Stress Incontinence
Leaks when you cough, sneeze, laugh, lift or exercise

HIFEM pelvic floor therapy for bladder control and core strength, with no surgery and no downtime.
A common problem with a real solution
The pelvic floor is a sling of muscles that supports the bladder, bowel and, in women, the uterus. Pregnancy, childbirth, menopause, prostate surgery, weight gain, chronic coughing and aging can all weaken it. When these muscles lose strength, you may leak when you laugh, lift or exercise, or feel sudden urges to rush to the bathroom. Many people quietly limit travel, workouts or time with family because of it.
Emsella works the pelvic floor directly. While you sit on the chair, HIFEM energy produces strong, repeated contractions that are hard to match by squeezing on your own. Over a series of sessions, this can rebuild strength and control. Because the pelvic floor works with your deep core muscles, Emsella also fits naturally with posture, back comfort and core strength goals in a broader plan.
Good to Know
HIFEM technology for the pelvic floor
Emsella is an FDA-cleared, non-invasive pelvic floor therapy device made by BTL. It stimulates and strengthens the pelvic floor muscles to treat urinary incontinence in women and men. The NIDDK explains common types of bladder control problems and how they are treated.
You sit on the Emsella chair fully clothed. A focused electromagnetic field in the seat reaches the pelvic floor and causes deep, rhythmic contractions that feel like tingling and tightening. A standard series is six sessions, twice a week. Published studies in women and men report better bladder control and quality of life, and many patients notice changes during the series.
Six reasons patients book Emsella
Leaks when you cough, sneeze, laugh, lift or exercise
Sudden, strong urges to urinate that are hard to hold back
A combination of stress leaks and urgency symptoms
Pelvic floor weakness that lingers after pregnancy and delivery
Bladder leaks in men following prostate treatment or surgery
A weak pelvic floor that leaves your deep core less stable
Discreet, simple and effective
Sit on the Emsella chair in your everyday clothes, no undressing needed
A non-invasive option with no incisions, anesthesia or medication
Drive, work and go about your day right after each session
About 28 minutes, twice a week, for a standard six-session series
Helps bladder leaks after childbirth, menopause or prostate surgery
A stronger pelvic floor supports your deep core and posture
Your options side by side
How Emsella compares with other common ways to manage bladder leaks. Dr. Boler can help you choose what fits.
| Treatment | How It Works | Needles or Incisions | Downtime | Time Commitment | Effort Required | Best For |
|---|---|---|---|---|---|---|
| Emsella | HIFEM chair triggers deep pelvic floor contractions | None, fully clothed | None | 6 sessions over about 3 weeks | Sit and relax | Stress, urge or mixed leaks |
| Pelvic floor muscle training | Guided muscle training, often with a therapist | None | None | Daily practice for months | High, depends on technique | Mild to moderate leaks |
| Bladder medications | Prescription drugs that calm bladder spasms | None | Possible dry mouth or constipation | Daily, ongoing | Low | Urge incontinence |
| Sling or bladder surgery | Surgical support for the urethra | Yes, surgery | Weeks of recovery | One procedure | Low after recovery | Moderate to severe stress leaks |
| Pads and products | Absorb leaks without treating the cause | None | None | Ongoing daily use | Low | Short-term management |
Emsella suits women and men who want better bladder control without surgery, medication or time-consuming daily routines. Dr. Boler first checks that your symptoms do not need another medical workup.
Our urinary incontinence treatment page covers the condition, its causes and all of your options in more depth.
Many patients pair Emsella with Emsculpt NEO for core and muscle strength, and both devices come together in our Core to Floor program. A stronger core and pelvic floor can also help patients living with ongoing back pain.
About 28 minutes, fully clothed
Dr. Boler reviews your bladder symptoms, health history and implants, and rules out issues that need a workup.
You sit fully clothed on the Emsella chair, and our team centers your pelvic floor over the treatment field.
For about 28 minutes you feel tingling and tightening. Intensity is raised only as you are comfortable.
Most patients complete six sessions twice a week, with progress reviewed in person or by telemedicine.
What is normal and what to report
Emsella is non-invasive and generally well tolerated. The most common effects are mild and temporary: muscle soreness in the pelvic floor, a feeling of tiredness in the area or brief tingling. These usually fade within a day.
Some people notice short-term changes in bladder or bowel habits, or mild discomfort in the lower back or hips. Tell our team if anything feels wrong during a session, and the intensity will be lowered or the session stopped.
Because Emsella uses a strong electromagnetic field, it is not used with pacemakers, electronic implants, metal near the pelvis, a copper IUD or during pregnancy. Dr. Boler screens your history at the consultation. The Urology Care Foundation of the AUA offers more about bladder control.
Personalized pricing, reviewed at consultation
Emsella pricing at Ready Pain Management is personalized. Your cost depends on how many sessions Dr. Boler recommends, whether you plan maintenance visits and whether Emsella is combined with other care. We review pricing with you at your consultation, before you commit to a plan.
Ready Pain Management does not accept insurance. Being self-pay lets us spend real time with you and build care around your goals, not billing rules.
Third-party financing is available through InstaPaytient, offered through Affirm. Approval and terms are set by the financing provider, not by our office. Patients pairing services can ask about personalized treatment packages.
Private, respectful and physician-led
Book NowPlans led by Dr. Boler, a pain physician with 20+ years in the field
Discreet sessions with a caring team who keeps you comfortable
Pairs Emsella with Emsculpt NEO and the Core to Floor program
Consults and progress check-ins by telemedicine for eligible patients
FDA-cleared Emsella, about 28 minutes a session, fully clothed
Self-pay care that leaves real time for you and your own goals
Treatments that pair well with Emsella in Gulf Breeze.
Emsculpt NEO in Gulf Breeze, FL. Non-invasive body contouring and muscle building. Book your appointment today.
Learn moreCore to Floor program in Gulf Breeze, FL. Total core and pelvic floor strength without surgery. Book today.
Learn moreShockwave therapy in Gulf Breeze, FL. Non-invasive relief for pain, injury and faster recovery. Book your appointment today.
Learn moreTrigger point injections in Gulf Breeze, FL. Fast relief for muscle knots and myofascial pain. Book your appointment today.
Learn moreEmsella pricing is personalized and reviewed at your consultation, because cost depends on the number of sessions and whether you combine it with other care. Ready Pain Management is a self-pay practice and does not accept insurance. Financing through InstaPaytient, offered through Affirm, is available subject to approval, with terms set by the financing provider.
An Emsella session takes about 28 minutes. You sit on the Emsella chair fully clothed while it works, and you can read, rest or talk with our team. There is no numbing and no recovery time, so you can drive home, return to work or run errands right after your session.
No, the Emsella chair is not painful for most people. You feel tingling and strong tightening of the pelvic floor muscles, a little like an intense squeeze. Our team starts at a lower intensity and raises it as you are comfortable. Some people feel mild muscle soreness afterward, which fades quickly.
No. You stay fully clothed for the entire Emsella session. The electromagnetic field passes through clothing to reach the pelvic floor, so there is no gown, no exam and no probe. Remove metal items such as keys and phones from your pockets before you sit down, and our team will help you get positioned.
A standard Emsella series is six sessions, about twice a week over three weeks. Dr. Boler may adjust the plan based on your symptoms and goals. Some patients choose occasional maintenance sessions later to help keep their results, which we discuss at your follow-up visits, in person or by telemedicine.
Many patients notice fewer leaks or less urgency during their six-session series, and improvement can continue for several weeks afterward. Results vary with the type of incontinence, how long you have had it and your overall health. We track leaks, pad use and nighttime bathroom trips so you can see your progress.
Yes. Emsella is FDA cleared to treat urinary incontinence in both women and men. Men often use it for bladder leaks after prostate treatment or surgery, or for urgency and weak pelvic floor control. Dr. Boler reviews your history first to make sure Emsella is a safe and sensible choice for you.
Emsella does the muscle work for you while you sit fully clothed, while traditional pelvic floor therapy depends on daily training with correct technique. Many people struggle to find and contract the right muscles on their own. Emsella creates strong contractions in short sessions, and some patients combine both approaches for the best support.
Women and men, often in their 30s to 60s and older, with stress, urge or mixed bladder leaks are good candidates. This includes women after childbirth or during menopause and men after prostate treatment. People with pacemakers, metal implants in the pelvis, a copper IUD or pregnancy need a different option.
Yes. Your Emsella consultation and follow-up visits can be done by telemedicine, which helps patients in Navarre, Milton, Pensacola and beyond. The Emsella sessions themselves are performed in person at our Gulf Breeze office on Thursdays and Fridays. Telemedicine also runs Monday and Tuesday evenings.
1337 Country Club Rd, Gulf Breeze, FL, 32563
Mon - Tue: 6 PM - 7 PM
Thu - Fri: 9 AM - 5 PM