EMSELLA in Boulder, CO: Pelvic Floor and Core Strengthening and Recovery

By Aneesh Garg, DO, CAQ · Double Board-Certified Sports Medicine Physician · Medical Director, American Shockwave Training Institute · Team Physician, USA Hockey and U.S. Soccer
Dynamic Core+ is the only protocol in Boulder pairing EMSELLA HIFEM pelvic floor stimulation with focused shockwave therapy in a single session. Developed by Dr. Aneesh Garg, DO, CAQ at Dynamic Athlete in Boulder, Colorado. Fully clothed sessions, no downtime, no medication.

Boulder's Only Clinic Pairing EMSELLA HIFEM with Focused Shockwave

Dynamic Core+ is the only protocol in Boulder pairing EMSELLA HIFEM electromagnetic pelvic floor stimulation with focused shockwave therapy in a single integrated treatment. EMSELLA is never administered alone at Dynamic Athlete. The dual-modality approach addresses both the neuromuscular activation of the pelvic floor and the connective tissue and circulatory environment that surrounds it. Patients remain fully clothed for 28-minute sessions with no downtime.

Inside the Dynamic Core+ Protocol: How EMSELLA and Focused Shockwave Work Together

EMSELLA HIFEM induces thousands of supramaximal pelvic floor contractions per session, far beyond what voluntary exercise can produce. Focused shockwave then improves blood flow and tissue elasticity in the surrounding pelvic and core structures. The combination addresses what neither modality does alone: muscular activation plus tissue-level recovery. Most patients complete a six-session series.

Who Dynamic Core+ Is For: Postpartum Recovery, Pelvic Floor Dysfunction, and Core Performance

Dynamic Core+ is built for postpartum athletes returning to running, lifting, or sport; masters athletes managing stress urinary incontinence; men and women rebuilding core stability after injury or surgery; and any patient where pelvic floor weakness is limiting performance. We are not a med spa. We are a sports medicine practice treating the pelvic floor as a performance system, not an aesthetic concern.

Why EMSELLA Is Different From Pelvic Floor Exercises and Physical Therapy

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.

Who EMSELLA Is Designed to Help

EMSELLA for Pelvic Floor Weakness and Bladder Control

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.

EMSELLA for Athletic Core Strength and Performance

This pathway supports individuals and athletes whose visible strength remains high but whose deep core activation limits stability, power transfer, or durability under load.

What an EMSELLA Session Involves

A typical session includes physician-directed intake, seated treatment with focused electromagnetic stimulation, progressive adjustment based on tolerance, and no recovery downtime.

Safety and Medical Oversight

EMSELLA uses FDA-cleared neuromuscular stimulation technology and is delivered as a physician-directed medical service following appropriate screening.

Over 90% of our patients self-report a 75% or greater improvement following treatment.

Across PRP, Stem Cell, Shockwave, EXOMIND, and EMSELLA. Tracked across active adults, postpartum patients, athletes, and surgery-avoiders.

Have Questions About EMSELLA Therapy?

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?”

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.

What Our Patients Experience

“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.”

Ann S.

“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.”

Phillip E.

“Ten difficult years of chronic ankle and knee conditions. PRP and shockwave were life-changing. Finally healing up completely.”

Jesse L.

Dr. Aneesh Garg DO CAQ Sports Medicine Physician Boulder Colorado

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.

Meet Dr. Garg

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.

Why Patients Trust Dr. Garg

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 Podcast

Hear Dr. Garg go deeper on this topic.

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.

Now Serving Patients from Colorado and Across the United States

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.

Take the Next Step: Schedule Your Evaluation Today

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