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Frequently Asked Questions

What is Manual Medicine?
Manual Medicine, just as the name says, is manual or hands on treatment.  The Center has multiple specialists all highly trained in hands on treatments.  Our Medical Doctor, Doug Frye MD, specializes in hands on treatments as well as a variety of injection techniques and Ultra Sound Diagnosis.  Our Chiropractors, Mark Penn DC, and James Keen DC utilize manipulations, or adjustments, as well as other manual techniques to relieve patients’ pain.  The Physical Therapy department at The Center is also highly trained in back and neck care as well as extremities.  Matt Elniff PT, FAAOMPT is the only Fellowship Trained Orthopedic Manual Physical Therapist in Topeka.  Paula Cobb PT, Dan Stiers PTA, and Michelle Gower PTA are also highly trained therapists. 


What conditions benefit from Manual Medicine?
Manual Treatments; Chiropractic Adjustments, Osteopathic Manipulations (OMT), and Physical Therapy can benefit a wide variety of conditions.  Studies have found adjustments to be effective for back pain, neck pain, migraines, fibromyalgia and most other musculo-skeletal problems.  Add in our combination of Physical Therapy and nearly every musculo-skeletal problem can be addressed.  Just to name a few issues that The Center has success treating:  Headaches, shoulder and rotator cuff issues, tennis elbow / golfers elbow, carpal tunnel syndrome, numbness and tingling in hands and arms, hip, knee and foot pain, sciatica, migraines, and of course back and neck pain.


Do Adjustments hurt?
Under normal circumstances, adjustments do not hurt.  The patient may experience a minor amount of discomfort during the adjustment which only lasts seconds.  If adjustments or manipulations are not right for you, the doctors have many other options of treatment.


Is Chiropractic or Manual Medicine Safe?
Chiropractic and Manual Medicine is extremely safe.  These types of treatment tend to have much lower risks than medications and surgery that both carry a variety of potential side effects.


Do you need a referral?
No, you do not need a referral to be seen at The Center. 


Do you take Insurance? 
Yes, we accept all major insurances with the exception of Medicaid. 


What other Services do you offer besides Manual Treatment?:


Physical Therapy:  Physical Therapy is a form of manual treatment, but can also involve strength, flexibility, and conditioning.  Physical Therapy is often used in conjunction with other treatments here at The Center.  Adjustments from the Chiropractors can loosen restricted joints so the Physical Therapist can focus on the Muscle-Joint connection.  If a patient receives an injection of any type, Physical Therapy can help the underlying cause.  This combination approach has a higher success rate then either intervention alone.  It also allows the patient a window of opportunity to rehabilitate the underlying problem with less pain. Matt Elniff PT, FAAOMPT is the only fellowship trained PT in the community. We have a highly trained group of Physical Therapists and Physical Therapist Assistants working at The Center.  We not only work with back, neck, and extremity problems, but pre and post surgical Physical Therapy as well.  

Imaging: The Center for Manual Medicine is one of the first practices in the state of Kansas to be certified by the American Institute of Ultrasound Medicine, (AIUM) in Musculo-Skeletal Ultrasound.  Dr. Frye utilizes Ultrasound to evaluate many Joint and Muscle problems.  With Ultrasound you can look at ligaments and tendons through a range of motion instead of just a static picture.  This technology is rapidly spreading throughout the United States because of it safety and accuracy.  It is also a fraction of the cost of an MRI.  Dr. Frye is also one of the first doctors in the United States to be Certified in Musculoskeletal Sonography, (RMSK).  When appropriate we refer patients for x-rays or MRI’s at any of our local Imaging Centers or the Hospitals.

Dr. Frye utilizes a number of injection techniques to help patients reduce pain and expedite healing.   One thing that sets us apart is we utilize Ultrasound to guide our injections into the correct spot.  Giving shots “blind” or without imaging can result in the medication not going to the site of injury.  With Ultrasound the doctor can guide the needle to the exact spot and watch the medication be administered.  This results in a much higher success rate for injections. 

The Center has multiple injection options based on your specific problem.  Dr. Frye does Cortisone, Orthovisc (viscosupplementation in knees),   Prolotherapy, Platelet Rich Plasma, and Nerve Block Therapy.  Look under the injection tab on our website for more information regarding these injections.

Exercise Instruction:
    The Center has multiple Exercise Physiologists and Certified Strength and Conditioning Specialists (CSCS) on staff.  They can use their expertise in setting up home or gym based exercise programs.  One major benefit of the therapists is their knowledge of musculoskeletal problems, and how to avoid them.  The exercise program is individual based for your specific needs.  


Why The Center For Manual Medicine?  
We are the only non-hospital based multi-disciplinary practice of this kind in the region.  It is virtually a one stop shop for any type of musculoskeletal problem.  We utilize a team approach in helping patients get over their pain and discomfort as quickly as possible.  Our motto is WE HELP YOU HELP YOURSELF.  We want to not only get you over your pain, but show you the proper techniques and exercises or stretches to keep the issue from returning.  We offer Chiropractic, Physical Therapy, Imaging, Injections, and Medication all under one roof.



If you have a question that was not addressed please e-mail or us call 785-271-8100 to set up an appointment.

Call us at (785) 271-8100
The Center for Manual Medicine
5000 SW 21st ST. Topeka, KS 66604
Copyright 2017 by Center for Manual Medicine