50 physician-answered questions about EMSELLA pelvic floor therapy and the Dynamic Core+ protocol. Answers from Dr. Aneesh Garg, DO, CAQ. Double Board-Certified Sports Medicine Physician, ASTI Medical Director, and U.S. National Team Physician.
EMSELLA is a non-invasive pelvic floor strengthening treatment that uses high-intensity focused electromagnetic (HIFEM) technology to stimulate thousands of supramaximal pelvic floor contractions while you sit fully clothed on the EMSELLA chair.
Each 28-minute session produces approximately 11,200 pelvic floor contractions, far more than you could achieve through Kegels. These contractions retrain and strengthen the entire pelvic floor musculature, restoring neuromuscular control lost through aging, childbirth, high-impact activity, or prolonged sitting.
Our Dynamic Core+ EMSELLA protocol is the only program in Boulder that positions EMSELLA for both pelvic floor rehabilitation and athletic core performance.
Most patients notice improvement within the first few sessions.
Patient Experience: I hear it constantly from new patients: “Why didn’t anyone tell me about this sooner?”
The pelvic floor is a group of muscles forming the base of your core, supporting your bladder, bowel, and pelvic organs while playing a critical role in continence, posture, and athletic force transfer.
Most people only think of the pelvic floor in terms of incontinence. But it is fundamental to how your body generates and transfers power. A weak pelvic floor compromises core stability, reduces force production, and increases injury risk.
As a U.S. National Team Physician, I designed Dynamic Core+ because no other EMSELLA provider treats the pelvic floor as a performance structure. We treat the root cause, not just the symptom.
When your pelvic floor fails, everything above it is compromised.
Patient Experience: Athletes are consistently surprised by how much their performance improves once we address this.
Yes. EMSELLA is FDA cleared for the treatment of urinary incontinence in both women and men. It is manufactured by BTL Industries, a leading medical technology company.
The FDA clearance is based on clinical data demonstrating significant improvement in incontinence symptoms, pelvic floor strength, and quality of life. BTL reports 95% patient satisfaction and a 67% reduction in pad use across their clinical studies.
What sets Dynamic Core+ apart is that we use this FDA-cleared device within a sports medicine framework guided by Dr. Garg’s double board-certified expertise, not a cosmetic-only approach.
EMSELLA has a well-established safety and efficacy profile supported by published clinical data.
Patient Experience: Patients feel confident knowing the device is FDA cleared and their protocol is designed by a board-certified sports medicine physician.
No. EMSELLA is effective for both women and men. While pelvic floor dysfunction is more commonly discussed in women, men also experience pelvic floor weakness from aging, surgery, prolonged sitting, and high-impact athletics.
Men can develop stress incontinence, urgency incontinence, and pelvic floor weakness that affects core stability and performance. Male cyclists, runners, and athletes who spend hours seated are particularly susceptible.
We built Dynamic Core+ to serve both genders. Many of our male patients are endurance athletes who notice improved core stability and power transfer after strengthening their pelvic floor alongside our Dynamic Shockwave+ protocol.
Pelvic floor health is not gender-specific. It affects everyone who uses their body.
Patient Experience: Male athletes who were skeptical about EMSELLA are often the ones who become our biggest advocates.
EMSELLA produces approximately 11,200 supramaximal pelvic floor contractions per session, exponentially more than voluntary Kegels, and at a contraction intensity that voluntary effort cannot match.
Kegels rely on your ability to identify and isolate the correct muscles. Studies show up to 50% of people do them incorrectly even with instruction. EMSELLA bypasses this by directly stimulating the pelvic floor electromagnetically, ensuring full activation at maximal intensity.
Dynamic Core+ delivers the pelvic floor equivalent of thousands of perfect Kegels per session, within a protocol designed by an ASTI Medical Director who understands how pelvic floor strength connects to total body performance.
EMSELLA accelerates results in a way manual exercises simply cannot match.
Patient Experience: One patient who has been in the fitness and wellness space for twenty-five years said he had never felt a machine activate deep inner muscles so precisely.
An EMSELLA session feels like strong tingling and pelvic floor contractions while you sit fully clothed on the treatment chair. Most patients describe it as unusual but not painful.
You remain clothed throughout the 28-minute session. The electromagnetic pulses cause your pelvic floor muscles to contract involuntarily at high intensity. The sensation is strong during the first session, but most patients acclimate quickly. Intensity is adjustable based on your comfort.
We start Dynamic Core+ at a comfortable intensity and progressively increase across sessions as your pelvic floor adapts. Dr. Garg’s team monitors every session, which is not something you get at a med spa running EMSELLA unsupervised.
Most patients relax, read, or check their phone during treatment.
Patient Experience: The most common reaction after session one is “That was way easier than I expected.”
The standard EMSELLA protocol is six sessions over approximately three weeks, with two sessions per week. Some patients benefit from additional sessions depending on baseline pelvic floor strength and goals.
Six sessions allow progressive strengthening with cumulative neuromuscular adaptation. Each session builds on the previous one. Patients with more severe dysfunction or athletes seeking maximum core performance may benefit from additional sessions or periodic maintenance.
What makes Dynamic Core+ different is that we evaluate your response throughout treatment and adjust accordingly. We also have Dynamic Shockwave+ and Dynamic PRP+ available under the same roof if your case requires addressing connective tissue or structural components.
The protocol is built for cumulative results, not a one-time effect.
Patient Experience: Most patients notice meaningful improvement by session three or four.
EMSELLA is extremely safe. It is non-invasive, requires no anesthesia, involves no insertion of any device, and has no significant reported adverse effects in clinical studies.
The treatment uses electromagnetic energy to stimulate muscle contractions, the same principle used in MRI technology. You remain fully clothed. There is no recovery time and no restriction on activity afterward.
Dynamic Core+ is delivered by a physician-led team following manufacturer guidelines with intensity adjusted to each patient. That clinical oversight from a double board-certified sports medicine physician is not something you get at a med spa.
EMSELLA has one of the strongest safety profiles of any treatment we offer.
Patient Experience: Zero risk, zero downtime, zero discomfort beyond the contractions themselves. Patients appreciate that simplicity.
EMSELLA is contraindicated for patients with cardiac pacemakers, implanted defibrillators, metal implants in the pelvic area, and women who are pregnant. These are standard contraindications for electromagnetic treatments.
If you have a copper IUD, hip replacement, or other metal hardware, eligibility depends on location and type. We evaluate each patient individually during consultation to ensure safety.
We screen every Dynamic Core+ patient for contraindications before treatment and discuss any concerns during your evaluation. As an ASTI Medical Director, Dr. Garg’s screening process goes deeper than a standard intake form.
Patient safety always comes first, and proper screening is where that starts.
Patient Experience: Most patients clear screening without issue and start treatment immediately.
Yes. EMSELLA can be combined with focused shockwave therapy to address pelvic floor dysfunction from multiple angles, treating both the muscular and connective tissue components simultaneously.
Focused shockwave targets the fascial structures that support pelvic floor function, while EMSELLA strengthens the muscles themselves. Combined, patients experience both structural improvement and neuromuscular strengthening that neither achieves alone.
Dynamic Core+ integrates with Dynamic Shockwave+ as part of a complete pelvic floor and core rehabilitation plan. No other provider in the Boulder region offers both true focused shockwave and EMSELLA under one roof with a sports medicine physician directing the protocol.
Having both modalities allows us to treat the full picture, not just one layer.
Patient Experience: Patients treated with combined EMSELLA and shockwave report faster and more complete improvement.
Yes. EMSELLA is FDA cleared for stress urinary incontinence and clinical studies show significant improvement in leakage, pad use, and quality of life after a standard treatment course.
Stress incontinence occurs when pelvic floor muscles are too weak to maintain urethral closure during coughing, sneezing, laughing, running, or jumping. EMSELLA strengthens these muscles through supramaximal contractions that restore the neuromuscular control needed to prevent leakage.
Dynamic Core+ addresses stress incontinence within a sports medicine framework. Dr. Garg evaluates whether your leakage connects to broader core instability or movement patterns that a cosmetic-only EMSELLA provider would never assess.
Many patients reduce or eliminate pad use after completing treatment.
Patient Experience: The moment a patient runs without leaking for the first time in years is the best part of this work.
EMSELLA can help with urge incontinence and overactive bladder by strengthening the pelvic floor muscles that regulate bladder control and retraining neuromuscular communication between the pelvic floor and bladder.
Urge incontinence involves a sudden, strong need to urinate that is difficult to control. Pelvic floor strengthening through EMSELLA helps restore inhibitory signals that prevent involuntary bladder contractions and improves the ability to defer urgency.
Dynamic Core+ addresses urgency symptoms as part of a full pelvic floor rehabilitation approach. For patients whose urgency connects to neurological patterning, we can also incorporate Dynamic Mind+ EXOMIND neurostimulation to address the brain-bladder connection, something no other provider in the region offers.
Many patients with urge symptoms experience meaningful improvement in bladder control.
Patient Experience: Patients with overactive bladder often notice reduced urgency and fewer episodes within the first few sessions.
Yes. Leaking during running, jumping, or high-impact activity is stress urinary incontinence, and it is one of the most common and treatable conditions with EMSELLA.
Impact activities generate significant intra-abdominal pressure that a weakened pelvic floor cannot counteract. EMSELLA rebuilds the strength and reflexive control of your pelvic floor muscles so they respond to sudden pressure increases without leaking.
I designed Dynamic Core+ specifically for active patients who need their pelvic floor to perform under athletic demand. No med spa EMSELLA protocol accounts for the forces your body generates during a trail run or a box jump.
You should not have to choose between your sport and staying dry.
Patient Experience: Runners who leaked during every run are back to full activity leak-free after treatment. That is what this is for.
EMSELLA is highly effective for postpartum pelvic floor weakness. BTL data shows 59% of postpartum women experience decreased pelvic floor strength, and EMSELLA accelerates recovery beyond what Kegels and PT achieve alone.
Pregnancy and delivery stretch and weaken the pelvic floor, resulting in incontinence, reduced core stability, and difficulty returning to exercise. EMSELLA delivers thousands of supramaximal contractions that rebuild the pelvic floor faster than voluntary exercises.
Dynamic Core+ restores postpartum function so you return to running, lifting, and active life. We layer in Dynamic Stem Cell+ or Dynamic PRP+ for structural recovery, a combined approach no other Boulder provider offers.
Getting back to your body after pregnancy should not take years.
Patient Experience: Postpartum patients consistently say EMSELLA restored their confidence and their ability to exercise without leaking.
Yes. EMSELLA helps patients with long-standing incontinence by rebuilding pelvic floor strength that has deteriorated over months or years of disuse, aging, or repeated strain.
Many patients have lived with incontinence for years because they were told it was normal aging or that surgery was the only option. EMSELLA provides a non-surgical pathway to pelvic floor restoration that works even in chronic cases by delivering the contraction volume needed to rebuild weakened muscles.
Dynamic Core+ has treated patients dealing with incontinence for a decade or more and still achieved meaningful improvement. That depth of clinical experience with chronic cases is something a med spa simply does not have.
It is never too late to strengthen your pelvic floor.
Patient Experience: Patients with years of incontinence consistently wish they had found EMSELLA sooner.
Many patients significantly reduce or eliminate incontinence pad use after completing EMSELLA treatment. BTL clinical data shows a 67% reduction in pad use.
The goal of EMSELLA is to restore enough pelvic floor strength and neuromuscular control that you no longer need external protection during daily activities or exercise. Improvement depends on baseline severity and how your pelvic floor responds.
We track your progress throughout Dynamic Core+ so we can see measurable improvement in pad use and leakage frequency. Dr. Garg reviews your data at each session, not a technician running you through a generic protocol. That physician-directed tracking is something no med spa provides.
Reducing or eliminating pad dependence is one of the most meaningful outcomes for our patients.
Patient Experience: Throwing away the pads is the milestone patients celebrate most. We see it regularly.
EMSELLA and pelvic floor physical therapy work through different mechanisms and can be complementary. EMSELLA delivers supramaximal contractions that rebuild strength faster, while PT addresses coordination, relaxation techniques, and behavioral patterns.
Pelvic floor PT is valuable for patients who need to learn proper activation patterns or address hypertonic issues. EMSELLA excels at pure strengthening, delivering far more contractions at far higher intensity than any voluntary exercise program.
Dynamic Core+ can work alongside pelvic floor PT for patients who need both strengthening and coordination training. As a double board-certified sports medicine physician, Dr. Garg coordinates with your PT to make sure both treatments reinforce each other.
The best approach depends on whether your pelvic floor needs strengthening, retraining, or both.
Patient Experience: Patients who combine EMSELLA with PT often see results that neither approach achieved alone.
Yes. Men experience pelvic floor weakness and incontinence from prostate surgery, aging, prolonged sitting, and neurological conditions. EMSELLA strengthens the male pelvic floor just as effectively as the female pelvic floor.
Post-prostatectomy incontinence is one of the most common indications for male pelvic floor strengthening. EMSELLA’s supramaximal contractions rebuild the urethral sphincter and pelvic floor muscles weakened during prostate surgery, helping men regain continence faster.
Dynamic Core+ treats male patients for both incontinence recovery and athletic core performance. Male cyclists and runners are among our most common EMSELLA patients because Dr. Garg understands the sport-specific demands they face as a U.S. National Team Physician.
Pelvic floor weakness is not a women’s issue. It affects men at every age and activity level.
Patient Experience: Male patients are often surprised by how much EMSELLA improves both continence and athletic function.
Many patients notice improvement after just two to three EMSELLA sessions, with progressive improvement continuing through the full treatment course and the weeks that follow.
The pelvic floor muscles respond to supramaximal contractions by increasing in strength and neuromuscular efficiency with each session. Early sessions establish the foundation, and subsequent sessions build cumulative strength. Most patients see the most significant improvement between sessions three and six.
Dynamic Core+ monitors your symptom improvement throughout treatment so we can adjust your plan to maximize results. We use objective markers, not just asking if you feel better. That data-driven approach from a sports medicine physician is something no cosmetic-only provider delivers.
Improvement often begins sooner than patients expect.
Patient Experience: Most patients with incontinence notice meaningful reduction in leakage within the first few sessions.
Incontinence is common with aging but it is not something you should accept as inevitable. The pelvic floor muscles can be strengthened at any age, and EMSELLA provides a non-surgical pathway to restoring continence.
The pelvic floor weakens with age, hormonal changes, childbirth, surgery, and sedentary lifestyle. But weakness is not permanent damage. The muscles respond to training just like any other muscle group.
I built Dynamic Core+ because too many patients were told to just live with it. No other provider in Boulder combines EMSELLA strengthening with the option to add Dynamic Stem Cell+ for tissue regeneration or Dynamic Shockwave+ for connective tissue repair.
Incontinence is treatable. You do not have to live with it.
Patient Experience: Patients who assumed incontinence was permanent are amazed by their improvement after treatment.
EMSELLA improves athletic performance by strengthening the pelvic floor, the foundation of your core and the structure through which force transfers between upper and lower body during movement.
A weak pelvic floor creates an energy leak in your stability chain. When you run, cycle, climb, or lift, force must transfer efficiently through the pelvic floor. Weakness means wasted energy, reduced power, and compensatory patterns that increase injury risk.
Dynamic Core+ is the only program in Boulder that positions EMSELLA for athletic performance alongside Dynamic Mind+ EXOMIND to optimize the brain-body connection.
Your pelvic floor is the missing piece most core programs overlook.
Patient Experience: One patient with twenty-five years in fitness described EMSELLA as a surprisingly powerful add-on that activated deep core muscles more precisely than anything he had tried.
Yes. Research shows 44% of athletes report pelvic floor issues including leakage during activity, reduced core stability, and pelvic pain. High-impact and endurance sports are particularly associated with pelvic floor dysfunction.
Running generates two to three times body weight with every stride. Cycling compresses the pelvic floor for hours. Weightlifting creates extreme intra-abdominal pressure. These activities weaken the pelvic floor over time, even in otherwise fit athletes.
I see this every week as a U.S. National Team Physician. Dynamic Core+ addresses this underrecognized issue head-on, treating runners, cyclists, climbers, and lifters who had no idea their pelvic floor was the weak link.
Pelvic floor weakness in athletes is far more common than people realize.
Patient Experience: The reaction is almost always the same: “I had no idea that was the problem.”
EMSELLA can significantly improve core stability and reduce saddle-related pelvic floor issues in cyclists by strengthening the muscles that support the pelvis during prolonged seated activity.
Cyclists spend hours with their pelvic floor compressed against the saddle, leading to muscle fatigue, numbness, weakness, and reduced neuromuscular control. This affects not just comfort but power transfer through the pedals.
Dynamic Core+ is popular with Boulder-area road and mountain cyclists because we understand the biomechanics. Unlike med spas offering EMSELLA, Dr. Garg evaluates your saddle-related symptoms within the full context of cycling performance, not as an isolated incontinence issue.
Stronger pelvic floor muscles translate directly to more efficient cycling.
Patient Experience: Cyclists report improved saddle comfort, better power transfer, and reduced numbness after treatment.
EMSELLA can improve running efficiency and reduce injury risk by strengthening the pelvic floor muscles that stabilize your pelvis during every stride.
Running requires rapid, repetitive force transfer through the pelvis. A weak pelvic floor allows excessive pelvic drop and rotation, increasing stress on hips, knees, and low back. Strengthening the pelvic floor creates a more stable platform and reduces compensatory patterns that lead to overuse injuries.
Dynamic Core+ is used by Front Range trail and road runners who want better running economy. For structural issues like tendon or ligament damage, we layer in Dynamic PRP+ regenerative injections alongside pelvic floor strengthening, a combined approach no other Boulder provider offers.
The pelvic floor is the most undertrained muscle group in most runners’ programs.
Patient Experience: Runners notice smoother, more efficient stride mechanics and fewer nagging injuries after treatment.
The pelvic floor works in coordination with the deep abdominal muscles, diaphragm, and multifidus to form the deep core stabilization system. When EMSELLA strengthens the pelvic floor, it improves the entire core unit.
Your deep core operates as an integrated pressure system. When one component is weak, the others compensate inefficiently. Strengthening the pelvic floor restores proper coordination, improving core stability, pressure management, and spinal support.
Dynamic Core+ treats the pelvic floor as the foundation of core performance. We can also add Dynamic Mind+ EXOMIND neurostimulation to optimize the neural pathways coordinating your deep core activation, something no other EMSELLA provider in the region even considers.
Core strength starts at the bottom. EMSELLA builds that foundation.
Patient Experience: Athletes across multiple sports notice improved core stability and control after strengthening their pelvic floor.
Yes. Hockey players and contact sport athletes frequently develop pelvic floor dysfunction and sports hernias from the repetitive demands placed on core and pelvic structures during skating, hitting, and rapid directional changes.
Strengthening the pelvic floor with EMSELLA supports deep core stability and can reduce groin, hip flexor, and lower abdominal injury risk. For athletes recovering from sports hernia, EMSELLA accelerates pelvic floor and core function restoration.
Dynamic Core+ serves contact sport athletes across Boulder and Denver. For structural groin or hip injuries, we combine EMSELLA with Dynamic PRP+ to treat both muscular and tissue components. No other clinic in the region offers that under one roof.
Contact sports demand a pelvic floor that can handle extreme forces.
Patient Experience: Hockey players report improved core stability and reduced groin pain after treatment.
EMSELLA can improve climbing performance by strengthening the pelvic floor, which plays a critical role in the core tension and body positioning required for technical climbing movements.
Climbing demands sustained core engagement, hip stability, and the ability to generate and maintain body tension on the wall. The pelvic floor is the base of this system. When it is weak, climbers compensate with hip flexors and superficial abs, which fatigue faster on longer routes.
Dynamic Core+ is used by Boulder-area climbers because we understand the sport. Dr. Garg evaluates your climbing-specific demands as an ASTI Medical Director, not just as someone who owns an EMSELLA chair.
Better pelvic floor strength means better body tension on the wall.
Patient Experience: Climbers notice improved core endurance and body control during technical climbing after treatment.
EMSELLA can help reduce low back pain by strengthening the pelvic floor, a key component of the deep core system that protects the lumbar spine.
Many athletes with chronic low back pain have underlying pelvic floor weakness compromising core stability. Without a strong pelvic floor, superficial muscles compensate, leading to fatigue, spasm, and pain.
No other clinic in Boulder offers Dynamic Core+ alongside Dynamic Shockwave+ for tissue, Dynamic PRP+ or Dynamic Stem Cell+ for disc pathology, and Dynamic Mind+ EXOMIND for pain processing. That full stack under one roof is something no competitor can match.
Addressing the pelvic floor is often the missing piece in chronic low back pain treatment.
Patient Experience: Athletes with chronic low back pain experience meaningful improvement after incorporating EMSELLA into their plan.
EMSELLA is valuable for weightlifters and CrossFit athletes because these sports generate extreme intra-abdominal pressure during heavy lifts, placing significant demand on the pelvic floor.
Powerlifting, Olympic lifting, and high-intensity functional training require the pelvic floor to maintain continence and core stability under loads exceeding several times body weight. A weak pelvic floor leads to leakage, reduced stability, and increased risk of pelvic organ descent.
I built Dynamic Core+ for athletes who push these limits. As a U.S. National Team Physician, I understand what happens to the body under extreme load, which is something a cosmetic-only EMSELLA provider cannot evaluate.
Heavy lifting requires a heavy-duty pelvic floor.
Patient Experience: CrossFit and weightlifting athletes who experienced leakage during heavy lifts see significant improvement after treatment.
EMSELLA has been marketed almost exclusively as incontinence and cosmetic treatment. Almost no providers position it for athletic performance because they do not understand the pelvic floor’s role in core stability and force transfer.
The clinical literature clearly supports pelvic floor strength’s impact on performance and injury risk. The marketing has not caught up to the science. We recognized this gap early.
Dynamic Core+ is the only program in Boulder that treats EMSELLA as an athletic performance tool with dedicated protocols for runners, cyclists, climbers, and lifters.
Over 90% of our patients self-report a 75% or greater improvement following treatment.
Patient Experience: One patient with twenty-five years in fitness described EMSELLA as a surprisingly powerful add-on, saying he had never felt a machine activate deep inner muscles so precisely.
The cost of EMSELLA treatment varies based on the number of sessions in your protocol. We provide transparent pricing during consultation.
A standard course is six sessions. The investment reflects advanced HIFEM technology and the physician-directed treatment approach you get with Dynamic Core+. Compared to ongoing incontinence products, months of pelvic floor PT, or surgical alternatives, EMSELLA represents excellent value.
What you are paying for is not just a chair. You are getting a double board-certified sports medicine physician directing your protocol with the ability to layer in shockwave, PRP, or stem cell therapy if needed.
The value is best measured against the daily cost of pads, the time cost of PT, and the impact on your quality of life.
Patient Experience: Patients consistently find EMSELLA to be a worthwhile investment in both comfort and performance.
Most insurance plans do not cover EMSELLA. It is generally classified as a non-covered or elective procedure by insurance carriers.
Despite strong clinical evidence and FDA clearance for incontinence, insurance reimbursement for EMSELLA has been slow to develop. This may change as more clinical data is published.
We accept HSA and FSA payments for Dynamic Core+. These pre-tax accounts can often be used because EMSELLA is performed by a licensed physician for a diagnosed medical condition. That physician oversight is also what separates our approach from med spas that cannot document medical necessity.
HSA and FSA funds make EMSELLA more accessible even without insurance coverage.
Patient Experience: Many patients use HSA or FSA funds and appreciate the pre-tax savings.
Yes. EMSELLA treatment is typically a qualified medical expense under HSA and FSA plans because it is performed by a licensed physician for a diagnosed condition such as urinary incontinence or pelvic floor dysfunction.
Using pre-tax dollars through your HSA or FSA provides meaningful savings on your treatment investment. This is especially helpful when insurance does not cover EMSELLA directly.
We process HSA and FSA payments for Dynamic Core+ and provide the documentation your account requires. Because Dr. Garg diagnoses and treats as a board-certified physician, the medical necessity documentation is straightforward.
Pre-tax payment options make investing in pelvic floor health more accessible.
Patient Experience: Patients take advantage of HSA and FSA funds regularly and find the process simple.
EMSELLA results typically last six months to a year or longer, depending on your baseline condition, activity level, and whether you maintain pelvic floor health after treatment.
The muscle strengthening achieved through EMSELLA is real and structural. Like any muscle group, the pelvic floor maintains its strength if it continues to be used and challenged. Active patients who incorporate basic pelvic floor awareness tend to maintain results longer.
We may recommend periodic maintenance with Dynamic Core+ to sustain results. Because we track your data objectively across sessions, we know when maintenance is clinically warranted versus when you are holding strong. That evidence-based approach is something no med spa EMSELLA provider delivers.
Maintenance is straightforward and keeps your results strong over time.
Patient Experience: Most patients maintain results for months and find periodic maintenance extends the benefit indefinitely.
Zero downtime. You return to all normal activities including exercise immediately after your session.
EMSELLA is non-invasive and involves no incisions, no medication, and no recovery period. Some patients feel mild muscle fatigue in the pelvic floor area, similar to a strong core workout, but it resolves quickly.
After each Dynamic Core+ session, you walk out and resume your day. That is a huge advantage for the active patients we see, many of whom train the same afternoon. No other pelvic floor treatment offers this combination of intensity and zero recovery.
Zero downtime is one of the most appealing aspects for busy, active patients.
Patient Experience: Patients go straight from their session to work, training, or daily life without interruption.
Most patients can expect significant improvement in incontinence symptoms, pelvic floor strength, and core stability after completing a full treatment course. Individual results vary based on baseline severity.
BTL clinical data shows 95% patient satisfaction, 67% reduction in pad use, and measurable improvement in pelvic floor muscle strength on EMG testing. For athletes, improvements in core stability and power transfer are commonly reported.
Dynamic Core+ sets realistic expectations during evaluation and monitors your progress throughout treatment. Dr. Garg reviews your data personally because getting results right matters more than running volume through a chair.
Most patients achieve meaningful, measurable improvement.
Patient Experience: Patients describe EMSELLA as the treatment that gave them back their confidence, comfort, and athletic capability.
Some patients benefit from periodic maintenance sessions to sustain results, similar to how you maintain fitness through ongoing training.
The pelvic floor, like any muscle group, can gradually weaken without continued stimulus. Patients with more severe baseline dysfunction, postmenopausal hormonal changes, or high athletic demands may benefit from maintenance every three to six months.
We evaluate your long-term needs after your initial Dynamic Core+ protocol and recommend maintenance only when clinically supported. That evidence-based approach is the difference between a physician-led protocol and a spa trying to upsell sessions.
Maintenance is simple, quick, and keeps your pelvic floor performing at its best.
Patient Experience: Patients who opt for periodic maintenance find it keeps their results strong with minimal effort.
Your first appointment includes a consultation to discuss symptoms and goals, followed by your first treatment session. The visit typically takes about 45 minutes.
During consultation, we evaluate your pelvic floor symptoms, medical history, and athletic goals. For treatment, you sit fully clothed on the EMSELLA chair while the device delivers electromagnetic pulses for 28 minutes. Intensity gradually increases to an effective level.
Dynamic Core+ begins at your first session. Unlike med spa protocols, Dr. Garg’s evaluation considers your movement patterns, sport demands, and whether additional modalities like shockwave or regenerative therapy should be part of your plan.
The first session is straightforward and sets the foundation for your treatment course.
Patient Experience: Most patients find their first session more comfortable and easier than they expected.
EMSELLA can help many patients avoid surgery by restoring pelvic floor strength and continence through a non-invasive approach.
Surgical options for incontinence and pelvic organ prolapse carry risks including infection, mesh complications, pain, and recovery time limiting activity. For patients whose incontinence is primarily caused by muscle weakness rather than structural damage, EMSELLA provides improvement without surgical risk.
Dynamic Core+ is recommended for patients who want to explore non-surgical options first. As a double board-certified physician, Dr. Garg can also tell you honestly if your case is beyond what EMSELLA alone can achieve, which is transparency you will not get at a med spa.
Trying EMSELLA first preserves all your options. Surgery does not.
Patient Experience: Many patients considering surgery found EMSELLA provided enough improvement to make the operating room unnecessary.
Yes. EMSELLA has been studied in multiple clinical trials showing significant improvement in incontinence symptoms, pelvic floor strength, and quality of life. BTL Industries publishes ongoing clinical data.
Published studies demonstrate measurable improvement in pelvic floor EMG activity, reduction in incontinence episodes, decreased pad use, and high patient satisfaction. The evidence base continues to grow as more institutions publish outcomes.
Dynamic Core+ is grounded in this evidence, and we track our own patient outcomes against published data. Dr. Garg’s protocols are informed by the same evidence standards he applies as a U.S. National Team Physician.
Evidence-based treatment is the foundation of everything we do.
Patient Experience: Patients feel reassured knowing EMSELLA is supported by clinical research and that we track our own outcomes.
EMSELLA delivers far more intense pelvic floor contractions than Kegels can achieve, but maintaining pelvic floor awareness and basic exercises between sessions complements your results.
Think of EMSELLA as the heavy lifting and Kegels as the maintenance. EMSELLA builds the strength foundation through supramaximal contractions that voluntary effort cannot match. Kegels help maintain awareness and activation between sessions and after your course is complete.
Dynamic Core+ builds the pelvic floor strength that Kegels maintain. Unlike med spa protocols, we provide guidance on exercises as part of your plan because Dr. Garg treats the full picture, not just the 28 minutes you sit in the chair.
EMSELLA does the work Kegels cannot. Kegels help maintain what EMSELLA builds.
Patient Experience: Patients find EMSELLA produces the breakthrough their Kegels never could, and simple exercises sustain the gains.
EMSELLA is the better option when your incontinence is primarily caused by pelvic floor muscle weakness rather than significant structural damage, and when you want to avoid surgical risk and recovery time.
Surgery carries risks of complications, pain, mesh-related issues, and a recovery period limiting activity. EMSELLA is non-invasive, has no downtime, and poses minimal risk. For patients with mild to moderate weakness-based incontinence, EMSELLA often provides sufficient improvement.
Dynamic Core+ is recommended as a first-line treatment before considering surgery. Unlike cosmetic-only providers, Dr. Garg’s sports medicine expertise means he can objectively assess whether your case is muscular, structural, or both, and direct you accordingly.
Trying EMSELLA first preserves all your options. Surgery does not.
Patient Experience: Many patients who were considering surgery found EMSELLA made it unnecessary.
Dynamic Athlete is the only EMSELLA provider in Boulder that positions EMSELLA for athletic performance and core rehabilitation, not just incontinence or cosmetic-only treatment.
Med spas treat EMSELLA as a cosmetic procedure. They do not evaluate the pelvic floor’s role in athletic performance, core stability, or injury prevention. They do not combine EMSELLA with focused shockwave therapy. And they do not build protocols around athletic demands.
Dynamic Core+ was designed for active patients by a U.S. National Team Physician and ASTI Medical Director. The clinical context matters. An athletic pelvic floor protocol is fundamentally different from a cosmetic one.
You deserve more than a spa technician pressing start on a chair.
Patient Experience: Athletes choose Dynamic Athlete because our approach addresses performance, not just symptoms.
EMSELLA can help with mild pelvic organ prolapse by strengthening the muscles that support pelvic organs. For more advanced prolapse, EMSELLA may improve symptoms but may not be sufficient alone.
Prolapse occurs when pelvic floor muscles and connective tissue weaken enough that the bladder, uterus, or rectum descend. Strengthening the pelvic floor with EMSELLA can reduce descent and improve symptoms in mild cases.
Dynamic Core+ evaluates prolapse severity during consultation and sets realistic expectations. Unlike cosmetic-only providers, Dr. Garg can determine whether combining EMSELLA with Dynamic Shockwave+ for connective tissue or Dynamic Stem Cell+ for tissue regeneration would improve your outcome.
Early intervention with EMSELLA can prevent mild prolapse from progressing.
Patient Experience: Patients with mild prolapse notice improvement in support and comfort after pelvic floor therapy.
EMSELLA is highly effective for athletes over 50, who often have age-related pelvic floor weakening compounded by decades of high-impact activity. Age is not a barrier to strengthening.
Athletes over 50 frequently experience increased leakage, reduced core stability, and subtle efficiency changes stemming from pelvic floor decline. EMSELLA rebuilds this foundation regardless of age.
Dynamic Core+ treats patients over 50 who refuse to accept incontinence as their new normal. For tissue changes, we add Dynamic Stem Cell+ or Dynamic PRP+ alongside muscular strengthening. No other provider in Boulder combines these modalities with EMSELLA.
Staying active past 50 requires a pelvic floor that can keep up with your ambition.
Patient Experience: Athletes over 50 say EMSELLA gave them back the core strength and continence they thought were gone permanently.
Yes. Menopause causes hormonal changes that accelerate pelvic floor weakening, and EMSELLA can counteract this by strengthening muscles that hormonal decline has allowed to atrophy.
Declining estrogen levels reduce the elasticity and strength of pelvic floor tissue, contributing to incontinence, prolapse, and reduced core stability. While EMSELLA does not replace hormones, it provides the strengthening stimulus needed to maintain function despite hormonal changes.
Dynamic Core+ helps menopausal and postmenopausal patients maintain pelvic floor strength. Dr. Garg’s approach considers the full hormonal and musculoskeletal picture, which is an evaluation a cosmetic-only provider is not trained to perform.
Hormonal changes are inevitable. Pelvic floor weakness does not have to be.
Patient Experience: Menopausal patients experience significant improvement in continence and core strength after treatment.
Virtually no other provider positions EMSELLA for athletic performance. Every competitor treats it as an incontinence or cosmetic-only procedure, which is a massive gap in the market.
The clinical evidence supporting the pelvic floor’s role in athletic performance, core stability, and injury prevention is well-established. Yet no other provider in the Boulder or Denver market builds content or protocols around these applications.
Dynamic Core+ was built by a U.S. National Team Physician and ASTI Medical Director to fill this gap, targeting runners, cyclists, climbers, skiers, and lifters with pelvic floor weakness they do not even realize is limiting them.
When you are the only provider saying what every athlete needs to hear, you own the conversation.
Patient Experience: Athletes who discover EMSELLA for performance wish every provider talked about the pelvic floor this way.
Yes. EMSELLA can be used proactively to strengthen the pelvic floor before problems develop, particularly for athletes, postpartum women, and patients approaching menopause.
Preventive pelvic floor strengthening builds the muscular reserve needed to maintain continence and core stability as your body faces aging, hormonal changes, and high-impact activity. Treating the pelvic floor before it fails is far more effective than rebuilding it after significant dysfunction develops.
Dynamic Core+ is available for both treatment and prevention. Dr. Garg’s proactive approach reflects the same injury prevention philosophy he applies as a U.S. National Team Physician.
Prevention is always easier than rehabilitation.
Patient Experience: Proactive patients use EMSELLA to maintain pelvic floor strength and prevent problems before they start.
Yes. EMSELLA addresses both stress and urge components of mixed incontinence by strengthening the pelvic floor muscles involved in both types of bladder control dysfunction.
Mixed incontinence involves stress leakage with coughing, running, and jumping alongside urgency symptoms. The pelvic floor muscles contribute to continence through both sphincter closure and bladder inhibition pathways, and EMSELLA strengthens the muscles involved in both mechanisms.
Dynamic Core+ evaluates which components are dominant and tracks improvement in both stress and urge symptoms. For urgency with a neurological component, we can add Dynamic Mind+ EXOMIND neurostimulation to address the brain-bladder pathway, a combination no other provider in the region offers.
Treating both components simultaneously produces the most complete improvement.
Patient Experience: Patients with mixed incontinence see improvement in both stress and urge symptoms after treatment.
Yes. Treating mild leakage early prevents it from progressing, and the pelvic floor strengthening benefits extend beyond continence to core stability and athletic performance.
Mild leakage signals that your pelvic floor is weakening. Left untreated, it tends to worsen due to aging, hormonal changes, and continued physical stress. Addressing it early is faster, more effective, and prevents the years of decline that lead to more significant dysfunction.
Dynamic Core+ treats mild symptoms just as seriously as severe cases because early intervention produces the best long-term outcomes. That preventive mindset is something Dr. Garg brings from his work with elite athletes as a U.S. National Team Physician, where catching a problem early changes everything.
Mild today becomes moderate tomorrow if left unaddressed.
Patient Experience: Patients who caught it early consistently say EMSELLA was the smartest preventive decision they made.