Dynamic Core+ pairs EMSELLA, an FDA-cleared chair that delivers roughly 11,200 supramaximal pelvic-floor contractions in a single 28-minute session while you sit fully clothed, with focused shockwave to treat the muscular and connective-tissue sides of pelvic-floor and core dysfunction together. At Dynamic Athlete, EMSELLA is never given alone: we are the only clinic in Boulder offering the EMSELLA plus focused-shockwave combination. It fits two tracks: pelvic-floor rehabilitation for stress, urge, and mixed incontinence, and athletic core performance built on the pelvic floor as the foundation of the core chain.
The focused-shockwave half of Dynamic Core+ is performed by an ISMST-certified physician, Aneesh Garg, DO, CAQ, “The Regen Doc,” Founder and Medical Director of the American Shockwave Training Institute (ASTI). So the shockwave paired with EMSELLA is the true focused modality, delivered to the international standard.
| Factor | Dynamic Core+ | EMSELLA alone | Kegels |
|---|---|---|---|
| What is delivered | EMSELLA (HIFEM) + focused shockwave | EMSELLA (HIFEM) only | Voluntary self-contractions |
| Contractions per session | ~11,200 supramaximal in 28 minutes | ~11,200 supramaximal in 28 minutes | A few dozen, effort-dependent |
| Connective-tissue component | Addressed by focused shockwave | Not addressed | Not addressed |
| Availability in Boulder | The only clinic offering the combination | Available elsewhere | At home |
Pelvic floor physical therapy and exercise programs rely on voluntary muscle contraction and patient consistency. While effective for some, others struggle to generate sufficient intensity, coordination, or repetition to retrain deep neuromuscular pathways.
EMSELLA works differently by inducing powerful, involuntary contractions that directly activate pelvic floor and core muscles. This allows consistent neuromuscular recruitment that is not dependent on technique, endurance, or conscious control. For patients who have tried exercises or physical therapy without adequate improvement, EMSELLA may provide a different path forward.
The deep pelvic-floor muscles are difficult to isolate and train on your own, which is the gap EMSELLA is built to reach. HIFEM generates a focused electromagnetic field that triggers supramaximal contractions of those muscles, at an intensity and speed voluntary exercise cannot match. Over a session the device drives many thousands of contractions, re-training strength and coordination in muscle you cannot easily target with Kegels alone. You remain fully clothed, seated on the chair, with no insertion, no needles, no anesthesia, and no downtime. Most patients return to normal activity immediately.
This pathway supports individuals experiencing urinary leakage with activity, coughing, or exertion; post-pregnancy pelvic floor weakness; age-related changes in muscle strength; or loss of confidence related to bladder control.
A typical session includes physician-directed intake, seated treatment with focused electromagnetic stimulation, progressive adjustment based on tolerance, and no recovery downtime.
A standard course is a short series of sessions delivered over a few weeks. Each session is 28 minutes, fully clothed, with no recovery period. The sensation is deep, intense pelvic-floor contractions, similar to a very strong Kegel held through the pulse cycle; some patients feel mild muscle soreness after the first session or two, which resolves quickly. Because pelvic-floor strength is dynamic, a short maintenance series, often every six to twelve months, is the standard recommendation, and we tell you that before you start rather than after. EMSELLA complements, and does not replace, medical evaluation or hands-on pelvic-floor physical therapy. Candidacy, indication, and timing are confirmed at your evaluation, and no outcome is guaranteed.
Print this before you choose any pelvic-floor provider. Ask any EMSELLA provider, here or elsewhere: Is EMSELLA paired with focused shockwave, or a chair alone? Is it physician-directed, or an aesthetics add-on? What is the maintenance plan, stated up front? Do you treat men as well as women? A provider who answers all four cleanly is doing this responsibly. For a fuller comparison, see our guide to the best pelvic-floor therapy in Boulder.
In our Dynamic Core+ protocol, over 90% of our patients self-report a 75% or greater improvement, all without surgery. Individual results vary.
Bladder leakage is treatable without surgery. The established first step is strengthening the pelvic floor, and when Kegels are hard to do correctly or have not been enough, the FDA-cleared EMSELLA chair strengthens those same muscles for you: you sit fully clothed for a 28-minute session while HIFEM electromagnetic stimulation prompts deep pelvic-floor contractions you cannot fully reach on your own. At Dynamic Athlete in Boulder, Colorado, EMSELLA is delivered as Dynamic Core+, paired with focused shockwave and directed by Aneesh Garg, DO, CAQ, with candidacy decided at a consultation first.
Bladder leakage, stress incontinence (leaking when you cough, sneeze, laugh, lift, or run), urge incontinence, and the constant need to find a bathroom are common and treatable symptoms, and none of them starts with surgery. The non-surgical options run from pelvic floor muscle training (Kegels) and pelvic floor physical therapy to lifestyle and bladder-training changes, and, when the muscles need more than exercises can deliver, device-based strengthening. Each has a place, and the right one depends on the cause of your symptoms.
EMSELLA belongs in the device-based category. It is a non-invasive treatment that strengthens the pelvic-floor muscles using HIFEM electromagnetic stimulation. It may help with the symptoms of bladder leakage by rebuilding the muscle support behind bladder control. It is not a permanent fix, results vary from person to person, and whether it fits you is a consult question, not a claim we make in advance.
An EMSELLA session is straightforward and private. There are no needles, no surgery, and no recovery time.
Most people complete a short series, typically six sessions, with additional maintenance sessions as needed. At Dynamic Athlete, EMSELLA is delivered as Dynamic Core+, pairing it with focused shockwave to address the muscular and connective-tissue sides of pelvic-floor weakness. It may be worth exploring if you have bladder leakage, stress or urge incontinence, or postpartum pelvic-floor weakness and want a non-invasive option before considering surgery; see postpartum recovery for that path. It may not be the right fit during pregnancy, with certain implanted electronic or metal devices, or where another condition needs to be addressed first. Aneesh Garg, DO, CAQ, will tell you honestly whether you are a candidate.
Across PRP, Stem Cell, Shockwave, EXOMIND, and EMSELLA. Tracked across active adults, postpartum patients, athletes, and surgery-avoiders.
Non-surgical options include pelvic floor muscle training, pelvic floor physical therapy, lifestyle and bladder-training changes, and device-based strengthening such as the FDA-cleared EMSELLA chair, which uses HIFEM electromagnetic stimulation to prompt deep pelvic-floor contractions while you sit fully clothed. At Dynamic Athlete in Boulder it is delivered as Dynamic Core+ under Aneesh Garg, DO, CAQ. Results vary from person to person, and candidacy is confirmed at a consultation. Details are on our EMSELLA FAQ.
EMSELLA may help with the symptoms of bladder leakage by strengthening the pelvic-floor muscles that support bladder control, using non-invasive electromagnetic stimulation while you sit fully clothed. It is not a permanent fix and results vary from person to person. At Dynamic Athlete it is delivered as Dynamic Core+ by Aneesh Garg, DO, CAQ, and whether it fits you is a consult question. The full walkthrough is in our pelvic floor complete guide.
Stress incontinence is leaking when you cough, sneeze, laugh, lift, or run, often from a weak pelvic floor. EMSELLA may help with those symptoms by strengthening the supporting muscles, fully clothed and without surgery. Results vary from person to person and it is not a permanent fix. Candidacy is confirmed at a consult with Aneesh Garg, DO, CAQ; contact the clinic to schedule one.
Yes. EMSELLA treats the male pelvic floor too, including bladder control concerns after prostate surgery. The session is the same: fully clothed, about 28 minutes, no needles and no downtime. Whether it fits your case is decided at a consultation with Aneesh Garg, DO, CAQ, and pricing is discussed there; see understanding your investment.
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?”
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 improves athletic performance by strengthening the pelvic floor, which is the foundation of your core and the structure through which all force transfers between your upper and lower body during movement.
A weak pelvic floor creates an energy leak in your core 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. We can also layer Dynamic Mind+ EXOMIND neurostimulation to optimize the brain-body connection driving your movement patterns.
Your pelvic floor is the missing piece of most core training programs.
Patient Experience: One patient with twenty-five years in fitness and wellness called EMSELLA a surprisingly powerful add-on, saying he had never felt a machine activate deep inner core 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.
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 an FDA-cleared, chair-based device that uses High-Intensity Focused Electromagnetic (HIFEM) technology to induce supramaximal pelvic-floor muscle contractions. You sit fully clothed for a session of roughly 28 minutes, during which the device drives approximately 11,200 contractions, far more than voluntary Kegel exercises produce, with no insertion, no anesthesia, and no downtime. EMSELLA was FDA-cleared in 2018 for the treatment of urinary incontinence in men and women. The deep pelvic-floor muscles are difficult to isolate and train on your own, which is the gap EMSELLA is designed to reach. At Dynamic Athlete, EMSELLA is delivered as Dynamic Core+, paired with focused shockwave for the surrounding connective tissue, in a physician-directed protocol rather than a standalone session. Individual results vary, and candidacy is reviewed at the evaluation.
EMSELLA is FDA-cleared for urinary incontinence in men and women, including stress, urge, and mixed leakage. Beyond that cleared indication, patients seek it for postpartum recovery, perimenopausal and menopausal changes, leakage after prostate surgery in men, and athletic core performance, since the pelvic floor is the foundation of the deep core through which force transfers between the upper and lower body. One protocol reaches the same deep muscles across all of these situations. It is not a treatment for a specific disease beyond its cleared use, and it does not replace medical evaluation. At Dynamic Athlete, EMSELLA is delivered as Dynamic Core+ in a physician-directed setting, so the indication is confirmed and, when warranted, referral to urology, urogynecology, or pelvic-floor physical therapy is made. Individual results vary, and no outcome is guaranteed.
EMSELLA is non-invasive and you remain fully clothed throughout. There is no insertion, no needles, no anesthesia, and no recovery period. The sensation during a session is deep, intense pelvic-floor contractions, similar to a very strong Kegel held through the pulse cycle. Most patients tolerate it comfortably, though some feel mild muscle soreness in the hours after the first session or two, which resolves quickly. When focused shockwave is added as part of Dynamic Core+, it produces brief, tolerable discomfort over the treatment area. A standard series runs over a few weeks, and you can return to normal activity immediately. Because pelvic-floor strength is dynamic, a short maintenance series, often every six to twelve months, is the standard recommendation, and we tell you that before you start. Individual results vary.
Because the pelvic floor is not only muscle. EMSELLA drives the supramaximal muscle contractions that strengthen and re-coordinate the pelvic-floor muscles. Focused shockwave is added for the surrounding connective tissue and local circulation. At Dynamic Athlete, EMSELLA is delivered as Dynamic Core+ and is not offered as a standalone session, because the muscle and the connective tissue are two halves of the same structure. The focused-versus-radial distinction matters here: true focused shockwave uses an electromagnetic generator to produce an acoustic wave that penetrates to a defined depth, while radial pressure wave is a separate, more superficial modality. Dynamic Athlete uses true focused shockwave on the Storz gold-standard system, delivered by Aneesh Garg, DO, CAQ, who teaches other clinicians on it as founder of the American Shockwave Training Institute. The combination is what Dynamic Athlete adds, and it is the only clinic in the Boulder area offering it. Individual results vary.
A standard course is a short series of sessions spread over a few weeks, with the specific number confirmed at your evaluation based on your goals and starting point. Many patients notice change within the first several sessions, with the fuller effect after completing the series. Pelvic-floor strength is dynamic, like any muscle group, so gains benefit from ongoing training, and the published literature suggests initial improvement can partially decline over about a year without maintenance. For that reason a short maintenance series, often every six to twelve months, is the standard recommendation, and we state that plan up front rather than promising one-and-done. Because Dynamic Core+ is physician-directed, your plan is tailored and reviewed rather than sold as a fixed package. Individual results vary, and no outcome is guaranteed.
No. EMSELLA is one tool within pelvic-floor care, not a replacement for medical evaluation or for hands-on pelvic-floor physical therapy, which is legitimate, evidence-based, and the right starting point for many patients. At Dynamic Athlete, EMSELLA is delivered as Dynamic Core+ in a physician-directed setting, which means Dr. Garg can examine you, confirm the indication, and refer to urology, urogynecology, or pelvic-floor physical therapy when the case calls for it, rather than selling chair time. If you have a diagnosed condition, ongoing symptoms, or red-flag findings such as new pelvic pain or prolapse, those belong with a physician first. EMSELLA can complement a broader plan, and the evaluation is where candidacy, indication, and timing are confirmed before any treatment. Individual results vary, and no outcome is guaranteed.
“I was told I needed knee replacement. Dr. Garg found the real problem at my SI joint. Now I’m pain-free, climbing, and ready for ski season.”
“I saw too many people my age with negative results after rotator cuff surgery. PRP was a complete success. I will not be needing surgery.”
“Ten difficult years of chronic ankle and knee conditions. PRP and shockwave were life-changing. Finally healing up completely.”
All Dynamic PRP+ and Dynamic Stem Cell+ procedures are performed exclusively by Dr. Garg. Dynamic Shockwave+, Dynamic Mind+, and Dynamic Core+ are performed by Dr. Garg and his clinical team.
Aneesh Garg, DO, CAQ. Founder of Dynamic Athlete Sports Medicine and Regenerative Orthopaedics. Yale residency trained. Andrews Sports Medicine fellowship trained. Double board-certified Sports Medicine and Internal Medicine. Team Physician USA Hockey and U.S. Soccer. Founder and Medical Director of ASTI (American Shockwave Training Institute).
Teaching faculty RMTI and Rocky Vista University. Host of The Regen Doc podcast. Dr. Garg developed the Dynamic PRP+, Dynamic Stem Cell+, Dynamic Shockwave+, Dynamic Mind+, and Dynamic Core+ protocols used at this practice.
Yale residency trained. Andrews Sports Medicine fellowship trained. Double board-certified Sports Medicine and Internal Medicine.
Yale-New Haven Hospital residency
Fellowship-trained at the American Sports Medicine Institute (ASMI) / Andrews Sports Medicine
Team Physician for USA Hockey and U.S. Soccer
Medical Director of the American Shockwave Training Institute (ASTI), training clinicians nationwide in ESWT, RPW, and EMTT
Known for physician-performed, ultrasound-guided PRP, BMA/MFAT, and shockwave-primed biologic injections
The Regen Doc breaks down real patient cases, protocol design, and what actually works vs. what the industry sells. New episodes on Apple Podcasts, Spotify, and wherever you get your podcasts.
At Dynamic Athlete, we proudly care for patients from Boulder, the entire Front Range, and across the United States. While our clinic is based in Boulder, CO, many patients travel nationwide to experience our advanced, results-driven care.
We frequently see patients from:
Denver, Broomfield, Erie, Longmont, Louisville, Arvada, Lakewood, Cherry Creek, Cherry Hills Village, Highlands Ranch, Littleton, Silverthorne, Breckenridge, Castle Rock, Englewood, Fort Collins, Greeley, Timnath, Estes Park, Golden, Superior, Westminster, Colorado Springs and many more.
If you’re looking for a clinic that offers the most advanced non-invasive treatment options available, our team is here to help no matter where you’re coming from.
You don’t have to live with urinary incontinence, pelvic floor dysfunction, or lower abdominal and core instability. EMSELLA offers a precise, non-invasive path forward.
Dr. Garg and his team at Dynamic Athlete are leaders in the field of regenerative treatment, delivering results through advanced technology, clinical expertise, and precision-guided protocols.
Our therapies are designed to restore function, accelerate recovery, and address pain at its source so you can move forward with clarity, control, and confidence.
Call today to schedule your consultation.
Dynamic Athlete
Sussex One Building
1790 30th Street, Suite 270
Boulder, CO
(303) 997-1733
StayActive@DynamicAthlete.com
Talk with our team about whether you're a candidate. Care is directed by Aneesh Garg, DO, CAQ, here in Boulder.
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