St. Johns County
Pain control clinic in St. Augustine, FL
This is the equipment side of the practice, for pain with a structural driver that hands-on care alone has stopped moving: a disc pressing on a nerve, or a tendon that has stopped healing. It runs on the DRX9000 decompression table and the OmniWave acoustic wave device, and nothing starts until an exam says the equipment is the right answer.
- DRX9000 decompression on site
- OmniWave shockwave on site
- Exam and imaging before any equipment
The side of the practice people arrive at second
Almost nobody books here first, and that is deliberate. Most pain in St. Johns County walks in as a joint that has stopped moving well, and that responds to adjusting, soft tissue work and corrective exercise for considerably less time and money than anything on this page.
What this side exists for is the situation where that has already been tried and the pain has not moved. Usually one of two things is going on. Either a disc is pressing on a nerve, in which case the pain has stopped being local and started travelling down a leg or an arm. Or a tendon has come off its normal healing curve and now hurts under load no matter how much rest it gets.
Pain that persists past the point where tissue should have healed behaves differently from fresh injury, and the NINDS overview of chronic pain explains why that distinction matters clinically rather than just being a matter of time.
Two devices, two different jobs
The DRX9000 separates two vertebrae in a controlled cycle, lowering pressure inside the disc so it stops pressing on the nerve root beside it. It is a course of sessions rather than a visit, and it is aimed squarely at disc-driven pain.
The OmniWave delivers pulses of acoustic energy into a specific area of tendon or soft tissue, to provoke a fresh biological response in tissue that has gone quiet. Different mechanism, different problem, and it is reached for when hands-on work has plateaued.
Neither is a first move, and neither works well as a standalone purchase. Both are sequenced inside a plan that still includes adjusting and the corrective work that keeps the change.
Why an exam still comes first
Equipment is easy to sell and hard to justify. The honest position is that the exam decides, and that it sometimes decides against the expensive option.
If your pain turns out to be a restricted joint, an adjustment costs less and works faster. If it turns out to be progressive neurological loss, it needs a surgical opinion and not a table. Being told which of those you are is the actual product of a first visit.
What sits under pain relief
Non-Surgical Spinal Decompression Non-surgical spinal decompression uses a motorized table to gently separate the vertebrae, easing pressure on a damaged disc and the nerve it is pressing against. Read about non-surgical spinal decompression 
Shockwave Therapy Shockwave therapy delivers pulses of acoustic energy into a specific area of tendon or soft tissue to provoke a healing response in tissue that has stalled. Read about shockwave therapy Who this side of the practice is for
- Pain that travels into a leg or an arm along a nerve path
- A disc problem on imaging, or an exam that points at one
- Tendon or soft tissue pain that has lasted months rather than weeks
- Adjustments and exercise helped at first and then stopped making a difference
- You want to exhaust conservative options before considering surgery
Conditions this covers
Why have it done here
Very few clinics in St. Johns County hold both a DRX9000 and an acoustic wave device on site, and fewer still sit them next to the adjusting and rehabilitation that make either one hold. Nate Reinhardt runs both, every day, so the person treating you is not doing it occasionally.
This is one of four sides of the practice, and the exam decides which of them you actually belong in.
Book the $47 evaluationWhat patients say
5.0 from 166 Google reviewsLast 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.
Where to find us
The clinic sits at 276 Paseo Reyes Dr in St. Augustine, Florida, just off U.S. 1 at World Golf Parkway, near the entrance to the Palencia neighborhood. Most people coming in for disc and tendon pain drive in from across St. Johns County, and the office is a straight run up or down U.S. 1 from either end of it.
- Palencia
- World Golf Village
- Nocatee
- Ponte Vedra
- Julington Creek
- Downtown St. Augustine
Questions we get asked
How is this different from ordinary chiropractic care?
Chiropractic adjusting restores motion to a joint. The equipment here addresses a different problem: a disc under pressure, or tissue that has come off its normal healing curve. Most people need the first and not the second, which is why an exam decides rather than a preference.
Do you prescribe pain medication or give injections?
No. This is a drug-free, non-invasive practice. Injections and prescriptions are managed by medical providers, and where that is genuinely the better path for you we will say so and refer rather than keep you here.
Is this covered by insurance?
It depends on the plan and the case. We handle PIP and personal injury directly. Medicare Part B covers manual spinal manipulation to correct a subluxation and does not extend to decompression or shockwave, so those are covered by an in-house care plan or CareCredit financing. You see the full cost at the findings review, before anything begins.
How many sessions does equipment-based care take?
A course rather than a single visit, and the number depends on what the exam and imaging show. That is why we do not quote a course before examining you. New patients start with the $47 evaluation and leave the findings review with a session count and a price.
What if the equipment is not right for me?
Then we say so. There are real contraindications for both the decompression table and the shockwave device, including pregnancy, fusion hardware, severe osteoporosis and progressive neurological loss. Screening for those is what the first visit is for, and a no is a legitimate outcome of it.
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