your overall running gait from hip to foot.

If you're simply in need of new running shoes, please click here to see a list of our running retail stores partners.