Welcome to The Sayer Clinics Specialist Team

Dr Dominic Metcalfe is the owner and lead chiropractor at Sayer Clinics London. He is internationally recognised for his successful treatment of back pain, neck pain, costochondritis, coccyx pain and complex pelvic pain.

Dominic founded the New Malden Clinic in 1982 and has more than four decades of specialist clinical experience. Over that time, he has developed Sayer Clinics into a centre of excellence for patients with complex spinal, rib, coccyx and pelvic pain conditions, including many who have been unable to find effective help elsewhere.

Dominic has trained directly with other world-leading specialists and has developed uniquely effective neuro-musculoskeletal treatment methods for costochondritis, coccyx pain and pelvic pain. His approach combines precise clinical diagnosis, advanced hands-on treatment and detailed understanding of spinal, rib, pelvic and nerve-related dysfunction.

His treatment is distinctive because it addresses the mechanical, neurological and soft-tissue factors that often maintain persistent pain. This is particularly important in complex conditions such as costochondritis, coccydynia and pelvic pain, where symptoms are often misunderstood, under-treated or treated too narrowly.

Madalina Grigore MSc is one of Sayer Clinics London’s most highly skilled hands-on therapists, with advanced expertise in pelvic pain, coccyx pain, costochondritis, rib and chest wall pain, and abdominal or pelvic adhesion-related symptoms.

Her work is particularly valuable for patients with complex, persistent or hard-to-explain pain, including pudendal neuralgia, PGAD, vulvodynia, vestibulodynia, vaginismus, coccydynia, rib pain, post-surgical restriction, abdominal tightness and pelvic soft-tissue dysfunction.

Madalina trained directly with the late Dr Michael Durtnall, Sayer Clinics’ former owner and a world-leading authority in coccyx, pelvic and costochondritis treatment. She learned the highly developed manual methods that helped make Sayer Clinics internationally known for treating difficult pelvic, coccygeal and chest wall pain.

Her treatment is detailed, precise and deeply hands-on. She works with the muscles, ligaments, fascia, abdominal tissues, pelvic structures, rib mechanics and surrounding soft tissues that can contribute to pain, restriction and sensitivity. Patients often come to her after standard treatment has been too general, too superficial or unable to address the full pattern of symptoms.

For the most complex pelvic, coccyx and costochondritis cases, patients are strongly advised to see both Madalina and Dr Dominic Metcalfe. Dominic provides senior chiropractic diagnosis and advanced neuro-musculoskeletal treatment; Madalina provides the focused soft-tissue, pelvic, coccygeal, rib and adhesion work needed to support deeper and more complete care.

Together, this gives patients access to a rare combined approach: senior clinical assessment, world-leading inherited expertise, and highly skilled hands-on treatment for some of the most difficult pain conditions treated at Sayer Clinics.