Postpartum Core
Rebuilds abdominal strength after pregnancy and childbirth
Core to Floor Program in Gulf Breeze, FL Strength From Your Core to Your Pelvic Floor
Total core and pelvic floor strength without surgery, built in relaxed 30-minute sessions with no downtime.
Treatment Time:About 30 minutes per device
Downtime:None
Results Last:Months, with maintenance
FDA Status:Both devices FDA-cleared
Why Core to Floor
Why the Core to Floor Program Treats Two Muscle Groups at Once
The problem and the plan
Your deep abdominal muscles and your pelvic floor work as one team. They brace your spine when you lift, steady you when you walk and control your bladder when you laugh, cough or jump. Pregnancy, childbirth, prostate surgery, aging, weight changes and long hours of sitting can weaken both groups at once. The result is often a softer midsection, a tired lower back and leaks you plan your day around.
Core to Floor answers that problem with one plan. Emsculpt NEO for core and muscle builds abdominal strength and reduces fat, while Emsella for pelvic floor strength retrains the muscles that support the bladder. You stay fully clothed, there is no recovery time and your progress is tracked by a physician-led team that also treats back pain.
Good to Know
What Is the Core to Floor Program?
Two FDA-cleared technologies, one plan
Core to Floor is a Ready Pain Management program that combines Emsculpt NEO and Emsella into a single plan for core and pelvic floor strength. Both BTL devices are FDA-cleared. Emsculpt NEO treats the abdomen, buttocks, arms, thighs and calves. Emsella treats the pelvic floor.
Both use HIFEM (high-intensity focused electromagnetic energy) to trigger thousands of strong muscle contractions per session. Emsculpt NEO adds radiofrequency heat to reduce fat. Strength builds over the series and keeps improving for weeks.
Treatment Timeline
- Treatment Time About 30 minutes per device
- Typical Series 4 Emsculpt NEO and 6 Emsella visits
- First Signs Often after a few sessions
- Full Effect About 3 months after the series
What Core to Floor Can Help With
Common reasons patients enroll
Bladder Leaks
Strengthens the pelvic floor behind stress and urge leaks
Lower Back Support
A stronger core helps brace the spine during daily movement
Age-Related Weakness
Counters the muscle loss that comes with aging
Post-Prostatectomy
Supports pelvic floor recovery for men after prostate surgery
Stubborn Belly Fat
Emsculpt NEO reduces fat while building abdominal muscle
Benefits
Benefits of Combining Emsculpt NEO and Emsella
What a stronger center can change
2000+ Satisfied patients 
- 01
Stronger Core
Builds abdominal muscle without crunches or heavy lifting
- 02
Better Bladder Control
Fewer leaks when you cough, sneeze, lift or exercise
- 03
Back Support
Firmer core muscles help stabilize your lower back
- 04
No Surgery or Needles
Non-invasive sessions with no incisions and no anesthesia
- 05
No Downtime
Drive yourself home and return to work the same day
- 06
More Confidence
Move, travel and exercise without planning around a bathroom
How Core to Floor Compares to Other Options
Your options side by side
See how the Core to Floor program compares with common ways to strengthen the core and pelvic floor.
| Option | How It Works | Targets Core | Targets Pelvic Floor | Effort Required | Downtime | Best For |
|---|---|---|---|---|---|---|
| Core to Floor (Emsculpt NEO and Emsella) | HIFEM contractions plus radiofrequency heat | Yes | Yes | Sit or lie still | None | Adults who want both areas treated together |
| Kegel exercises at home | Voluntary pelvic floor squeezes | No | Yes | Daily practice | None | Mild leaks and motivated self-starters |
| Pelvic floor physical therapy | Guided exercise, often with biofeedback | Partly | Yes | Weekly visits plus homework | None | Leaks, pelvic pain and postpartum recovery |
| Gym core training | Planks, bridges and resistance work | Yes | Partly | Regular workouts | Muscle soreness | Active adults without pain limits |
| Surgery (sling or tummy tuck) | Surgical repair or skin and muscle tightening | Varies | Varies | Operating room | Weeks | Severe cases after other options fail |
Who Is a Good Candidate for Core to Floor?
Core to Floor suits adults who want a stronger core and better bladder control without surgery. It is a strong fit if you have stress or urge leaks, which our urinary incontinence treatment options page explains in more detail. The National Institute of Diabetes and Digestive and Kidney Diseases also offers a helpful overview of bladder control problems.
Ideal Candidates for Core to Floor
- Women after pregnancy who are cleared by their provider
- Women and men with mild to moderate bladder leaks
- Men with leaks after prostate surgery, once cleared by their urologist
- Adults losing core strength with age or inactivity
- Active adults who want more support for the lower back
Who Should Wait or Avoid Core to Floor
- Pregnancy, or trying to become pregnant soon
- A pacemaker, implanted defibrillator or neurostimulator
- Metal or electronic implants in or near the treatment area, including a copper IUD for Emsella
- Active cancer, fever or recent surgery in the treatment area
- Untreated hernia or unexplained pelvic pain or bleeding
Dr. Boler reviews your full health history before your first session and will tell you plainly if another option is safer. You can also compare all of our body optimization and muscle strength treatments.
Step by Step
How a Core to Floor Program Works
From consultation to maintenance
Consultation
Dr. Boler reviews your history, goals and bladder or back symptoms, in person or by telemedicine.
Emsculpt NEO
Our team places the applicator on your abdomen or buttocks for about 30 minutes of contractions and heat.
Emsella
You sit fully clothed on the Emsella chair for about 30 minutes while it contracts your pelvic floor.
Follow-Up
We check strength and leaks at follow-up, often by telemedicine, and plan maintenance if needed.
Safety
Core to Floor Side Effects and Safety
What is normal and what to report
Common Effects
Emsculpt NEO and Emsella are non-invasive and well tolerated by most patients. The most common effect is muscle soreness that feels like a hard workout and fades within a day or two. Emsculpt NEO can leave the skin warm, red or tender for a short time. Emsella can cause brief tingling or mild pelvic muscle soreness.
Less Common Effects
Rare effects include temporary skin irritation, muscle spasm or changes in bowel or bladder habits. Tell our team right away if anything feels sharp or wrong during a session, and we will lower the intensity or stop.
Who Needs Extra Review
Our team screens every patient for implants, pregnancy and other health conditions first. Trusted bladder control guidance is available from MedlinePlus.
Pricing
Core to Floor Program Cost in Gulf Breeze, FL
Personalized pricing, reviewed at consultation
Core to Floor pricing at Ready Pain Management is personalized. We review your price at your consultation once Dr. Boler understands your goals, history and how many sessions your plan needs. You will know what your plan includes before you commit.
What Shapes Your Price
- Number of Emsculpt NEO sessions and areas treated
- Number of Emsella sessions for pelvic floor strength
- Whether you need maintenance visits after your series
- Whether your plan pairs Core to Floor with other pain treatments
Paying for Your Program
Ready Pain Management does not accept insurance, so care is self-pay. Third-party financing is available through InstaPaytient (through Affirm), subject to approval, with terms set by the financing provider. Call (850) 735-4907 with questions.
Why Choose Ready Pain Management for Core to Floor in Gulf Breeze, FL
Built around how you move
Book NowPhysician Directed
Every plan is reviewed by Dr. Douglas Boler, MD
Pain Expertise
A team that treats back, hip and pelvic pain every day
Women and Men
Programs for postpartum, aging and post-surgery patients
Telemedicine Follow-Up
Consults and check-ins can happen from home
FDA-Cleared Devices
Emsculpt NEO and Emsella, both FDA cleared
Air Force Veteran
Led by an anesthesiologist and Air Force veteran
Explore More
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Learn moreCore to Floor Program FAQs
How much does the Core to Floor program cost?
Core to Floor pricing is personalized and reviewed at your consultation. Your cost depends on how many Emsculpt NEO and Emsella sessions your plan needs. Ready Pain Management does not accept insurance, so care is self-pay. Third-party financing through InstaPaytient (through Affirm) is available, subject to approval, with terms set by the financing provider.
How long is each Core to Floor session?
Each device session takes about 30 minutes. Some visits include only Emsculpt NEO or only Emsella, and some include both back to back. A typical series includes about four Emsculpt NEO visits and six Emsella visits over several weeks. Dr. Boler adjusts the number and spacing of visits to your goals and progress.
Does Core to Floor hurt?
Most patients describe the sessions as intense but not painful. Emsculpt NEO feels like strong muscle contractions with gentle warmth. Emsella feels like tingling and tightening in the pelvic floor while you sit fully clothed. The intensity is raised slowly and can be lowered at any time if you feel uncomfortable.
When will I see results from Core to Floor?
Many patients notice changes within the first few weeks. Bladder control often improves partway through the Emsella series, and the abdomen feels firmer after a few Emsculpt NEO visits. Full muscle and fat changes usually show about three months after the series ends. Results vary from person to person.
How often do I need maintenance sessions?
Most patients benefit from occasional maintenance sessions after the first series, often every few months. Muscles respond to use, so results last longest when you stay active and keep up simple home exercises. We review your progress at follow-up visits, which can be done by telemedicine, and recommend maintenance only if it helps.
Is Core to Floor better than doing Kegels on my own?
Core to Floor is not a replacement for home exercise, but it can do more than Kegels alone for many people. Emsella produces far more pelvic floor contractions per session than most people can do by choice, and Emsculpt NEO adds core strength at the same time. Many patients use both approaches together.
Is Core to Floor only for women?
No. Core to Floor is for women and men. Women often join after pregnancy or during menopause. Men often join for core strength, lower back support or bladder control after prostate surgery. Active adults who want a stronger center also enroll. Dr. Boler reviews your health history to confirm the program fits you.
Can Core to Floor help my lower back pain?
Core to Floor may help support your lower back, but it is not a treatment for spine disease. Stronger abdominal muscles help brace the spine during daily movement. If back pain is your main concern, Dr. Boler will first evaluate the cause and may combine the program with other pain treatments.
How soon after pregnancy can I start Core to Floor?
Most women wait until they are cleared by their obstetric provider after delivery. Timing depends on how you delivered, whether you are healing well and whether you are breastfeeding. Dr. Boler reviews your history at the consultation and helps you decide when to begin. Pregnancy itself is a reason to wait.
Can I do my Core to Floor visits by telemedicine?
Treatment is performed in person at our Gulf Breeze office because both devices are in the clinic. Your consultation and follow-up visits can be done by telemedicine. Telemedicine visits are offered Monday and Tuesday evenings, and in-person treatment visits are offered Thursday and Friday.
Location
1337 Country Club Rd, Gulf Breeze, FL, 32563
Mon - Tue: 6 PM - 7 PM
Thu - Fri: 9 AM - 5 PM
Schedule Your Core to Floor Program Consultation
References
- Jacob et al., Dermatol Surg. (2021). Efficacy and Safety of Simultaneous Application of HIFEM and Synchronized Radiofrequency for Abdominal Fat Reduction and Muscle Toning: A Multicenter Magnetic Resonance Imaging Evaluation Study. PMID: 34001694.
- Samuels et al., Plast Reconstr Surg. (2022). Radiofrequency Heating and High-Intensity Focused Electromagnetic Treatment Delivered Simultaneously: The First Sham-Controlled Randomized Trial. PMID: 35259147.
- Jacob et al., J Clin Aesthet Dermatol. (2020). Abdominal Remodeling in Postpartum Women by Using a High-intensity Focused Electromagnetic (HIFEM) Procedure: An Investigational Magnetic Resonance Imaging (MRI) Pilot Study. PMID: 33349789.
- Leonardo et al., Neurourol Urodyn. (2025). Noninvasive High-Intensity Focused Electromagnetic Therapy in Women With Urinary Incontinence: A Systematic Review and Meta-Analysis. PMID: 39760417.
- Tosun et al., Ther Clin Risk Manag. (2025). Evaluating the Efficacy of High-Intensity Focused Electromagnetic (HIFEM) Therapy for Postprostatectomy Incontinence in Men. PMID: 40909763.
- Hlaing et al., BMC Musculoskelet Disord. (2021). Effects of core stabilization exercise and strengthening exercise on proprioception, balance, muscle thickness and pain related outcomes in patients with subacute nonspecific low back pain: a randomized controlled trial. PMID: 34847915.