
Dr. Zavala opened Wrench Chiropractic to give workers a clear route from a hurt back or shoulder to a written plan. He sees patients before first shift and explains each step before it starts.
Work-injury chiropractic in Dayton, Ohio
Wrench Chiropractic sees workers who have a workers' compensation claim or are about to file one. We explain who does what, who pays and what each visit includes, in writing, before you are seen.

The work-injury lane
Every claim moves through the same people. Here is where you stand at each step, and where we come in.
Report the injury to your supervisor or HR as soon as you can, and say how it happened. Many employers have their own form; ask what it is.
Write down the date, the place and who saw it
You or your employer files the claim with the payer, which is the state agency or a self-insured employer. The payer gives it a number and decides whether to allow it. Keep that number.
Ask the payer which providers can see you on the claim. We confirm with the payer that we can see you before we book your first visit.
At each visit your doctor records what you can and can't do at work. Our coordinator sends the notes your payer asks for, so the paperwork doesn't wait on you.
Your doctor reviews the plan as you go and writes limits for your job, such as lifting, driving or time on your feet. Your employer and the payer decide what duty is available.
Who pays
Bring your claim number and your employer's name. We confirm the rest with the payer before you are scheduled.
| Your visit | Who pays | What you do |
|---|---|---|
| Visits for the injury on your claim | Who paysThe payer on your claim | What you doBring your claim number and your employer's name |
| Visits while the claim is still pending | Who paysDecided with you before the visit | What you doAsk us for a written estimate |
| Care the claim does not allow | Who paysYou, or your health plan if it covers the visit | What you doAsk us for a written estimate first |
| Work-status notes and forms | Who paysPart of your care on the claim | What you doTell us who needs a copy |
| Care for something that isn't from work | Who paysYour health plan, or you | What you doTell us when you book |
By job
Work limits are specific to the job. We ask what you do all day and write it into your record, so your work-status notes say more than "light duty."
Lifting, carrying, pallet jacks and long shifts on concrete. We ask what you lift, how far and how often.
Lifting and carrying
Bending and twisting
Standing on concrete
Hours at a keyboard, a headset or a screen. We look at how you sit and reach, and what a break schedule could look like.
Desk and screen set-up
Reaching and typing
Phone and headset time
Long hours in a seat, loading and unloading, climbing in and out of a cab or van. We write driving limits into your notes.
Time in the seat
Loading and unloading
Getting in and out of a cab
Who you will see
Dr. Zavala and Dr. Chan see every work-injury patient. Jamila keeps the paperwork moving and answers the phone.

Dr. Zavala opened Wrench Chiropractic to give workers a clear route from a hurt back or shoulder to a written plan. He sees patients before first shift and explains each step before it starts.

Dr. Chan leads exercise and rehab visits. She writes work limits in plain terms: how much you can lift, how long you can stand or drive, and what to ask your supervisor for.
Work-injury coordinator
Jamila is the first voice on the phone. She confirms your claim number with the payer, schedules visits around your shift and sends the notes your doctor signs.
Your first visit
Your doctor starts with how you were hurt and what your job asks of you. Then comes an exam, a written plan and a work-status note, all before you leave.
X-rays are taken only when medically necessary.
A talk about how you were hurt and what your job involves
A physical exam
A written plan your doctor reviews as you go
A work-status note, sent where you say

Questions
Call us anyway. We tell you how a visit would be billed while the claim is pending, give you a written estimate, and you decide whether to go ahead.
On an allowed claim we bill the payer. If a visit isn't allowed, we tell you before the visit, and you choose what to do.
Yes. Tell us who you have seen, and with your permission we share notes.
We hold early times before first shift. Ask the front desk what is open.
Some people are sore for a day. Rare serious problems have been reported, including after neck techniques. Your doctor explains the risks before any treatment, and you can decline any part.
Contact
Leave your name, number and a time that works around your shift. Our coordinator calls you back to schedule.