Emsella®
Treatment
Non-invasive pelvic floor rehabilitation — thousands of deep, supramaximal contractions per 28-minute session, fully clothed. Strength, control, and confidence without surgery.
Regenerative Medicine
Pelvic floor
restored
Emsella uses High-Intensity Focused Electromagnetic (HIFEM) technology to stimulate deep pelvic floor muscle contractions — far beyond what is achievable through voluntary Kegel exercises. Each 28-minute session produces approximately 11,200 supramaximal contractions, rebuilding the neuromuscular control and muscle tone that supports bladder function, pelvic stability, and intimate health.
Traditionally, urinary incontinence and pelvic floor weakness were addressed primarily through Kegel exercises or invasive surgical procedures. Emsella offers a non-invasive, fully clothed alternative with no downtime — patients sit in the treatment chair and read or relax during the session. Most patients notice improvement after the first few sessions, with full results developing over several weeks.
Pricing: $1,400 for the full six-session course. Direct-pay · HSA welcome.
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An Emsella session — seated, fully clothed, 28 minutes
- Stress urinary incontinence (leaking with coughing, laughing, exercise)
- Urgency incontinence (inability to hold it)
- Postpartum pelvic floor weakness
- Post-prostatectomy incontinence (men)
- Pelvic organ prolapse support
- Reduced sexual sensation
- General pelvic floor rehabilitation
Straight Answers
What the evidence actually shows
You deserve numbers, not adjectives. Across published studies — including randomized comparisons against pelvic floor exercise and against electrical stimulation — Emsella consistently improves validated incontinence scores. In recent prospective work using the standard six-session course, symptom scores (ICIQ-SF) fell roughly 50–60% within a month of finishing, daily pad use dropped by about half, and roughly a third of patients were pad-free at short-term follow-up. One randomized comparison found HIFEM outperformed electrical stimulation by a wide margin on pelvic floor disability scores.
The honest limits: most studies are small, follow-up is usually weeks to months rather than years, and not everyone responds. This is strength training for a muscle group — results build over the course and often benefit from periodic maintenance sessions, exactly like any other muscle. Stress incontinence (leaking with cough, laugh, or lifting) and mixed patterns respond best; I'll tell you plainly at your consult whether your pattern of leakage is one Emsella is likely to help, and what I'd try instead if it isn't.
Pelvic floor weakness rarely travels alone. When tissue quality and blood flow are also part of the picture, Emsella pairs naturally with shockwave therapy for women →
A few supplements have real, if modest, human data for bladder symptoms. None of them replaces pelvic floor strengthening — think of them as support for the same goal:
- Pumpkin seed extract — a randomized placebo-controlled trial of a pumpkin seed + soy germ preparation improved overactive-bladder symptoms and quality of life, and smaller open-label studies of standardized pumpkin seed extract report reduced urinary frequency. Promising but not definitive — and the studies used standardized extracts, so a handful of raw seeds isn't the same intervention.
- Magnesium — one small double-blind trial in women with urge incontinence found fewer leak episodes. Thin evidence, but inexpensive and low-risk at sensible doses; a reasonable monitored trial, especially if you also run toward constipation or muscle cramps.
- Vitamin D — low levels are associated with pelvic floor disorders; evidence that supplementing improves continence is limited. The defensible move is testing and correcting a documented deficiency, not megadosing on spec. Our apothecary stocks lichen-derived D3.
Transparency: the link above goes to our Fullscript dispensary, where the clinic earns a margin on professional-grade products. You can buy equivalents anywhere — check third-party testing and match the studied dose; the advice doesn't change with the vendor.
From the Channel
Watch — Emsella pelvic floor treatment explained
Common Questions
Emsella Pelvic Floor Treatment — FAQs
How does Emsella treat incontinence?
Each session delivers thousands of deep electromagnetic contractions that rebuild pelvic floor strength — addressing urinary leakage caused by aging, childbirth, or menopause.
What results can I realistically expect?
In published studies of the standard six-session course, incontinence symptom scores improved roughly 50–60% within a month, about half of pad users cut usage substantially, and roughly a third were pad-free at short-term follow-up. Results build over weeks — this is strength training — and periodic maintenance sessions help hold the gains. Not everyone responds, and I'll tell you honestly if your pattern of leakage isn't a good fit.
Do I have to undress for treatment?
No — you sit fully clothed on the Emsella chair for the entire session. It is completely non-invasive.
Who is a good candidate?
Women and men experiencing urinary incontinence or pelvic floor weakness — stress incontinence and mixed patterns respond best, and it also helps post-prostatectomy leakage in men. A consultation will confirm whether Emsella is right for you.
Does insurance cover Emsella?
The clinic is direct-pay and does not bill insurance; HSA payments are welcome. Insurance plans rarely reimburse elective device treatments like Emsella, so plan on it being self-pay: $1,400 for the full six-session course.
How much does Emsella cost?
$1,400 for the full six-session course. The clinic is direct-pay, HSA payments are welcome, and a free consultation first confirms whether your pattern of leakage is one Emsella is likely to help.
How long do Emsella results last?
Published follow-up mostly covers weeks to months, so long-term durability isn't well quantified yet. Because this is strength training for a muscle group, gains fade if the muscle detrains — many patients hold their results with periodic maintenance sessions, and we'll set a schedule based on how you respond.
Where can I get Emsella treatment near me?
Emsella is available at Starsiak Osteopathic Clinic, 3955 Eagle Creek Pkwy on the northwest side of Indianapolis — minutes from Speedway, Avon, Brownsburg, and Zionsville, with patients visiting from Carmel, Fishers, Noblesville, Greenwood, and across central Indiana. Free consultations: 317-410-9978.
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