Pelvic floor dysfunction occurs when the muscles that form the base of your pelvis become weak, tight, or uncoordinated. These muscles support your bladder, bowel, and core stability. When they fail, the most common result is stress urinary incontinence: leaking urine when you cough, sneeze, laugh, jump, or exercise. It affects both women and men, and it is far more common than most patients realize.
In Boulder, pelvic floor dysfunction takes away your ability to run trails, jump in a fitness class, ski moguls, or even laugh hard without worrying. Many patients I see have quietly adjusted their entire routine to avoid leakage. They stopped running, stopped jumping, started wearing pads, and never told anyone. Some have been doing Kegel exercises for years with little improvement because manual Kegels only activate a fraction of the pelvic floor muscles. This is a treatable medical condition, not something you have to live with or work around.
The traditional treatment for pelvic floor dysfunction includes Kegel exercises, pelvic floor physical therapy, bladder training, and in some cases, surgical procedures like sling placement or bladder suspension. Each has limitations.
Manual Kegel exercises are difficult to perform correctly. Studies show that up to 50% of patients perform them improperly even after instruction, activating the wrong muscle groups. Pelvic floor PT helps many patients but requires months of consistent visits and progress can be slow. Surgical options carry risks including mesh complications, infection, urinary retention, and the possibility of needing revision surgery. For active adults who want to get back to running, jumping, and training without leakage, there is a significant gap between “do your Kegels” and “have surgery.” That gap is exactly where our dual-modality approach provides a faster, non-invasive path to results.
At Dynamic Athlete, we treat pelvic floor dysfunction with a physician-directed, dual-modality protocol that no other practice in the Boulder market offers.
Dynamic Core+ (EMSELLA/HIFEM) is the foundation of our pelvic floor treatment. EMSELLA uses high-intensity focused electromagnetic technology to stimulate the entire pelvic floor musculature, triggering thousands of supramaximal contractions per session. A single EMSELLA session delivers the equivalent of over 11,000 Kegel contractions, activating muscle fibers that manual exercises cannot reach. This is not a med spa treatment. This is physician-directed neuromuscular rehabilitation delivered with clinical precision and monitored for outcomes.
What makes our approach unique is that we pair EMSELLA with Dynamic Shockwave+. Focused shockwave therapy, delivered using Storz Medical devices, stimulates blood flow, collagen remodeling, and tissue regeneration in the pelvic floor connective tissue. While EMSELLA strengthens the muscles, shockwave addresses the connective tissue and vascular support that the muscles depend on. This dual-modality combination treats both the muscular and structural components of pelvic floor dysfunction simultaneously.
I founded the American Shockwave Training Institute (ASTI) and train clinicians nationally on shockwave application. Applying shockwave to pelvic floor conditions requires specific protocols and expertise that most clinics do not have, which is one reason this combination is so rare.
The distinction between Dynamic Athlete and the med spas offering EMSELLA locally is critical. Every EMSELLA provider in the Boulder and Denver market is either a med spa, a dermatology office, or an aesthetics clinic. None are physician-led sports medicine practices. None combine EMSELLA with focused shockwave. None have a sports medicine physician directing the treatment protocol. This positioning is structurally uncatchable because no med spa can add shockwave expertise, and no shockwave clinic has invested in EMSELLA.
For patients looking to optimize their overall recovery, Dynamic Mind+ (EXOMIND/ExoTMS) can enhance neurological signaling that supports pelvic floor coordination.
This is not a med spa service. This is physician-directed neuromuscular rehabilitation. Aneesh Garg, DO, CAQ approaches pelvic floor dysfunction as a sports medicine physician, not an aesthetician. His Yale residency, Andrews Sports Medicine fellowship, and dual board certifications in Sports Medicine and Internal Medicine give him the clinical foundation to evaluate pelvic floor function in the context of your entire kinetic chain. He serves as Team Physician for USA Hockey and U.S. Soccer, bringing that same clinical rigor to your care.
For pelvic floor dysfunction, the key differentiator is that Dr. Garg approaches this as a musculoskeletal and neuromuscular condition, not as an aesthetic service. His sports medicine training means he evaluates pelvic floor function in the context of the full kinetic chain, including how core stability, hip mechanics, and pelvic alignment all interact.
Our patients with pelvic floor dysfunction report rapid improvement in continence, core strength, and confidence to return to activities they had been avoiding.
One patient with 25 years in the fitness and wellness space described EMSELLA as a surprisingly powerful treatment. He reported never having felt a machine activate deep inner muscles so precisely, and called Dynamic Athlete’s facility world-class.
Another patient received EMSELLA for pelvic floor support alongside EMTT and focused shockwave for her knee. The combination made a noticeable difference in both her pain and her overall function. Dr. Garg took a whole-body approach rather than just treating symptoms.
Most patients complete a protocol of six sessions over three weeks and notice meaningful improvement in leakage, urgency, and core stability within the first few sessions.
Yes. EMSELLA uses high-intensity focused electromagnetic technology to stimulate the entire pelvic floor musculature, triggering thousands of supramaximal contractions per session. Clinical studies show significant improvement in stress urinary incontinence symptoms after a standard treatment protocol. Our Dynamic Core+ protocol delivers this under physician direction with clinical outcome monitoring, not as an aesthetic add-on. Over 90% of our patients self-report a 75% or greater improvement following treatment. One patient with 25 years in the fitness and wellness space described EMSELLA as a surprisingly powerful treatment, noting he had never felt a machine activate deep inner muscles so precisely.
Focused shockwave therapy, delivered using Storz Medical devices, stimulates blood flow, collagen remodeling, and tissue regeneration in the pelvic floor connective tissue. While EMSELLA strengthens the muscles, Dynamic Shockwave+ addresses the connective tissue and vascular support those muscles depend on. This dual-modality approach treats both the muscular and structural components of pelvic floor dysfunction simultaneously. Dr. Garg founded ASTI and trains clinicians nationally on shockwave protocols. Applying shockwave to pelvic floor conditions requires specific expertise that most clinics do not have, which is why this combination is available almost nowhere else in Colorado.
Every EMSELLA provider in the Boulder and Denver market is a med spa, dermatology office, or aesthetics clinic. None are physician-led sports medicine practices. None combine EMSELLA with focused shockwave therapy. None have a board-certified sports medicine physician directing the treatment protocol. At Dynamic Athlete, Dr. Garg approaches pelvic floor dysfunction as a musculoskeletal and neuromuscular condition, evaluating it in the context of the full kinetic chain including core stability, hip mechanics, and pelvic alignment. Our Dynamic Core+ protocol paired with Dynamic Shockwave+ creates a clinical treatment depth that aesthetic providers cannot replicate.
Most patients complete six sessions over three weeks for the initial Dynamic Core+ (EMSELLA) protocol. Many notice meaningful improvement in leakage, urgency, and core stability within the first few sessions. For patients with more significant pelvic floor weakness, additional sessions or a maintenance protocol may be recommended. When combined with Dynamic Shockwave+ for the connective tissue component, the total treatment plan is tailored to your specific degree of dysfunction. For patients seeking comprehensive recovery, Dynamic Mind+ (EXOMIND) can enhance neurological coordination supporting pelvic floor function. Dr. Garg evaluates your progress and adjusts the protocol based on how your pelvic floor responds. One patient received EMSELLA alongside shockwave and EMTT and reported noticeable improvement in overall function.
Manual Kegel exercises fail for many patients because studies show up to 50% of people perform them incorrectly, activating the wrong muscle groups. Even when done properly, manual Kegels only reach a fraction of the pelvic floor musculature. EMSELLA delivers supramaximal contractions that activate muscle fibers manual exercise cannot reach, including deep fibers essential for continence. A single session delivers the equivalent of over 11,000 contractions. Our Dynamic Core+ protocol goes further by pairing EMSELLA with Dynamic Shockwave+ to address the connective tissue support structure. Dr. Garg evaluates why your previous approach has not produced results and builds a protocol targeting what was missed.
Yes. Pelvic floor dysfunction affects both men and women. In men, pelvic floor weakness can contribute to urinary urgency, post-void dribbling, and reduced core stability. EMSELLA strengthens the pelvic floor musculature regardless of gender. Our Dynamic Core+ protocol is particularly relevant for male athletes and active adults who need pelvic floor and core strength for performance. One patient with 25 years in the fitness and wellness space specifically called out how precisely EMSELLA activated deep inner muscles. Dr. Garg evaluates pelvic floor function as part of the full kinetic chain for both male and female patients.
Most clinics offer EMSELLA alone in a med spa setting. We combine Dynamic Core+ (EMSELLA) with Dynamic Shockwave+ in a physician-directed protocol that treats both the muscular and connective tissue components of pelvic floor dysfunction. No other practice in Boulder or Denver offers this dual-modality approach. Dr. Garg’s training at Yale and Andrews Sports Medicine, combined with his role as Team Physician for USA Hockey and U.S. Soccer, means your treatment is directed by a board-certified sports medicine physician, not an aesthetician. Dynamic Athlete is the only practice in the country offering all five proprietary modalities under one roof.
Across PRP, Stem Cell, Shockwave, EXOMIND, and EMSELLA. Tracked across active adults, postpartum patients, athletes, and surgery-avoiders.