Patient receiving Core to Floor therapy at Pain Treatment Center of Maryland in Reisterstown

Core to Floor® Therapy in Reisterstown, MD

Functional Muscle Therapy & Core Strength Restoration

Duration:60 minutes (combined session)

Sessions:4–6 treatments recommended

Downtime:None

Results:Gradual over 2–6 weeks

Strengthen Your Foundation From the Inside Out

Dr. Tatyana Reznikov, MD, is board-certified in Physical Medicine & Rehabilitation with fellowship training in Interventional Spine & Sports Medicine and Musculoskeletal & Sports Medicine. She brings specialized expertise in non-invasive body strengthening protocols to help patients regain core stability and pelvic floor function.

Back pain and incontinence often share a common root — a weakened core and pelvic floor. As a Rehabilitation Support Technology, Core to Floor® therapy combines Functional Muscle Therapy, Neuromuscular Activation, and Core Strength Restoration to support Therapeutic Body Reconditioning and lasting Non-Invasive Pain Relief — addressing both simultaneously, without surgery or downtime.

Dr. Tatyana Reznikov is a board-certified Physical Medicine & Rehabilitation physician with dual fellowship training in Interventional Spine & Sports Medicine and Musculoskeletal & Sports Medicine. She earned her medical degree from Smolensk Medical Academy and completed her residency at Washington University in St. Louis.

With over 10 years of clinical experience, Dr. Reznikov specializes in minimally invasive interventional procedures for chronic pain conditions affecting the spine, joints, and nervous system. She is a member of the American Academy of Physical Medicine and Rehabilitation (AAPMR) and the International Spine Intervention Society.

Her philosophy centers on identifying the precise source of pain and developing targeted treatment plans that restore function and improve quality of life — helping patients return to the activities they love.

When Core Weakness and Pelvic Floor Dysfunction Collide

A Dual Problem Demands a Dual Solution

Millions of adults struggle with the frustrating combination of chronic back pain and pelvic floor dysfunction. Traditional approaches treat these as separate issues — physical therapy for the back, Kegels for the pelvic floor — but the core and pelvic floor function as an integrated unit. When one weakens, the other compensates, creating a cycle of instability, discomfort, and embarrassing symptoms like stress urinary incontinence that limits daily activities and erodes confidence.

Core to Floor® therapy is BTL's innovative protocol that combines Emsculpt Neo and Emsella in a single treatment session. By simultaneously strengthening the abdominal core muscles and the pelvic floor, this dual approach restores the entire muscular foundation your body relies on for stability, continence, and pain-free movement — all without incisions, medications, or recovery time.

Understanding Your Treatment

What Is Core to Floor® Therapy?

BTL's Dual-Technology Protocol

Core to Floor® is BTL Aesthetics' branded treatment protocol that combines two FDA-cleared technologies — Emsculpt Neo and Emsella — into a single comprehensive session. Emsculpt Neo uses synchronized radiofrequency (RF) heating and high-intensity focused electromagnetic (HIFEM+) energy to simultaneously reduce fat and build muscle in the abdominal core. Emsella delivers thousands of supramaximal pelvic floor contractions using HIFEM technology while you remain fully clothed.

Together, these technologies produce the equivalent of thousands of crunches and Kegel exercises in a single visit. The HIFEM+ energy triggers supramaximal muscle contractions — contractions far more intense than what voluntary exercise can achieve — forcing deep muscle remodeling and strengthening. Clinical studies demonstrate up to 25% increase in muscle mass and significant improvement in urinary incontinence symptoms after a full treatment course.

Treatment Timeline

Treatment Time

60 minutes (30 min Emsculpt Neo + 28 min Emsella)

First Signs

Improved core engagement within 2–3 weeks

Full Effect

Optimal results at 3–6 months post-treatment

Recovery

Zero downtime — resume all activities immediately

Abstract background representing core and pelvic floor strengthening treatment areas

Urinary Incontinence

Strengthens pelvic floor muscles to reduce stress and urge incontinence episodes

Core Weakness

Rebuilds deep abdominal muscles that support spinal stability and posture

Chronic Low Back Pain

Addresses muscular imbalances that contribute to persistent lumbar discomfort

Postpartum Recovery

Restores core and pelvic floor integrity weakened during pregnancy and delivery

Diastasis Recti

Helps close abdominal muscle separation through deep muscle strengthening

Treatment Advantages

Benefits of Core to Floor®

Why Patients Choose This Protocol

01

Dual Treatment

Addresses core strength and pelvic floor function in one comprehensive session
02

Non-Invasive

No surgery, needles, or anesthesia — sit back and let the technology work
03

Zero Downtime

Return to all daily activities immediately after each treatment session
04

Clinically Proven

FDA-cleared technologies backed by peer-reviewed clinical research
05

Fully Clothed

Emsella treatment is performed while you remain completely clothed

Treatment	Mechanism	Time	Results	Duration	Downtime	Best For
Core to Floor®	HIFEM+ & RF (dual)	60 min	2–6 weeks	Long-lasting with maintenance	None	Combined core weakness & incontinence
Emsculpt Neo Alone	HIFEM+ & RF	30 min	2–4 weeks	Long-lasting with maintenance	None	Core/abdominal strengthening only
Emsella Alone	HIFEM pelvic floor	28 min	2–3 weeks	6+ months	None	Pelvic floor & incontinence only
Physical Therapy	Manual exercise	45–60 min	6–12 weeks	Ongoing commitment	None	Mild weakness with discipline

Is This Right for You?

Who Is a Good Candidate for Core to Floor®?

Find Out If You Qualify

Core to Floor® therapy is designed for adults who want to strengthen both their core muscles and pelvic floor without surgery or extended physical therapy commitments. It is particularly effective for patients experiencing the interconnected symptoms of core weakness and pelvic floor dysfunction.

Ideal Candidates for Core to Floor® Therapy

Adults experiencing stress urinary incontinence alongside core weakness or back pain
Postpartum women seeking to restore core and pelvic floor integrity
Patients with chronic low back pain related to muscular deconditioning
Individuals who have not achieved adequate results with Kegel exercises or physical therapy alone
Those seeking a non-invasive alternative to surgical intervention

Who Should Wait or Avoid Core to Floor® Therapy

Patients with cardiac pacemakers or implanted defibrillators
Individuals with metal implants in the treatment area (hip replacements, spinal hardware)
Women who are pregnant or suspect pregnancy
Patients with active hernias in the abdominal treatment zone
Individuals with pulmonary insufficiency or severe cardiac conditions

Dr. Reznikov performs a thorough evaluation to ensure Core to Floor® therapy is safe and appropriate for your specific condition before treatment begins.

Your Experience

What Happens During Core to Floor®

Consultation

Dr. Reznikov evaluates your core stability, pelvic floor function, and symptoms to design your personalized treatment plan.

Core Treatment

Dr. Reznikov positions the Emsculpt Neo applicator on your abdomen, delivering HIFEM+ and RF energy to build muscle and reduce fat for 30 minutes.

Pelvic Floor Session

You sit fully clothed on the Emsella chair while Dr. Reznikov activates HIFEM technology to deliver thousands of pelvic floor contractions over 28 minutes.

Recovery & Follow-Up

Dr. Reznikov reviews your response, schedules your next session, and provides guidance on optimizing results between treatments.

Safety Information

Side Effects & Safety

What to Know

Core to Floor® therapy uses FDA-cleared technologies with well-established safety profiles. Most patients tolerate treatment comfortably with no adverse effects requiring medical attention.

Common effects (resolve within 24–72 hours):

Mild muscle soreness similar to post-workout fatigue in the abdomen and pelvic area
Temporary warmth or tingling in the treatment zones from RF energy
Minor muscle twitching in the hours following treatment

Rare effects:

Temporary redness in the abdominal treatment area
Brief increase in urinary frequency as pelvic floor muscles activate

Dr. Reznikov monitors treatment parameters throughout each session and adjusts intensity to ensure patient comfort and safety. No serious adverse events have been reported in clinical trials of either Emsculpt Neo or Emsella when used as directed.

Investment in Your Core Health

Core to Floor® therapy pricing reflects the combined value of two advanced treatments delivered in a single session. During your consultation, Dr. Reznikov will recommend a treatment plan tailored to your specific needs and goals.

Treatment Pricing

Core to Floor® packages typically include 4–6 sessions scheduled twice per week. Pricing varies based on your individualized treatment plan. Contact us at (410) 833-1011 for current pricing and package options.

Financing available: We accept CareCredit to help make treatment accessible. Many patients find that the combined Core to Floor® protocol offers better value than pursuing Emsculpt Neo and Emsella as separate treatment series.

Insurance does not typically cover Core to Floor® therapy as it is considered an elective procedure. Our team will provide a complete cost breakdown during your consultation so there are no surprises.

Why Choose Pain Treatment Center of Maryland

PM&R Specialist

Board-certified physician focused on restoring function and reducing pain

Dual Fellowship

Advanced training in interventional spine and musculoskeletal medicine

Integrated Approach

Core to Floor® paired with comprehensive pain management expertise

Personalized Protocols

Treatment parameters customized to each patient's functional needs

Procedures

Non-Invasive Pain Relief

01 What is Core to Floor® therapy?

Core to Floor® is BTL's branded treatment protocol that combines Emsculpt Neo and Emsella in a single session. Emsculpt Neo strengthens your abdominal core using HIFEM+ and radiofrequency energy, while Emsella rebuilds your pelvic floor through thousands of supramaximal contractions — addressing both core stability and incontinence simultaneously.

02 How does combining Emsculpt Neo and Emsella work?

The two technologies complement each other by targeting the full muscular foundation from core to pelvic floor. Emsculpt Neo builds and strengthens abdominal muscles while reducing fat, and Emsella delivers targeted pelvic floor contractions. Together, they restore the integrated muscle system that supports your spine, organs, and continence.

03 Who is a good candidate for Core to Floor® therapy?

Ideal candidates are adults experiencing core weakness, chronic back pain, stress urinary incontinence, or a combination of these symptoms. It is especially effective for postpartum women and patients who haven't achieved results with exercise alone. Dr. Reznikov will evaluate whether you're a candidate during your consultation.

04 How many Core to Floor® sessions do I need?

Most patients benefit from 4–6 sessions scheduled twice per week. Dr. Reznikov will recommend the optimal number of treatments based on your baseline muscle condition, symptom severity, and rehabilitation goals. Some patients pursue maintenance sessions to sustain long-term results.

05 Can Core to Floor® help with both back pain and incontinence?

Yes — that is precisely what the protocol is designed to do. Core weakness often contributes to both back pain and pelvic floor dysfunction. By strengthening the abdominal muscles and pelvic floor simultaneously, Core to Floor® addresses the shared root cause rather than treating symptoms individually.

06 How long is each Core to Floor® session?

A complete Core to Floor® session takes approximately 60 minutes. The Emsculpt Neo portion lasts about 30 minutes for core treatment, followed by approximately 28 minutes on the Emsella chair for pelvic floor strengthening. You remain fully clothed for the Emsella portion.

07 Is Core to Floor® therapy painful?

Most patients describe the sensation as intense but not painful — similar to a strong muscle contraction during exercise. The Emsculpt Neo portion includes a warming sensation from the radiofrequency component. Dr. Reznikov adjusts intensity levels throughout treatment to ensure your comfort.

08 When will I see results from Core to Floor® therapy?

Many patients notice improved core engagement and reduced incontinence episodes within 2–3 weeks of starting treatment. Optimal results develop over 3–6 months as muscles continue to remodel and strengthen. Clinical studies show up to 25% increase in abdominal muscle mass after a complete treatment course.

Location116 Westminster Pike, Suite 106
Reisterstown, MD, 21136

Emailzalina@ptcofmd.com

Phone(410) 833-1011

Ready to Start?

Schedule Your Core to Floor® Therapy Consultation

References

PubMed (PMID: 34310680) - HIFEM technology significantly improved stress urinary incontinence symptoms and quality of life in a multicenter study.
PubMed (PMID: 33443358) - Simultaneous application of HIFEM+ and radiofrequency demonstrated 25% muscle mass increase and 30% fat reduction in treated areas.
PubMed (PMID: 35100461) - Electromagnetic stimulation of the pelvic floor showed significant improvement in incontinence outcomes compared to sham treatment.
PubMed (PMID: 34582246) - Combined core and pelvic floor electromagnetic stimulation improved both trunk stability and urinary continence in postpartum women.
PubMed (PMID: 33970527) - HIFEM-based pelvic floor stimulation produced sustained continence improvements at 12-month follow-up.