You had a baby — maybe two, maybe three — and your core has not worked right since. Urinary leakage when you run, a sense that something is not quite holding, low back pain that started in pregnancy and never left. You have been told to do more Kegels. That is not the answer. Dynamic Core+ is.
What Postpartum Pelvic Floor Recovery Actually Means
Your pelvic floor is a sling of muscle, connective tissue, and fascia that supports the bladder, uterus, and rectum. Pregnancy and vaginal or cesarean delivery stretch, thin, and weaken these structures. Some women recover fully. Many do not — and the ones who don’t often get dismissed with “you just had a baby” or handed a printout of exercises and sent home.
The actual dysfunction involves three overlapping issues: muscular weakness (the floor itself cannot generate force), fascial laxity (connective tissue stretched beyond its elastic recoil), and neuromuscular disconnect (the brain has lost coordination with the pelvic floor muscles). A Kegel can address one of these. It cannot address all three. That is why so many postpartum women do Kegels for years and see no meaningful change.
How We Treat It With Dynamic Core+
Dynamic Core+ combines focused shockwave with EMSELLA — a High-Intensity Focused Electromagnetic (HIFEM) chair that delivers supramaximal pelvic floor contractions while you sit fully clothed. One 28-minute EMSELLA session produces the equivalent of roughly 11,000 Kegels. No one can do 11,000 Kegels. The point is not effort — it is recruiting the motor units you cannot recruit voluntarily because the nervous system has lost the wiring.
Focused shockwave (Storz devices, the platform I teach on at ASTI, the American Shockwave Training Institute I founded) addresses the fascia and connective tissue. Radial pressure waves — the devices most clinics use — scatter at the surface and are not true shockwave. Focused waves reach the deep fascial structures that EMSELLA’s muscle activation needs to pull against.
For diastasis recti and abdominal fascia involvement, we add Dynamic Shockwave+ to the linea alba and surrounding tissue. For select cases with post-surgical or post-tear tissue damage, Dynamic PRP+ is an adjunct. Dr. Garg evaluates each woman and sequences what she actually needs — not a template protocol.
Over 90% of our patients self-report a 75% or greater improvement following treatment.
For postpartum pelvic floor dysfunction, the combination of EMSELLA and focused shockwave produces measurable improvement most women could not achieve with any amount of traditional Kegel work.
Your Recovery Timeline
Pelvic floor tissue responds to both immediate activation and slower remodeling. Most women feel functional changes inside the first few sessions.
| Phase | Timeframe | What Happens |
|---|---|---|
| Initial activation | Sessions 1–2 | Motor unit recruitment improves |
| Strength gains | Weeks 2–4 | Measurable increase in pelvic floor force |
| Fascial remodeling | Weeks 3–8 | Connective tissue elasticity restores |
| Full functional return | Weeks 8–12 | Core coordination rebuilds |
Is It Worth It?
Consider what postpartum dysfunction actually costs you. You stop running. You stop jumping. You stop picking up your kids without planning the lift. You avoid trampolines, hikes, and even a hard cough. Years of your life get quietly constrained because no one treated the actual dysfunction.
Pelvic floor surgery — when dysfunction advances to prolapse requiring repair — runs $15,000 to $40,000 with months of recovery. Urology and urogynecology workups cost thousands. Years of physical therapy sessions add up fast. Dynamic Core+ is self-pay, yes. It is also a fraction of the cost of the downstream care women end up needing when the dysfunction is ignored.
Cherry Technologies offers payment plans. The dream outcome is simple — you run. You jump on the trampoline with your kids. You cough without worrying. You stop thinking about your core all day because it just works again.
A Clinical Pattern We See
We see this pattern frequently: a mother of two in her mid-30s, recovered physically from delivery but noticing that jumping, running, and trampoline play trigger urinary leakage or a feeling of pressure. Her OB told her it was normal. Her postpartum PT gave her Kegels. Six to twelve months later, nothing has changed.
These women are often ideal candidates for Dynamic Core+. Within 4 to 6 sessions of EMSELLA paired with focused shockwave to the surrounding fascia, most report functional improvement they had stopped believing was possible. Running returns. Trampolines return. The quiet daily planning around leakage fades. That is the goal.
Take the Next Step
Dr. Garg will personally evaluate your history, do a focused physical exam, and give you an honest assessment of what Dynamic Core+ can do for your specific situation. He will tell you if you are a candidate. He will also tell you if you need a different specialist first.
Call: (303) 997-1733
Visit: www.dynamicathlete.com
Email: StayActive@DynamicAthlete.com
Location: 1790 30th Street, Suite 270, Boulder, CO 80301
Insurance is accepted for consultations and office visits, including Medicare and Kaiser. Advanced regenerative treatments are self-pay. Payment plans are available through Cherry Technologies.
FAQs on Postpartum Pelvic Floor Recovery
Is Dynamic Core+ appropriate for every postpartum woman?
Most postpartum women with functional pelvic floor dysfunction are candidates. Active prolapse requiring surgical repair, pregnancy itself, certain pacemakers or metal implants, and a few other conditions are contraindications. Dr. Garg reviews your history and does a focused exam before recommending anything. If Dynamic Core+ is not appropriate, he will say so and refer you to the right specialist.
How is the protocol tailored for my situation?
EMSELLA alone may be enough for mild muscular weakness. Fascial laxity or diastosis adds focused shockwave. Post-surgical tissue damage may add Dynamic PRP+. Chronic pain with central sensitization may add Dynamic Mind+. Dr. Garg sequences therapies based on what your history and exam reveal — not a template.
What results can I expect as a postpartum mom?
Most women report meaningful improvement in leakage, pressure sensation, and functional activities within 4 to 6 sessions. Core coordination usually returns by week 8 to 12. Improvement continues as fascial tissue remodels over 3 to 6 months. The goal is functional return to activities you have quietly been avoiding since delivery.
Are there risks specific to postpartum women?
EMSELLA is non-invasive and the risk profile is extremely low. Focused shockwave is similarly low-risk. You remain fully clothed for EMSELLA. No sedation, no recovery room, no sling. Dr. Garg screens for contraindications during your consultation.
How long before I can return to running or high-impact activity?
Most women are cleared for progressive return to running by week 6 to 8 of the protocol. High-impact sports — trampoline, jumping, CrossFit — typically by week 10 to 12. Compared to a surgical timeline of 3 to 6 months post-op with activity restrictions that may persist longer, the return window is dramatically shorter.
We see patients from across the Front Range — Boulder, Longmont, Lafayette, Louisville, Broomfield, Superior, Denver, Golden, Erie, Westminster, and the mountain communities.
We see patients from across the Front Range — Boulder, Longmont, Lafayette, Louisville, Broomfield, Superior, Denver, Golden, Erie, Westminster, and the mountain communities.