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Do you Know our Motto?

At Structural Elements® we believe the body thrives on efficiency.  Anytime an athlete's body is “out-of-alignment”, there is a compromise to performance. We see several patients a week who come to us because they are in pain, but by this time they have already been compromising performance. Often we find structural imbalances that cause change to running form, cycling power and swim efficiency. It surprises most athletes where we find imbalances. We have treated hip pain by balancing the feet, and we have treated foot pain by balancing the hips.

Our Process is to ANALYZE, BALANCE and APPLY.


Quality care begins with developing clear treatment goals. At Structural Elements® we take a step back, look through a wide lens and determine cause rather than treating symptoms alone. We look at the body from the ground up, how it moves and determine a treatment strategy.


Effective treatment should restore balance to the entire body. We locate and treat adhesions in the connective tissue that form throughout all regions of the body, not just the site of pain.  After normalizing the connective tissue, alignment is manually corrected.  At home exercise, postural queues and soft tissue self-care are prescribed to further correct structural imbalances.


Lasting results are achieved by reducing structural imbalances, improving connective tissue health and re-educating movement. Treatment does not end in the treatment room. It ends on the field, on the course, on the bike and on the run. We offer comprehensive support to our patients as they return to full participation.

Doug Bertram, L.Ac., MTCM, Owner

Join The Movement

Structural Elements® was founded on the idea that better orthopedic care exists and should be available to people everywhere. Our team has changed the delivery of and access to that care across the country. Ready to join the movement? Access information on franchising costs, clinic build out plans and therapist support by filling out this form.

Franchise Opportunity

Your submission of this form does not constitute an offer to sell or a solicitation of an offer to buy a franchise. Structural Elements® Franchising, LLC offers and sells franchises only in accordance with procedures designed to ensure that the Company complies with laws governing the offer and sale of franchises. These procedures include the delivery of a written disclosure document to the prospective franchisee before the Company can begin to discuss the possible sale of a franchise.