V3 Ancient City All concepts
Spinal Solutions Health and Wellness Book a visit
St. Augustine, Florida

Chiropractic care in the Ancient City

Care that knows
your whole life,
not just your x‑ray.

Under the expert guidance of Dr. Derek Sisak, our team of skilled professionals is dedicated to helping you achieve and maintain a pain-free, healthy lifestyle.

Book a visit (904) 217-3982

How this started

Dr. Derek Sisak was a high school basketball captain, one week out from the biggest game of his season, when the radiating spinal pain came back. A local chiropractor found the cause. He was back on the court in under two weeks. That is the whole reason this practice exists.

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.

We approach each patient differently, because two patients with the same diagnosis may respond differently to the same treatment.
Dr. Derek Sisak, DC
Dr. Derek Sisak, DCSouthern California University of Health Sciences, 2016

People come in for

Non-Surgical Spinal Decompression

DRX9000

Non-Surgical Spinal Decompression

The DRX9000 is one of the most advanced non-surgical treatments for back and neck pain, used here for herniated, bulging and degenerative discs.

Read about non-surgical spinal decompression
TPI Golf Performance

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.

Read about tpi golf performance
Whole Body Red Light Therapy

Recovery

Whole Body Red Light Therapy

Whole body red light therapy for recovery from surgery and muscle injury, energy, physical and mental performance.

Read about whole body red light therapy
Custom Orthotics

Foot Levelers

Custom Orthotics

Scanned, made-for-you orthotics that support all three arches so the correction holds from the ground up.

Read about custom orthotics
Coaching a golfer on posture and swing mechanics

Titleist Performance Institute certified

We are five minutes
from World Golf Village.

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.

Who you will see

Dr. Derek Sisak, DC, Founder

Dr. Derek Sisak

DC, Founder

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.

Dr. Adam Marogil, DC

Dr. Adam Marogil

DC

Ten years of competitive soccer, a torn ACL and meniscus, and twelve weeks of rehab taught him what recovery actually asks of a patient.

Amy Vanover, Massage and Manual Therapist

Amy Vanover

Massage and Manual Therapist

Specializes in the muscle tension and mobility work that makes an adjustment hold.

Phil Bunting, Care Team

Phil Bunting

Care Team

Part of the Spinal Solutions care team in St. Augustine.

Letters from patients

Not just a cookie cutter chiropractors office. They use all kinds of techniques to help make you feel better. Dr. Derek and Tim actually listen to you and work on what is bother you. Highly recommended.
TommyGeneral care
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.
ErikBack pain
I started here with 3 to 4 migraines a month that caused emergency room visits. Have not had one in over a year!
JessicaHeadaches
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.
TaylorAuto injury
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!
EmilyNeck and back

Come see us.

Just off U.S. 1 at World Golf Parkway near the entrance to the Palencia neighborhood.

Call (904) 217-3982

276 Paseo Reyes Dr
St. Augustine, FL 32095

Monday9:00 am to 6:00 pm
Tuesday8:00 am to 6:00 pm
Wednesday1:00 pm to 6:00 pm
Thursday8:00 am to 6:00 pm
Friday7:00 am to 12:00 pm