Non-Surgical Core & Pelvic Floor Strengthening: Emsella + EMSculpt NEO

Many people think surgery is the only way to address urinary incontinence. Fortunately, that’s not the case. Core to floor therapy combines two non-invasive treatments, Emsella and EMSculpt NEO, to help you strengthen your abdominal and pelvic floor muscles. As a result, this therapy can help you improve your bladder control without surgery.

At The New England Center of Body Sculpting, Medical Director Dr. Julia Edelman, MD, FACOG, MSCP, sees the impact these 30-minute sessions make, increasing patients’ confidence and core strength.

This article explores how Emsella and EMSculpt NEO work in core-to-floor therapy and the benefits you might see from this treatment.

What is Core to Floor Therapy?

Core to floor therapy uses Emsella and EMSculpt NEO to strengthen the abdominal and pelvic floor muscles. It’s the first non-invasive treatment developed to build strength in the entire core and pelvic floor. This therapy has also helped patients improve their balance, posture, and urinary incontinence.

How Emsella Strengthens the Pelvic Floor

Emsella is a non-invasive, FDA-cleared treatment that uses High-Intensity Focused Electromagnetic (HIFEM) technology to strengthen the pelvic floor. These treatments are performed as the patient sits fully clothed on an ergonomic chair. During each session, Emsella generates electromagnetic pulses that target the pelvic floor. These pulses induce supramaximal contractions equivalent to approximately 11,000 Kegel exercises in one 30-minute session, strengthening pelvic muscles. This treatment is painless and requires no downtime.

How EMSculpt NEO Builds Core Strength

EMSculpt NEO is a non-invasive, FDA-approved treatment that combines HIFEM and radiofrequency (RF) technologies to build muscle and reduce fat. During treatment, applicators are placed on the targeted muscles. HIFEM energy induces thousands of supramaximal contractions to build muscle faster than exercising. Simultaneously, RF heating targets fat cells to promote fat reduction. Patients feel a warming sensation and muscle contractions and remain comfortable during treatment. It’s common to feel mild soreness after a session, but it should subside in a few days. Treatments usually take 30 minutes and require no downtime.

Why Do Emsella and EMSculpt NEO Work Better Together?

While each treatment provides many benefits, using both of them in core-to-floor therapy can improve your outcome. During core-to-floor therapy, Emsella strengthens the pelvic floor muscles as EMSculpt NEO builds abdominal muscles. Together, they can enhance the way your body functions, improving bladder control and core stability. After core-to-floor therapy, many patients feel stronger and confident.

The Benefits of Core to Floor Therapy

Core to floor therapy provides more benefits than either Emsella or EMSculpt NEO alone.

Here’s what it can do:

Benefits for Women

• Postpartum Recovery: Core to floor therapy helps strengthen muscles that have been weakened during labor, addressing urinary incontinence.
• Prevents Pelvic Organ Prolapse: Strengthening the pelvic floor may help prevent the uterus and bladder from descending into the vagina.
• Menopausal Support: Core to floor therapy can help improve blood flow to the pelvic region.

Benefits for Men

• Improved Erectile Dysfunction (ED): Core to floor therapy improves blood flow and strengthens pelvic floor muscles, which helps men achieve and maintain erections.
• Enhanced Ejaculatory Control: Strengthening the pelvic floor can help men regain control over their ejaculations, preventing them from occurring prematurely.
• Accelerates Recovery Before and After Prostate Surgery: This treatment can help men restore bladder control and strengthen muscles that have been weakened during a prostatectomy, which can speed up the recovery process. It also increases blood supply to the pelvis before prostate surgery.

Benefits for Both Sexes

• Improved Bladder Control: Strengthening the pelvic floor muscles can help support the bladder, reducing urinary incontinence.
• Decreased Pelvic Pain: By strengthening pelvic floor muscles, core to floor therapy reduces the muscle tension that may cause chronic pelvic pain.
• Enhanced Sexual Satisfaction: Healthy pelvic floor muscles can improve blood flow to heighten orgasms.
• Improved Quality of Life: By addressing urinary incontinence, core to floor therapy helps patients feel more confident and in control of their bodies.

Who Is a Good Candidate For Core to Floor Therapy?  

The best candidates for core to floor therapy are people who are looking to strengthen their pelvic floor muscles, improve balance, and address urinary incontinence. This non-invasive treatment helps men and women gain strength and control, boosting their confidence. If core to floor therapy is right for you, you can receive comfortable treatments that can help improve your quality of life without surgery.

The best way to discover if you’re a good candidate is by scheduling a complimentary consultation at The New England Center of Body Sculpting.

Core to Floor vs. Surgical Therapies: How it Compares

Many people seek surgical options for bladder control. Each one involves a different method to treat urinary incontinence.

Midurethal Sling

Midurethal sling is a surgical procedure that addresses stress urinary incontinence. This type of incontinence occurs when urine leaks involuntarily through activities that increase abdominal pressure, like coughing or jumping. During this procedure, a surgeon places a sling under the urethra to prevent leaks. The sling is made of a synthetic material called polypropylene mesh, which is biocompatible.

Here are the differences between a midurethral sling and core to floor therapy:

As you can see, a midurethral sling carries more risks and a longer recovery than core to floor therapy.

Autologous Sling

During an autologous sling procedure, the patient’s own tissue is used to develop a sling. The tissue is usually harvested from the patient’s abdomen or thigh, and this process leaves a scar where the tissue was removed. However, many patients prefer this option to avoid using a synthetic material.

Here’s how an autologous sling compares with core-to-floor therapy:

Many people choose core-to-floor therapy over an autologous sling because it offers no scarring, surgery, or downtime.

Colposuspension

Colposuspension is a surgical procedure that lifts and supports the urethra and bladder neck. It is designed to treat stress urinary incontinence in women. During this procedure, a surgeon makes an open or laparoscopic incision in the abdomen. Then, the bladder neck and urethra are lifted and supported with sutures, or stitches that secure the vaginal tissue to Cooper’s ligament. The surgeon then closes the incisions and may insert a drain to manage fluids.

Here’s a comparison between colposuspension and core-to-floor therapy:

While colposuspension can resolve SUI, core to floor doesn’t come with the lengthy downtime or surgical risks.

Sacral Nerve Stimulation

Sacral Nerve Stimulation (SNS) is a minimally invasive procedure where the surgeon implants a device that sends mild electrical pulses to improve bladder control. It’s designed to help treat urge incontinence, a sudden impulse to urinate, which often results in leakage. SNS can help restore normal function by delivering electrical pulses to the sacral nerve, which is responsible for bladder control. These pulses help regulate the activity of this nerve, treating urinary incontinence. This surgery often begins with a trial period to assess if nerve stimulation works for the patient. If the trial is successful, the surgeon will implant the device during an outpatient procedure.

Here’s how sacral nerve stimulation compares to core to floor therapy:

With core-to-floor therapy, you won’t have to worry about a hospital stay or an implant device not working correctly.

Experience Core to Floor at The New England Center of Body Sculpting

If you want a safe, non-invasive option to treat your urinary incontinence, core to floor therapy may be your answer. At The New England Center of Body Sculpting in the greater Boston area, we’re proud to offer Emsella and EMSculpt NEO and help our patients strengthen their core and pelvic floor muscles. We serve Greater Providence, South Shore, South Coast, Newport, and the Cape Cod areas.

Call (508) 947-2852 today to set up a free consultation. With core to floor therapy, you can regain your continence, confidence, and control.