About the practice
Spinal Solutions Health and Wellness is a faith-based, family-owned chiropractic practice at 276 Paseo Reyes Dr in St. Augustine, Florida, founded in 2021 by Dr. Derek Sisak, DC. Two licensed chiropractic physicians treat spine, joint and sports-related pain with adjusting, non-surgical decompression, shockwave therapy and rehabilitation, and the practice holds 5.0 stars from 166 Google reviews.
Dr. Sisak was a high school basketball captain, two weeks out from the biggest game of his season, when radiating spinal pain flattened him. A local chiropractor found the cause and he was back on the court inside two weeks. That experience, of somebody finding the actual problem rather than managing the symptom, is what he has been chasing for other people since.
He practised in St. Johns County for about two years before opening Spinal Solutions in 2021. It has stayed a family-owned practice, and the doctors treat their own families in it.
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.
In practice that means three fixed rules. Nothing goes on a table before an exam. You are shown what we found and why it explains what you feel, before you decide anything. And when the answer is not us, you get told so and pointed somewhere better, which happens often enough to be worth saying out loud.
We approach each patient differently, because two patients with the same diagnosis may respond differently to the same treatment.
DC, Founder
Spinal decompression, TPI golf performance, rehabilitation
Graduated with academic honors from Southern California University of Health Sciences in 2016, with certification in Chiropractic Rehabilitation from the Midwestern Rehabilitation Institute.
A high school basketball captain whose own radiating back pain put him on a chiropractic table two weeks before the biggest game of his season.
Associate Doctor of Chiropractic
Adjusting, soft tissue treatment, sports injury
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.
Ten years of competitive soccer, a torn ACL and meniscus, and twelve weeks of rehab taught him what recovery actually asks of a patient.
Rehabilitation Assistant
Corrective exercise and rehabilitation
Works alongside the doctors on the rehabilitation side of care.
Decompression and Shockwave Assistant
Decompression and shockwave sessions
Runs the DRX9000 decompression table and the OmniWave shockwave sessions.
Front Desk and Flow Coordinator
Front desk, scheduling and patient flow
The first person you speak to, and the one who keeps a visit moving.
Also on the team
Marketing Representative
Handles the practice's marketing and community outreach. Not part of the care team, and not involved in treatment.
Chiropractic physicians in Florida are licensed and regulated by the Florida Board of Chiropractic Medicine , whose rules govern scope of practice, continuing education and complaints.
5 years in St. Johns County, in a building just off U.S. 1 at World Golf Parkway, near the entrance to the Palencia neighborhood. The practice is a member of St. Johns Chamber of Commerce, and works with The Palencia Club and Holey Ballz Pickle Ball on screenings and assessments for their members.
Patients come from across the county: Palencia, World Golf Village, Nocatee, Ponte Vedra, Julington Creek and downtown St. Augustine. Care is provided in English.
We hold 166 five-star reviews across every kind of care in this practice. Rather than pick one that is not about this treatment, here is the whole profile, unedited.
| Monday | 09:00 to 18:00 |
|---|---|
| Tuesday | 08:00 to 18:00 |
| Wednesday | 13:00 to 18:00 |
| Thursday | 08:00 to 18:00 |
| Friday | 07:00 to 12:00 |
| Saturday and Sunday | Closed |
New patients start with the $47 evaluation. We name no commercial carrier here because none is confirmed; ask us about yours and you will get a straight answer.
Dr. Derek Sisak, DC, founded the practice in 2021 and owns it. It is a faith-based, family-owned practice with one location, at 276 Paseo Reyes Dr in St. Augustine, Florida.
The practice opened in 2021, which makes it 5 years in St. Johns County. Dr. Sisak had been practising in the area for about two years before opening it.
Yes. Both Dr. Derek Sisak and Dr. Adam Marogil are licensed chiropractic physicians in the State of Florida. Florida licences are publicly searchable, and the credentials section on this page links to the state verification tool so you can check for yourself.
Three things, concretely: equipment most local clinics do not have on site (a DRX9000 decompression table, an OmniWave shockwave device, digital X-ray), Titleist Performance Institute Medical Level 3 certification for golf performance work, and an exam that happens before any treatment is recommended rather than after.
No. Nobody at Spinal Solutions is a licensed massage therapist and we do not offer massage. Amy Vanover is a rehabilitation assistant. What we provide is clinical soft tissue treatment delivered by the treating chiropractor as part of a care plan.
Yes, both, with technique adapted for each. Prenatal care uses gentle, pregnancy-safe positioning. Pediatric care is limited to musculoskeletal complaints, with anything medical referred to the child’s pediatrician.
Request your appointment
Start with the $47 evaluation. 166 people have left us five stars; the exam is where that starts.
