V2 Palencia Clinical All concepts

St. Augustine, Florida

Find the cause.
Then fix that.

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.

Certification
Titleist Performance Institute
On site
DRX9000 decompression
Near
World Golf Parkway and Palencia
Hands-on chiropractic adjustment at Spinal Solutions in St. Augustine
Dr. Derek Sisak, DCFounder

What brings people in

We approach each patient differently, because two patients with the same diagnosis may respond differently to the same treatment.

How care works here

Four steps,
no guessing.

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.

  1. 01

    Examination

    A thorough exam plus a real conversation about your symptoms, health history and how you actually live.

  2. 02

    Findings

    You are shown what is happening and why, so you can make an informed decision instead of a hopeful one.

  3. 03

    The plan

    Adjustments, soft tissue therapy, corrective exercise and decompression where the findings call for it.

  4. 04

    Holding it

    Movement and support work so the correction lasts past the last visit.

DRX9000 non-surgical spinal decompression table

Non-surgical spinal decompression

The DRX9000
does what a table cannot.

One of the most advanced non-surgical treatments for back and neck pain, used here for herniated discs, bulging discs, degenerative disc disease and the sciatica that comes with them.

  • Herniated disc
  • Bulging disc
  • Degenerative disc disease
  • Sciatica
  • Protruding disc

Services

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.

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.

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.

Focused Shockwave Therapy
OmniWave

Focused Shockwave Therapy

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
Recovery

Whole Body Red Light Therapy

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

Custom Orthotics
Foot Levelers

Custom Orthotics

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

Prenatal Chiropractic Care
Pregnancy

Prenatal Chiropractic Care

Gentle care through pregnancy and postpartum, a natural option for the discomfort that comes with a changing body.

Chiropractic Care for Children
Family

Chiropractic Care for Children

Age-appropriate care for growing spines, from newborns through student athletes.

Titleist Performance Institute certified

The body-swing
connection.

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.

Swing capture screens at a TPI screening Movement screening drill

Your care team

Dr. Derek Sisak, DC, Founder

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

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

Amy Vanover

Rehabilitation Assistant

Works alongside the doctors on the rehabilitation side of care.

Nate Reinhardt, Decompression and Shockwave Assistant

Nate Reinhardt

Decompression and Shockwave Assistant

Runs the DRX9000 decompression table and the OmniWave shockwave sessions.

Olga Meys, Front Desk and Flow Coordinator

Olga Meys

Front Desk and Flow Coordinator

The first person you speak to, and the one who keeps a visit moving.

In their words

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

Start with an exam,
not a guess.

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.

Address

276 Paseo Reyes Dr
St. Augustine, FL 32095

Hours
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