Personalized treatment plans
A full exam and a plan built for your body, not a package sold off a shelf.
St. Johns County, Florida
Chiropractor in St. Augustine, FL
Built to again.
After a thorough examination and discussion of your symptoms, health history, and lifestyle, we create a personalized treatment plan designed to address the underlying cause of your pain, not just the symptoms.
- Faith-based, family-owned practice
- 5.0 stars from 160+ Google reviews
- 5 years in practice, since 2021
- Digital X-ray on site
- Same-day appointments available
Why choose us
Three reasons people
drive past other clinics.
Advanced technology
Equipment most clinics in St. Johns County do not have on site.
Non-surgical, drug-free
Restore the movement first. Surgery and medication are not the opening move.
What patients say
160+ reviews.
Every one of them five stars.
Last summer my back was in terrible shape after a day riding on a jet ski. I went to Dr. Derek and he provided some immediate relief but also introduced some critical stretch and strength techniques to help with injury prevention. 8 Months later I continue to visit once a month as continued preventative maintenance.
I started here with 3 to 4 migraines a month that caused emergency room visits. Have not had one in over a year!
I went to Dr. Derek after my car accident. I was having back and neck pain but it improved so much with treatment. It was always easy to schedule appointments and the adjustments with therapies made a huge improvement in my overall quality of life.
The entire team at Spinal Solutions has been great from start to finish. Knowledgeable, friendly and effective, my neck and back issues have never been kept at bay the way they have since I have been in Dr. Derek’s care. 10/10 recommend!
Request your appointment
Start with an exam,
not a guess.
Your evaluation includes:
- One-on-one doctor consultation
- Full orthopedic and neurological testing
- Digital imaging (if clinically necessary)
- Detailed findings review
- A trial shockwave or red light therapy session (if appropriate)
- Custom recovery plan
Where does it hurt?
Point at it.
We will tell you why.
Neck and head
Headaches are often driven from here, which is why we treat the neck and not the symptom.
- Headaches and migraines
- Neck and shoulder pain
- Tech neck
- Whiplash from auto injury
Mid back
Where posture breaks down, and where a golf swing loses rotation before the low back pays for it.
- Upper back pain
- Posture correction
- Rib and shoulder mechanics
- Golf rotation limits
Low back
The region the DRX9000 decompression table was brought in for.
- Lower back pain
- Herniated and bulging discs
- Degenerative disc disease
- Sciatica
Hips and pelvis
Custom orthotics start here, because a correction that ignores the ground does not hold.
- Hip pain
- Prenatal and postpartum discomfort
- Gait and arch problems
- Leg length imbalance
What we take off your plate
We approach each patient differently, because two patients with the same diagnosis may respond differently to the same treatment.
Back and Hip Pain Upper back, lower back and hip pain traced to the joint that is actually failing. 
Sciatica Nerve pain that travels down the leg, treated at the disc that is causing it. 
Auto Injury Whiplash and crash-related spinal injury care, documented for your claim. 
Neck and Shoulder Pain Desk posture, tech neck and shoulder mechanics, retrained not just relieved. 
Headaches Tension and cervicogenic headaches driven by the neck, treated at the source. 
Posture Correction Chronic pain from poor posture, corrected with structure and repetition. 2021
the year Spinal Solutions opened in St. Johns County, after Dr. Sisak spent two years
practicing in the area
Titleist Performance Institute certified
Your swing is
a body problem.
Every golfer’s swing is different, because true efficiency depends on their unique body. That is why an efficient swing starts with a proper screening, not a one-size-fits-all fix.
There are an infinite number of ways to swing a golf club. However, there is one most-efficient way for each player to swing a club and it is based on what they can physically do.Book a TPI movement screen
How we can help
Four ways into
the same exam.
The human body is dynamic. Like all dynamic objects, it tends to break down over time. Just like our cars need their tires rotated, our joints need to move efficiently. Conservative care is the recommended first step for most back pain, and the NCCIH plain-language summary of chiropractic care explains why.
Pain control clinic in St. Augustine, FL
Where people go when hands-on care alone has stopped moving the needle. The DRX9000 decompression table and the OmniWave shockwave unit live here, for pain with a structural driver: a disc pressing on a nerve, a tendon that has stopped healing. Nothing starts until an exam says the equipment is the right answer.
the equipment side of the practiceSports medicine clinic in St. Augustine, FL
A golf swing is a body problem before it is a technique problem. Dr. Sisak is Titleist Performance Institute certified, so this starts with a movement screen rather than a lesson: what your hips, spine and shoulders can actually do, and where the swing borrows motion it should not. Custom orthotics sit here too, because a correction that ignores the ground does not hold.
golf screening and sports performance carePhysical rehabilitation center in St. Augustine, FL
An adjustment changes what a joint can do. Rehabilitation makes the change stick once you leave. Amy Vanover works alongside the doctors here, building the corrective exercise that retrains the muscles holding the old pattern in place. It is the difference between feeling better for a week and feeling better for good, and it is why we do not sell a single visit as a cure.
corrective rehab between visitsWellness center in St. Augustine, FL
Not everyone who walks in is injured. Some are recovering from surgery, some are training hard, some are maintaining what they got back. Whole body red light therapy on the TrifectaLight PRO 450 bed serves that group, alongside in-house wellness plans for people who would rather keep a problem away than treat it twice. Results vary.
whole body red light therapy for recoveryStart here if you already know what you need
DRX9000 Non-Surgical Spinal Decompression A motorized table that eases pressure off a damaged disc and the nerve it is pressing on, over a course of sessions rather than a single visit. how DRX9000 decompression treats a herniated disc Titleist Performance Institute TPI Golf Performance A screening of swing mechanics, movement quality and physical fitness, then a plan built for your body instead of a one-size-fits-all swing fix. the TPI movement screen for golfers 
OmniWave Shockwave Therapy Acoustic wave therapy for stubborn soft tissue and tendon pain that has stopped responding to hands-on care alone. OmniWave shockwave therapy for tendon pain 
Meet Dr. Sisak
The reason
this practice exists.
A high school basketball captain, two weeks out from the biggest game of his season, flattened by radiating spinal pain. A local chiropractor found the cause and he was back on the court inside two weeks. He has been chasing that outcome for other people ever since.
- Southern California University of Health Sciences, 2016, with academic honors
- Chiropractic Rehabilitation certification, Midwestern Rehabilitation Institute
- Titleist Performance Institute certified
The team
Who you will actually see.
Dr. Derek Sisak
DC, Founder
Graduated with academic honors from Southern California University of Health Sciences in 2016, with certification in Chiropractic Rehabilitation from the Midwestern Rehabilitation Institute.
Dr. Adam Marogil
Associate Doctor of Chiropractic
Graduated from Palmer College of Chiropractic Florida in June 2025 as valedictorian with summa cum laude honors, after a biochemistry degree at the University of Nebraska-Lincoln.
Amy Vanover
Rehabilitation Assistant
Works alongside the doctors on the rehabilitation side of care.
Nate Reinhardt
Decompression and Shockwave Assistant
Runs the DRX9000 decompression table and the OmniWave shockwave sessions.
Olga Meys
Front Desk and Flow Coordinator
The first person you speak to, and the one who keeps a visit moving.
Paying for care
Ways to cover it.
You hear what a plan does and does not cover before you commit, not after.
- PIP and personal injuryFlorida auto injury cases handled and documented for your claim.
- Medicare Part BCovers manual spinal manipulation to correct a subluxation. We will tell you plainly what falls outside it.
- Care plans and wellness plansIn-house plans for ongoing and preventive care.
- Financing availableCareCredit, for care you would rather not delay.
Find us
Just off U.S. 1 at
World Golf Parkway.
Serving all of St. Johns County: Palencia, World Golf Village, Nocatee, Ponte Vedra and downtown St. Augustine.
See the areas we cover across St. Johns CountyBefore you call
The things
people ask first.
How can I tell if my pain is coming from my hip or my back?
Hip pain often shows up as groin discomfort or pain deep in the joint, while back pain typically starts above the waist and may radiate down through the buttocks, thighs, or legs. A proper evaluation is the best way to know for sure.
Do I need imaging before starting chiropractic treatment?
Not always. Imaging is usually reserved for cases where we suspect arthritis, spinal degeneration, or another issue that requires a closer look. Dr. Sisak will let you know if it is recommended after your initial evaluation.
How long does it take to feel relief?
This varies based on the cause and severity of your pain. Some patients notice improvement within the first few visits, while more complex issues may require an ongoing treatment plan.
Is shockwave therapy painful?
Most patients describe shockwave therapy as producing mild discomfort or pressure rather than significant pain. Our team will walk you through what to expect before beginning treatment.
What does a chiropractor visit cost in Florida?
It depends on what the visit involves, which is why we start everyone at the same place. New patients begin with the $47 evaluation, covering the consultation, orthopedic and neurological testing, digital imaging if it is clinically necessary, a full findings review, and a trial shockwave or red light therapy session where it is appropriate. You see the plan and what it costs before anything begins.
What is a subluxation?
It is the term chiropractors use for a spinal joint that has lost its normal position or motion and is irritating the surrounding nerves, muscles and ligaments. It is also the specific finding Medicare Part B covers manual spinal manipulation to correct.
Come find out
what is actually wrong.
Start with the $47 evaluation. You leave knowing what is happening and what it takes to fix it, whether or not that turns out to be us.