Personalized treatment plans
A full exam and a plan built for your body, not a package sold off a shelf.
(904) 217-3982 (904) 217-3982 St. Johns County, Florida
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.
Why choose us
A full exam and a plan built for your body, not a package sold off a shelf.
Equipment most clinics in St. Johns County do not have on site.
Restore the movement first. Surgery and medication are not the opening move.
What patients say
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
Your evaluation includes:
Where does it hurt?
Headaches are often driven from here, which is why we treat the neck and not the symptom.
Where posture breaks down, and where a golf swing loses rotation before the low back pays for it.
The region the DRX9000 decompression table was brought in for.
Custom orthotics start here, because a correction that ignores the ground does not hold.
We approach each patient differently, because two patients with the same diagnosis may respond differently to the same treatment.
Auto Injury Whiplash and crash-related spinal injury care, documented for your claim. 
Back and Hip Pain Upper back, lower back and hip pain traced to the joint that is actually failing. 
Headaches Migraines and tension headaches driven by the neck, treated at the source. 
Neck and Shoulder Pain Desk posture, tech neck and shoulder mechanics, retrained not just relieved. 
Posture Correction Chronic pain from poor posture, corrected with structure and repetition. 
Titleist Performance Institute certified
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.
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.
The DRX9000 is one of the most advanced non-surgical treatments for back and neck pain, used here for herniated, bulging and degenerative discs.
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.
Acoustic wave therapy delivered with the OmniWave device, aimed at stubborn soft tissue and tendon pain that has stopped responding to hands-on care alone.
Whole body red light therapy for recovery from surgery and muscle injury, energy, physical and mental performance.
Scanned, made-for-you orthotics that support all three arches so the correction holds from the ground up.
Gentle care through pregnancy and postpartum, a natural option for the discomfort that comes with a changing body.
Age-appropriate care for growing spines, from newborns through student athletes.
Meet Dr. Sisak
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 in under two weeks. He has been chasing that outcome for other people ever since.
The team
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.
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.
Rehabilitation Assistant
Works alongside the doctors on the rehabilitation side of care.
Decompression and Shockwave Assistant
Runs the DRX9000 decompression table and the OmniWave shockwave sessions.
Front Desk and Flow Coordinator
The first person you speak to, and the one who keeps a visit moving.
Paying for care
Find us
Near the entrance to the Palencia neighborhood, serving all of St. Johns County.
Call (904) 217-3982Before you call
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.
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.
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.
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.
Just off U.S. 1 at World Golf Parkway near the entrance to the Palencia neighborhood.