Consultation
Dr. Reznikov reviews your medical history, discusses symptoms, and assesses pelvic floor function to create your personalized treatment plan.

Pelvic Floor Restoration
A Common, Treatable Condition
Pelvic floor weakness can develop gradually after childbirth, hormonal changes, aging, prostate-related changes in men, or prolonged inactivity. In women, it often shows up as stress urinary incontinence — involuntary leakage during coughing, sneezing, laughing, or exercise. In men, the same loss of pelvic floor strength can contribute to erectile dysfunction and reduced sexual confidence, since the pelvic floor muscles play a direct role in achieving and maintaining an erection. Many patients in Reisterstown and surrounding communities quietly modify their routines, avoiding physical activities and intimacy. Traditional approaches like Kegel exercises require consistent effort over months and are often performed incorrectly, limiting their effectiveness.
BTL Emsella uses High-Intensity Focused Electromagnetic (HIFEM) technology to deliver thousands of supramaximal pelvic floor contractions in a single session — the equivalent of over 11,000 Kegels in just 28 minutes. This non-invasive, FDA-cleared treatment restores neuromuscular control to weakened pelvic floor muscles without undressing, surgery, or recovery time. Patients at Pain Treatment Center of Maryland can simply sit on the Emsella chair fully clothed and let the technology do the work.
HIFEM Pelvic Floor Technology
BTL Emsella is an FDA-cleared, non-invasive device that uses High-Intensity Focused Electromagnetic (HIFEM) energy to stimulate deep pelvic floor muscles. The patient sits fully clothed on the Emsella chair while focused electromagnetic waves trigger supramaximal contractions — muscle activations far beyond what voluntary exercise can achieve. These contractions re-educate and strengthen the entire pelvic floor musculature in both women and men, restoring the neuromuscular control needed to prevent involuntary urine leakage and to support healthy erectile function.
During each session, Emsella delivers approximately 11,200 pelvic floor contractions in 28 minutes. This rapid, repeated stimulation induces muscle hypertrophy (thickening) and improved motor neuron recruitment throughout the pelvic diaphragm. Clinical studies demonstrate that 95% of treated patients report significant improvement in quality of life, with many experiencing a meaningful reduction in pad usage after completing a standard treatment course.
Non-Invasive Results
Remain fully clothed throughout the entire treatment — no undressing required
Return to all normal activities immediately after each session
FDA-cleared with 95% patient satisfaction and measurable improvement in studies
Delivers 11,200 supramaximal contractions per session — far beyond manual Kegels
Each treatment takes only 28 minutes, easily fitting into a busy schedule
Compare Your Options
| Treatment | Mechanism | Time | Results | Duration | Downtime | Best For |
|---|---|---|---|---|---|---|
| Emsella | HIFEM electromagnetic contractions | 28 min/session | After 2-3 sessions | 6+ months with maintenance | None | Stress & urge incontinence, pelvic floor weakness, and erectile dysfunction in men |
| Kegel Exercises | Voluntary pelvic floor contractions | 10-15 min daily | 8-12 weeks | Ongoing practice required | None | Mild incontinence, prevention |
| Surgical Sling | Mesh support under urethra | 1-2 hours | Immediate structural support | Long-term | 2-6 weeks | Severe stress incontinence unresponsive to conservative care |
Candidacy and Considerations
Emsella is suitable for adults of all ages experiencing pelvic floor weakness, urinary incontinence, or erectile dysfunction linked to weakened pelvic floor muscles. Whether symptoms developed after childbirth, during menopause, with aging, or following prostate-related changes in men, Dr. Reznikov evaluates each patient individually to determine if Emsella is the right fit.
A thorough consultation with Dr. Reznikov at Pain Treatment Center of Maryland will confirm your candidacy and address any specific health considerations before beginning treatment.
Dr. Reznikov reviews your medical history, discusses symptoms, and assesses pelvic floor function to create your personalized treatment plan.
Dr. Reznikov guides you to the Emsella chair — you remain fully clothed. The device settings are calibrated to your comfort level.
Dr. Reznikov activates the HIFEM technology, delivering thousands of targeted pelvic floor contractions over 28 minutes while you sit comfortably.
Dr. Reznikov reviews your session response, adjusts future intensity as needed, and schedules your next visit — no recovery time required.
What to Know
Emsella is FDA-cleared and considered very safe for most patients. The treatment is entirely non-invasive — there are no incisions, no anesthesia, and no recovery period required.
During the session, you will feel tingling and strong pelvic floor contractions. These sensations are normal and indicate the HIFEM energy is effectively stimulating the target muscles. Intensity is adjustable throughout the session to maintain comfort.
Some patients experience mild muscle soreness in the pelvic region following treatment, similar to the feeling after a moderate workout. This typically resolves within 24-48 hours. Temporary increased urinary frequency may occur as pelvic muscles adjust to their improved strength. Serious side effects are extremely rare.
Dr. Reznikov screens all patients for contraindications including metallic implants, cardiac devices, and pregnancy before beginning treatment. The electromagnetic field is focused precisely on the pelvic floor, minimizing any effect on surrounding tissues.
Emsella treatment pricing varies based on the number of sessions in your personalized plan. During your consultation, Dr. Reznikov will recommend the optimal protocol for your specific needs.
A standard Emsella protocol consists of 6 sessions scheduled twice weekly over 3 weeks. Individual session pricing and package rates are available — ask about multi-session discounts during your consultation at Pain Treatment Center of Maryland.
Emsella is generally not covered by insurance as it is considered an elective treatment. However, Pain Treatment Center of Maryland partners with CareCredit to offer flexible financing options, allowing you to break your investment into affordable monthly payments.
When evaluating cost, consider the long-term savings compared to ongoing protective pad purchases, the value of restored confidence and activity freedom, and the avoidance of surgical costs and recovery time. Many patients find that the investment in Emsella pays for itself in improved quality of life and reduced ongoing expenses.
Contact our Reisterstown office at (410) 833-1011 for current pricing and to discuss the best treatment plan for your budget.
Reisterstown's Rehabilitation Experts
Board-certified PM&R physician with advanced musculoskeletal training
Treatment plans customized to your pelvic floor strength and goals
Emsella combined with complementary therapies for comprehensive results
Private, supportive setting designed for patient comfort and dignity
Discover other treatments that complement your care plan
Answers About Treatment
The Emsella chair is an FDA-cleared device that uses High-Intensity Focused Electromagnetic (HIFEM) technology to stimulate pelvic floor muscles. You sit fully clothed on the chair while it delivers approximately 11,200 supramaximal contractions in 28 minutes, strengthening the muscles responsible for bladder control.
Emsella strengthens the pelvic floor muscles that support the bladder, urethra, and — in men — the structures involved in erectile function. By inducing thousands of deep contractions per session, it rebuilds neuromuscular control and muscle thickness, reducing or eliminating involuntary urine leakage during activities like coughing, sneezing, and exercise. In men, the same strengthening of the bulbocavernosus and ischiocavernosus muscles can support firmer, longer-lasting erections by improving the pelvic blood-flow mechanism that maintains rigidity.
No, Emsella is not painful. You will feel tingling and strong muscle contractions in the pelvic area during treatment, but these sensations are well-tolerated. Dr. Reznikov adjusts the intensity to your comfort level throughout each session.
The standard protocol is 6 sessions scheduled twice weekly over 3 weeks. Some patients may benefit from additional maintenance sessions. Dr. Reznikov will recommend the optimal number of treatments based on your individual assessment.
Most adults experiencing urinary incontinence, pelvic floor weakness, or pelvic-floor-related erectile dysfunction are good candidates. Emsella is not recommended for patients with cardiac pacemakers, metallic pelvic implants, or during pregnancy. A consultation with Dr. Reznikov will confirm your eligibility.
Yes, one of the biggest advantages of Emsella is that you remain fully clothed throughout the entire session. Simply sit on the chair and the electromagnetic energy works through your clothing to stimulate the pelvic floor muscles.
Absolutely. Emsella is effective for overall pelvic floor strengthening, not just incontinence. It benefits women with postpartum weakness, men dealing with erectile dysfunction tied to weakened pelvic muscles, patients with age-related muscle decline, and anyone who wants to proactively maintain pelvic floor health, sexual function, and core stability.
Many patients notice improvement after 2-3 sessions. Full results typically develop 2-4 weeks after completing the 6-session protocol as the strengthened muscles continue to build and adapt. Clinical studies report 95% patient satisfaction rates.
Emsella can help many men with erectile dysfunction caused by or worsened by pelvic floor weakness. The pelvic floor muscles play a key role in achieving and maintaining an erection by trapping blood in the penis during arousal. Emsella's HIFEM technology induces thousands of supramaximal contractions in these muscles, helping rebuild strength, endurance, and neuromuscular control. While Emsella is FDA-cleared for urinary incontinence and improving quality of life, many male patients report meaningful improvements in erectile function and sexual confidence. Dr. Reznikov will assess whether Emsella is appropriate for your specific situation during your consultation.