Your Pelvic Floor Supports Everything. What Happens When It Weakens?
The pelvic floor holds up the bladder, bowel and uterus. You notice it mainly once it stops doing that well.
Your pelvic floor is a muscular hammock, a complex group of muscles, ligaments, and connective tissue that stretches from your pubic bone to your tailbone. It supports your bladder, bowel, and uterus (or prostate in men). It controls urinary and fecal continence. It plays a critical role in sexual function and sensation. And it contributes to core stability, posture, and spinal support. When these muscles weaken, the effects ripple across multiple body systems. Bladder control diminishes. Bowel function may be affected. Sexual satisfaction decreases. Core stability is compromised, contributing to lower back pain. Pelvic floor weakness can result from pregnancy and childbirth, menopause, aging, surgery (including prostatectomy), chronic constipation, heavy lifting, obesity, or simply years of underuse. Because the pelvic floor is invisible and rarely discussed, many people don't connect their symptoms to a single underlying cause.
A weak pelvic floor doesn't announce itself with a single dramatic symptom. Instead, it creates a constellation of inconveniences that gradually reshape your daily habits. You rush to the bathroom more urgently and more frequently. You leak a little when you shouldn't. Intimacy feels different, less sensation, less confidence. Your lower back aches without clear cause. You may feel a heaviness or pressure in your pelvis. Each symptom on its own might seem manageable, but together they form a pattern that quietly diminishes your quality of life and confidence.
"If any of this sounds familiar, you're not alone, and you don't have to keep adapting your life around it. There's a real, non-invasive solution."
Pelvic floor rehabilitation traditionally involves kegel exercises, often with biofeedback guidance from a pelvic floor physical therapist. While these methods are effective for some patients, many struggle with correct technique, consistency, or generating enough contraction intensity to produce meaningful strength gains. Surgical interventions (mesh slings, sacrocolpopexy) are reserved for severe cases and carry risks. Emsella addresses pelvic floor weakness directly and comprehensively: HIFEM technology triggers 11,000 supramaximal contractions per 28-minute session, engaging the entire pelvic floor musculature at an intensity that voluntary kegels cannot match. The treatment re-educates weakened neuromuscular pathways, restores muscle tone and strength, and improves continence, sexual function, and core support, all while you remain fully clothed.
A weak pelvic floor is not simply "un-exercised". It is often neurologically disconnected. Many patients with pelvic floor weakness cannot voluntarily contract their pelvic floor muscles at all, or can only recruit a small fraction of available motor units when they attempt a kegel. This disconnect arises from a combination of factors: muscle atrophy reduces the number of functional fibers available for contraction, neural pathway degradation weakens the signal from brain to muscle, and compensatory movement patterns (squeezing the glutes or inner thighs instead of the pelvic floor) create faulty motor recruitment that further inhibits true pelvic floor engagement. Emsella's HIFEM technology bypasses this entire voluntary control chain. The electromagnetic field acts directly on the motor neurons within the pelvic floor musculature, inducing contractions without requiring any voluntary neural input from the patient. This is the clinical significance of "supramaximal", these are contractions that exceed what the voluntary nervous system can produce, both in intensity (100% motor unit recruitment vs. the 30-40% typical of voluntary effort) and in comprehensiveness (engaging the full pelvic floor complex rather than isolated muscle segments). The progressive overload effect across a six-session protocol drives three simultaneous adaptations: muscular hypertrophy (existing fibers grow thicker and stronger), neuromuscular facilitation (dormant neural pathways between the brain and pelvic floor are reactivated through forced repeated use), and motor pattern re-education (the brain begins to "remember" how to voluntarily engage the pelvic floor as the neural connections are re-established). Patients often report that after completing the Emsella protocol, they can perform voluntary kegel exercises for the first time in years, the HIFEM has rebuilt the neuromuscular infrastructure that makes voluntary control possible.
Clinical Data Point
Studies show significant increases in pelvic floor muscle mass and contractile strength, with patients demonstrating improved voluntary control (measured by perineometry) even after the treatment protocol is complete.
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From your first consultation to visible results, here's exactly what to expect.
Your consultation is a confidential conversation about the symptoms you're experiencing, whether that's leakage, urgency, reduced sensation, back pain, or a general sense that something isn't right. Dr. Bromberg's team will help you understand how these symptoms connect to your pelvic floor and explain what treatment can realistically achieve.
You sit fully clothed on the Emsella chair for 28 minutes. The electromagnetic energy stimulates deep pelvic floor contractions, thousands of them per session. The sensation is strong and unusual, especially during your first session, but it's not painful. Most patients adjust quickly and find the experience comfortable. You leave immediately afterward with no restrictions.
Patients commonly notice improvements within the first 2 to 3 sessions: better bladder control, reduced urgency, increased confidence. The full 6-session protocol delivers comprehensive strengthening. Many patients are surprised by improvements they didn't specifically seek, better intimate sensation, reduced back pain, greater core stability. Maintenance sessions twice a year help sustain your results.
If you answer "yes" to two or more of these questions, you may be a strong candidate for treatment.
Do you experience bladder leakage, urgency, or frequent trips to the bathroom?
Do you feel a sense of heaviness or pressure in your pelvic area?
Have you noticed changes in sexual sensation, satisfaction, or confidence?
Do you struggle with lower back pain that doesn't respond to typical treatments?
Have you had difficulty performing kegel exercises correctly or consistently?
Free consultation. No obligation. Confidential.
Dr. Bromberg has extensive experience treating conditions related to pelvic floor weakness in both men and women. With over 40 years of practice, he understands that pelvic floor health affects everything from continence to confidence, and he provides medically supervised treatment in a private, professional clinical setting.
Bromberg Wellness is a division of Bromberg Chiropractic, a Cambridge medical practice trusted since the 1980s. Not a med spa. Not an aesthetician-led clinic. A doctor's office with four decades of clinical standards.
Book Free Consultation →"After six Emsella sessions, I can laugh, sneeze, and exercise without worrying. It genuinely changed my daily life. I wish I had done it sooner."
Stress incontinence, age 58
"Emsella is a life changer. It gave me more confidence, and I don't feel like I have to prepare for an emergency every time I leave the house."
Bladder leakage, age 52
"I had increasing incontinence after prostate treatment, and medication wasn't helping. After Emsella, my muscles are much stronger. I would recommend it to anyone."
Post-prostate incontinence, age 64
* Individual results may vary. Testimonials reflect personal experiences.
What a session feels like, who is and is not a candidate, pricing, and the questions patients ask most.
See the treatment →201 Broadway, First Floor, Cambridge, MA 02139. Red Line to Kendall/MIT, then about a 12-minute walk. Street parking on Broadway, plus the Green Street Garage nearby.
Address, hours and directions →Bladder leakage, urgency to urinate, frequent bathroom trips, difficulty with bowel control, reduced sexual satisfaction, and lower back pain can all be signs of pelvic floor weakness.
Yes. Emsella triggers supramaximal contractions that engage the entire pelvic floor musculature, building strength and restoring neuromuscular control.
Results typically last 6-12 months. Maintenance sessions twice a year help sustain the strength gains long-term.
Yes. Emsella is FDA-cleared for both men and women. Men experiencing post-prostate surgery incontinence or pelvic floor weakness benefit significantly from treatment.
You'll feel tingling and strong but comfortable contractions in your pelvic floor. Most patients describe it as a unique sensation that becomes familiar after the first session.
Schedule a free, confidential consultation with Dr. Bromberg's team. We'll assess whether Emsella is the right solution for you, no obligation, no pressure, just honest guidance.
Or call us directly:
(617) 494-1166📍 Visit us at
201 Broadway, First Floor, Cambridge, MA 02139
Bromberg Wellness, a division of Bromberg Chiropractic
Free, confidential, no-obligation. Dr. Bromberg's team will reach out within 24 hours.