Stress Urinary Leaks
Strengthens floor reflexes that engage when you cough, laugh, sneeze or jump.
Emsella Pelvic Floor Therapy in Tampa, FL
Non-invasive HIFEM therapy for pelvic floor strength, bladder control and core support.
Session Length:28 minutes
Downtime:Zero
Protocol:6 sessions
FDA Cleared:Yes
Why a Weak Pelvic Floor Calls for Emsella Therapy
Understanding Pelvic Floor Dysfunction
A weak pelvic floor is more common than most patients realize. Pregnancy, childbirth, aging, hormonal shifts, high-impact training and chronic low back pain all gradually load and lengthen the deep muscles that support the bladder, uterus and bowel. The result can be stress leaks when laughing, coughing or running, frequent urgency, a sense of pressure or heaviness, a core that never feels stable after pregnancy, or reduced sensation during intimacy. Many patients in Tampa quietly stop running, plyometric training or even casual social activities because of these symptoms.
Traditional Kegels work, but very few people perform them correctly or consistently enough to retrain a weak floor. Emsella from BTL Aesthetics solves this by triggering 11,200 supramaximal pelvic floor contractions in one 28-minute session, the equivalent of thousands of perfectly performed Kegels. You sit fully clothed on the Emsella chair while the HIFEM field engages the entire pelvic floor at once. Dr. Brimm uses Emsella as a functional pelvic floor therapy that pairs with chiropractic adjustment and Emsculpt Neo core protocols for whole-body support.
Treatment Timeline
Treatment Time
28 minutes per session
First Signs
Better awareness and fewer leaks after 2 to 4 sessions
Full Effect
Peak pelvic floor strengthening 3 months post-protocol
Recovery
Zero downtime, return to activities immediately
What Is Emsella Pelvic Floor Therapy?
HIFEM Technology for the Pelvic Floor
Emsella is an FDA-cleared device from BTL Aesthetics that uses High Intensity Focused Electromagnetic (HIFEM) technology to trigger supramaximal contractions of every muscle in the pelvic floor in a single session. The protocol at ProActive is built around functional pelvic floor strength, bladder support and core integration, not cosmetic outcomes.
How Emsella Works
The Emsella chair generates a focused electromagnetic field that penetrates the entire pelvic region and stimulates the levator ani, coccygeus and surrounding deep pelvic floor muscles. In a single 28-minute session, the device produces approximately 11,200 supramaximal contractions, which is a depth and frequency of activation that voluntary Kegels cannot match. These contractions retrain the neuromuscular pathway that supports the bladder, uterus and bowel, helping the floor respond automatically when you cough, jump or lift.
What Happens During an Emsella Session
You sit fully clothed on the Emsella chair while Dr. Brimm sets the protocol. Most patients describe the sensation as a tingling pulse followed by visible pelvic floor contractions that quickly become a rhythmic squeeze. There is no pain, no need for undressing, no probe and no recovery time. Many patients read, scroll their phone or chat during the session.
Emsella Results and Duration
Many patients notice less leakage, better bladder control and improved pelvic floor awareness within 2 to 4 sessions. Peak results typically appear about 3 months after the final session, with benefits commonly lasting 6 to 12 months when paired with healthy core habits and follow-up maintenance sessions as needed.
Benefits of Emsella Pelvic Floor Therapy
Better Control, Better Core
- 01
Fully Clothed Treatment
Sit on the chair without disrobing or probes for a comfortable experience.
- 02
Thousands of Contractions
One session equals roughly 11,200 supramaximal pelvic floor contractions.
- 03
Bladder Control Support
Helps reduce stress and urge leaks for many patients within weeks.
- 04
Postpartum Recovery
Restores deep pelvic activation lost during pregnancy and delivery.
- 05
Core Stability Gains
Reinforces the deep core canister that supports posture and lifting.
- 06
Zero Downtime
Return to work, training and life the moment you stand up.
Emsella vs. Alternatives
Compare Your Options
| Treatment | Mechanism | Time | Results | Duration | Downtime | Best For |
|---|---|---|---|---|---|---|
| Emsella | HIFEM electromagnetic field | 28 min, fully clothed | Pelvic floor and bladder support | 6 to 12 months | None | Pelvic floor weakness and leaks |
| Pelvic Floor Physical Therapy | Manual and guided exercise | 45 to 60 min per visit | Manual release plus strength | Months to years | None | Pain, prolapse, complex cases |
| Home Kegel Exercises | Voluntary muscle contraction | 5 to 10 min daily | Slow strength gain if done right | Months if consistent | None | Maintenance between sessions |
| Internal Probe Stimulation | Intravaginal electrical stim | 20 to 30 min per visit | Targeted floor activation | 6 to 12 months | Minor discomfort | Patients comfortable with probes |
Who Is a Good Candidate for Emsella Pelvic Floor Therapy?
Finding Your Best Pelvic Floor Outcome
Emsella pelvic floor therapy is a strong fit for adults who want to retrain a weak or stretched pelvic floor without surgery, probes or downtime. The protocol at ProActive is built around functional pelvic floor support, bladder control and core integration. Many of our Tampa patients pair Emsella with Emsculpt Neo for core strengthening and review all of our wellness treatments at ProActive during consultation.
Ideal Candidates for Emsella Pelvic Floor Therapy
- Postpartum patients seeking pelvic floor recovery after vaginal or cesarean delivery (cleared by OB at 6 weeks minimum)
- Women experiencing stress urinary leaks with laughing, coughing, sneezing or exercise
- Perimenopausal and menopausal patients noticing reduced pelvic floor strength
- Men with mild stress incontinence or post-prostate-procedure pelvic floor weakness
- Active adults pairing Emsella with chiropractic adjustment for core and posture support
- Patients with realistic expectations who can commit to a 6-session protocol over 3 weeks
- Adults aged 18 to 75 in generally good health
Who Should Wait or Avoid Emsella Therapy
- Pregnant patients (absolute contraindication)
- Anyone with metal implants, pacemakers, defibrillators or electronic devices in or near the pelvis
- Patients with copper or hormonal intrauterine devices unless cleared by their physician
- Active urinary tract infection, pelvic infection or undiagnosed pelvic pain
- Recent pelvic surgery without medical clearance
- Patients with severe or recurrent stress incontinence, prolapse or unexplained bleeding (urology or pelvic medicine referral first)
Emsella supports pelvic floor wellness but does not replace evaluation by a urologist, urogynecologist or pelvic floor physical therapist when a medical diagnosis is needed. According to the U.S. Food and Drug Administration, energy-based devices should be operated only by trained providers using appropriate screening, which is the standard followed at ProActive. Discuss your full medical and obstetric history with Dr. Jamie Brimm, D.C. at consultation.
What Happens During an Emsella Session
Step-by-Step Process
Pelvic Floor Screen
Dr. Brimm reviews your bladder symptoms, childbirth history and core function.
Setup
You sit fully clothed on the Emsella chair while Dr. Brimm sets the protocol.
Treatment
The chair triggers 28 minutes of focused electromagnetic pelvic floor contractions.
Integration
Dr. Brimm coordinates Emsella with chiropractic adjustment and core work as needed.
Aftercare
You receive hydration cues and book the next session in the 6-treatment protocol.
Risks and Side Effects
What to Know
-
Common Emsella Side Effects
Most patients experience only mild, temporary effects: a tingling or mildly fatigued pelvic floor for an hour after treatment, sensation similar to a deep workout, and very rarely transient muscle soreness or warmth that resolves within a day. There are no needles, no probes and no recovery time.
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Rare Complications
Serious side effects with Emsella are very uncommon. Rare reports include localized discomfort, transient muscle spasm or aggravation of an unrecognized pelvic condition, generally occurring in fewer than 1 percent of treatments when proper screening is followed. Patients with metal implants, pacemakers or pregnancy must not use Emsella.
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Safety and FDA Status
Emsella is an FDA-cleared device from BTL Aesthetics indicated for treatment of urinary incontinence in women and improvement of intimate health. HIFEM technology has a well-established safety profile when administered by trained providers, and at ProActive the device is applied within a functional protocol focused on pelvic floor strength and core support. Dr. Brimm completes manufacturer training on Emsella protocols and screens every patient for contraindications before treatment.
Emsella Cost in Tampa
Pricing and Payment Options
Emsella pricing varies based on the number of sessions and any combination protocols. A typical 6-session Emsella protocol at ProActive Chiropractic and Wellness Center in Tampa, FL ranges from $1,500 to $3,000, with optional maintenance sessions priced individually. Because Emsella is delivered as a wellness adjunct rather than a covered medical treatment, it is not billed through insurance. Exact pricing is discussed at consultation based on your individual goals and core integration plan.
Flexible Payment Options
We want quality care to be accessible. Talk with our team about:
- CareCredit - Healthcare financing with promotional 0 percent options for qualified applicants
- Package Pricing - Bundled 6-session protocols at a reduced per-session rate
- Combination Plans - Discounts when pairing Emsella with Emsculpt Neo for core and pelvic floor recovery in the same package
Why Choose ProActive for Emsella Pelvic Floor Therapy in Tampa, FL
Tampa's Pelvic Floor Wellness Provider
Chiropractor-Led Protocols
Programs designed around bladder control, core stability and pelvic floor function.
Whole-Body Assessment
Posture, core and pelvic floor screen guides every protocol decision.
Integrated Care Plan
Pairs with chiropractic adjustment and Emsculpt Neo when core support is needed.
20 Years Local Experience
Trusted Tampa provider with deep musculoskeletal expertise.
Related Services
Pair Emsella pelvic floor therapy with these complementary ProActive treatments.
Frequently Asked Questions About Emsella Pelvic Floor Therapy
Your Questions Answered
01 What is Emsella pelvic floor therapy?
Emsella is an FDA-cleared BTL Aesthetics chair that uses High Intensity Focused Electromagnetic (HIFEM) technology to trigger about 11,200 supramaximal pelvic floor contractions in a 28-minute session, the equivalent of thousands of perfect Kegels. You sit fully clothed throughout the treatment.
02 How many sessions do I need to see results?
Most patients complete a 6-session protocol scheduled twice a week over 3 weeks. Many notice improved bladder control and pelvic floor awareness within sessions 2 to 4, with peak strengthening about 3 months after the final session.
03 Does Emsella hurt?
No. Emsella is non-invasive, fully clothed and probe-free. Most patients describe the sensation as a strong but comfortable tingling pulse and visible pelvic floor contractions. There is no pain and no need for numbing.
04 Can men use Emsella?
Yes. Emsella supports pelvic floor strengthening in men as well, particularly for mild stress incontinence, post-prostate-procedure recovery and pelvic floor wellness. Dr. Brimm screens every patient at consultation.
05 Is Emsella safe after childbirth?
Emsella is widely used for postpartum pelvic floor recovery once a patient is cleared by their obstetrician. We generally wait a minimum of 6 weeks after vaginal delivery and 8 weeks after a cesarean before beginning a protocol.
06 Who should not use Emsella?
Emsella is not safe during pregnancy or for patients with metal implants, pacemakers, defibrillators or electronic devices in or near the pelvis. Copper or hormonal IUDs, active pelvic infection, recent pelvic surgery and unexplained pelvic pain also require physician clearance first.
07 Does insurance cover Emsella?
Emsella is delivered as a wellness adjunct and is not billed through insurance. ProActive Chiropractic and Wellness Center offers package pricing and CareCredit financing so qualified patients can spread the investment over time.
08 Can I combine Emsella with Emsculpt Neo or chiropractic care?
Yes. Emsella pairs naturally with Emsculpt Neo for full core and pelvic floor recovery, and with chiropractic adjustment and myofascial release for whole-body posture and stability. Dr. Brimm designs combined protocols at consultation.
Schedule Your Emsella Consultation
References
- PubMed (PMID: 32500678) - Clinical study on HIFEM technology applied to the pelvic floor for treatment of stress urinary incontinence in women.
- PubMed (PMID: 33237508) - Prospective trial reporting improvements in stress and mixed urinary incontinence symptoms following HIFEM chair therapy.
- PubMed (PMID: 34168366) - Pilot study evaluating HIFEM pelvic floor stimulation for postpartum pelvic floor recovery and quality-of-life outcomes.
- PubMed (PMID: 32976622) - Clinical review of non-invasive electromagnetic and electrical pelvic floor stimulation devices and their indications.
- U.S. Food and Drug Administration - Regulatory guidance on energy-based aesthetic and pelvic floor devices including FDA clearance pathways for HIFEM systems.
- BTL Aesthetics - Emsella - Manufacturer clinical resource describing the HIFEM mechanism and protocol used in Emsella pelvic floor therapy.