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Pelvic Floor Therapy with the Emsella Chair in Covington, KY: Better Bladder Control Without Surgery

Treatment Time:
28 minutes
Downtime:
None
Series:
8 sessions
FDA Cleared:
Yes
Woman seated fully clothed on the Emsella pelvic floor therapy chair at Applegate Dentistry and MedSpa in Covington, KY

Discreet Expert Care

Pelvic Floor Therapy Without the Awkward Part

Pelvic floor therapy in Covington, KY with the Emsella chair treats urinary incontinence and pelvic floor weakness while you sit fully clothed for 28 minutes. We see patients from across Kenton County and Northern Kentucky, including Newport, Fort Mitchell, Erlanger and Florence. If you have been planning your day around bathrooms, this gives that planning back.

At Applegate Dentistry & MedSpa, Elizabeth Taylor, APRN oversees every Emsella series. She brings board certification as a nurse practitioner, a background in acute care medicine, and private, one-on-one consultations for a subject most people have never raised with anyone. She lives in Covington herself.

Patient walking comfortably outdoors after Emsella pelvic floor therapy sessions at Applegate MedSpa in Covington, KY

The Challenge

When Leaking Is Running Your Day: Emsella Pelvic Floor Therapy

Understanding Pelvic Floor Weakness

It starts small. A laugh that catches you off guard. A sneeze in the grocery aisle. Lifting a grandchild, or a bag of mulch, and feeling that warm give. Then it starts shaping decisions. You stop running. You skip the trampoline in the backyard. You know where every restroom is between home and Fort Mitchell, and you wear dark pants and carry a spare pair. Most women never mention any of it, not to a friend and not to a doctor, because it feels like something you are simply supposed to absorb.
You are not supposed to absorb it, and it is not a permanent state. The pelvic floor is a sling of muscle, and like every other muscle it responds to training. The Emsella chair delivers that training at an intensity you cannot reach voluntarily: thousands of deep contractions in under half an hour, with your clothes on and your dignity intact. It sits alongside the rest of our wellness treatments in Covington as one of the most quietly life-changing things we offer.

Understanding Your Treatment

What Is the Emsella Chair?

The Science of HIFEM Energy

The Emsella chair is an FDA-cleared BTL device that treats urinary incontinence while you sit fully clothed. It uses HIFEM technology, high-intensity focused electromagnetic energy, to reach the pelvic floor muscles directly and trigger thousands of supramaximal contractions in a single 28-minute session.

Those contractions retrain the muscles that support the bladder, the ones Kegels aim for and so often miss. You stay dressed and seated, free to read or scroll. Most patients complete a series of eight sessions, and relief from bladder leakage and urgency builds over the weeks that follow.

Treatment Timeline:

First Signs:
After 2 to 3 sessions
Full Effect:
4 to 6 weeks after the series
Treatment Time:
28 minutes per session
Recovery:
None, drive yourself home

Your Experience

What Happens During an Emsella Session

Step-by-Step Process

  1. Consultation

    Elizabeth reviews your symptoms, medical history and any implants before your first session.

  2. Seating

    You sit fully clothed on the Emsella chair while Elizabeth positions you over the HIFEM coil.

  3. Treatment

    Elizabeth raises the intensity gradually across 28 minutes of deep pelvic floor contractions.

  4. Check In

    You stand up, leave without recovery time, and book the next of your eight sessions.

What Emsella Treats

Emsella Chair Treatment Areas

Pelvic Floor Concerns We Address

Soft magenta and plum gradient background representing renewed bladder confidence and pelvic floor strength
  • Stress Incontinence

    Leaking when you laugh, sneeze, cough, lift or exercise

  • Urge Incontinence

    Sudden urgency and the race to reach a bathroom in time

  • Mixed Incontinence

    Both stress leaking and urgency happening in the same week

  • Postpartum Weakness

    Pelvic floor muscles stretched by pregnancy and delivery

  • Post-Menopausal Changes

    Tissue and muscle changes that follow declining estrogen

  • Post-Prostatectomy Leakage

    Male pelvic floor weakness after prostate surgery

Benefits of Emsella Pelvic Floor Therapy

Fully Clothed, Fully Private

Stay Fully ClothedYou sit on a chair in your own clothes, start to finishThousands of KegelsOne session delivers far more than a month of KegelsReaches Deep MuscleTrains pelvic floor fibers most people cannot isolateShort Sessions28 minutes, about the length of a lunch breakNo Surgery, No NeedlesNon-invasive alternative to slings and daily medication

Emsella vs. Other Pelvic Floor Options

Each approach to urinary incontinence asks something different of you: time, effort, recovery or daily medication.

TreatmentMechanismTimeResultsDurationDowntimeBest For
Emsella ChairHIFEM muscle contractions28 min per sessionOften after 2 to 3 sessionsMonths, with maintenanceNoneStress, urge and mixed leakage
Kegel ExercisesVoluntary muscle squeezesDaily, ongoingGradual over monthsWhile you keep at itNoneMild leakage, high self-discipline
Pelvic Floor Physical TherapyGuided hands-on retraining45 to 60 min weeklyWeeks to monthsLong term with homeworkNoneComplex pelvic pain or prolapse
Surgical SlingImplanted support under urethraOperating room procedureOnce healedYearsWeeks of recoverySevere stress incontinence
MedicationCalms bladder muscle activityTaken dailyWithin weeksOnly while taking itNoneOveractive bladder and urgency

Is This Right for You

Who Is a Good Candidate for the Emsella Chair?

Finding Your Bladder Confidence

Urinary incontinence is far more common than most people realize. The National Institute of Diabetes and Digestive and Kidney Diseases reports that bladder control problems affect a large share of women, with prevalence rising steadily after 40 and again after menopause. Emsella suits people who want to address that without surgery or a daily pill.

Ideal Candidates for Emsella Pelvic Floor Therapy

  • Women over 40 with stress, urge or mixed urinary incontinence
  • Mothers whose pelvic floor never fully recovered after childbirth
  • Women noticing new leakage or urgency since menopause
  • Men with pelvic floor weakness following prostate surgery
  • Anyone who has tried Kegels without meaningful change
  • Patients who want a non-surgical option and can commit to eight sessions

Who Should Wait or Avoid Emsella

  • Anyone with a cardiac pacemaker, defibrillator or implanted neurostimulator
  • Patients with metal implants, IUDs or surgical clips in the pelvic region
  • Pregnancy, or the immediate postpartum period before medical clearance
  • Active urinary tract infection until it has been treated
  • Copper or metallic intrauterine devices still in place

Metal and electronic implants in the treatment field are absolute contraindications for HIFEM energy, so bring your full medical and surgical history to the consultation. If core weakness is part of the picture, Elizabeth may pair Emsella with functional wellness sessions, which use the Emsculpt Neo device for strength and recovery rather than the body shaping goals covered on our Emsculpt Neo body contouring page.

Risks and Side Effects

What to Know

The Applegate Difference

Why Choose Applegate MedSpa for Emsella in Covington, KY

Northern Kentucky's Discreet Choice

Elizabeth Taylor, APRN handles every Emsella consultation personally, one-on-one, in a private suite. She sees every patient one-on-one in a private suite, and she knows how much of this concern goes unspoken. Nothing about your visit is announced or assumed.

  • Private Treatment Room

    Your session happens behind a closed door, never in a shared space

  • Nurse Practitioner Led

    Elizabeth Taylor, APRN plans and supervises every Emsella series

  • Full BTL Suite

    Emsella sits beside Emsculpt Neo, Emface and Emvital under one roof

  • Honest Expectations

    We tell you what the research supports and what it does not

  • Flat, Published Pricing

    $200 per session, the same for every patient, with no surprises at the desk

  • Eight Session Series

    Relief from leakage and urgency builds across eight 28 minute visits

Investment

Emsella Chair Cost in Covington, KY

Pricing and Payment Options

How Much Does Emsella Pelvic Floor Therapy Cost in Covington?

Emsella is priced per session and delivered as a series, because a single session will not retrain a muscle group. Nationally, HIFEM pelvic floor sessions typically run between $200 and $400 each. Our pricing is flat, published and the same for every patient.

Price TypePer Session
Emsella Session$200
Recommended Series8 sessions at $200 each

Flexible Payment Options

We want the plan to fit your budget, not the other way around.

  • Cherry Financing - monthly payment plans with a quick approval process and options for a range of credit profiles.
  • Major credit cards - accepted for a single session or a full series.
  • HSA and FSA - health spending account funds are accepted where your plan administrator allows the treatment, so check your plan first.

Insurance does not typically cover Emsella. Your consultation with Elizabeth is where we confirm the number of sessions you actually need before you commit to anything.

Promotional pricing available at consultation. Call to schedule a free consult.

Adult patient lying still during a functional wellness muscle strengthening session in Covington, KY

Related Treatment

Functional Wellness with Emsculpt Neo

A supervised muscle strengthening protocol that rebuilds core stability without a gym, weights or downtime.

  1. No Gym Required
  2. Measurable Progress
  3. Joint Friendly

Related Treatment

Laser Therapy for Pain with Emvital

Targeted 1064 nm laser energy that eases muscle and joint pain, stiffness and spasm with no downtime.

  1. No Downtime
  2. Drug Free
  3. Deep Tissue Reach

Related Treatment

TMS Therapy with Exomind

A non-invasive, drug-free wellness session designed to support mental clarity, focus and everyday mood.

  1. Non-Invasive
  2. Drug-Free
  3. No Downtime

Related Treatment

Emsculpt Neo

Radiofrequency and muscle stimulation in one 30 minute session, with no surgery and no downtime.

  1. Fat and Muscle at Once
  2. No Surgery or Needles
  3. Zero Downtime

Common Questions

Frequently Asked Questions About the Emsella Chair

How much does the Emsella chair cost in Covington, KY?
Emsella sessions are $200 each at Applegate MedSpa, and the recommended series is eight sessions. That price is the same for every patient and covers the full 28-minute session with Elizabeth supervising. Cherry Financing spreads the cost over monthly payments, and many patients apply HSA or FSA funds toward the series.
Do I have to undress for Emsella treatment?
No. You stay fully clothed for the entire Emsella session. You sit on the chair in your own clothes, and nothing is inserted, removed or exposed. We ask only that you skip metal belts and heavy jewellery. For most patients this single fact is what makes pelvic floor treatment feel possible at last.
Does the Emsella chair hurt?
Emsella is not painful. Most patients describe a tingling, pulling or vibrating sensation as the pelvic floor muscles contract, which feels unusual for the first few minutes and then simply becomes background. Elizabeth raises the intensity gradually and adjusts it at any point. Some people feel mild muscle soreness the next day, much like after a workout.
How long does an Emsella session take?
Each Emsella session runs about 28 minutes, and you can drive yourself home straight afterward with no recovery time. Sessions are usually scheduled twice a week over four weeks. Patients from Newport, Erlanger and Fort Mitchell often book over a lunch break, since there is nothing to recover from and no change of clothes involved.
When will I see results from the Emsella chair?
Many patients notice fewer leaks or less urgency after the second or third session. Results continue building through the series and typically peak four to six weeks after the eighth session, as the retrained pelvic floor muscles hold their new strength. Improvement varies by individual, by how long symptoms have been present and by their cause.
How often do I need Emsella treatments?
The standard protocol is eight sessions, scheduled twice weekly over roughly four weeks. After that, most patients maintain their results for months without further treatment. Some return for a single maintenance session once or twice a year, particularly if symptoms start creeping back. Elizabeth tracks your symptoms through the series and recommends maintenance only when it is warranted.
How is Emsella different from doing Kegel exercises?
One Emsella session delivers thousands of supramaximal pelvic floor contractions, far more than anyone can produce voluntarily, and it reaches deep muscle fibers most people cannot isolate. Kegels work when done correctly and consistently, but research suggests many women contract the wrong muscles. Emsella removes the technique problem entirely, since you simply sit still.
Can men use the Emsella chair?
Yes. Emsella treats pelvic floor weakness in men, particularly urinary leakage following prostate surgery, which is a common and rarely discussed outcome of prostatectomy. The protocol is identical: fully clothed, seated, 28 minutes per session. Published research has evaluated HIFEM therapy specifically for post-prostatectomy incontinence with encouraging results.
Can Emsella be combined with other treatments?
Yes. Emsella pairs naturally with our functional wellness sessions, which use the Emsculpt Neo device to rebuild core and abdominal strength that supports the pelvic floor from above. Some patients run the two programs alongside each other. Elizabeth maps out the sequence during your consultation so the two series do not compete for your schedule.
Who should not use the Emsella chair?
Emsella is not suitable for anyone with a pacemaker, defibrillator, implanted neurostimulator, or metal implants and surgical clips in the pelvic area. Copper and metallic intrauterine devices also rule it out. Pregnancy and active urinary tract infection mean waiting. Elizabeth reviews your full medical and surgical history before your first session for exactly this reason.

Schedule Today Your Pelvic Floor Therapy with Emsella Consultation

References

  1. Samuels et al., Lasers in Surgery and Medicine. (2019). A multicenter study of a non-invasive high-intensity focused electromagnetic field (HIFEM) device found safety and efficacy for treatment of urinary incontinence and enhancement of quality of life. PMID: 31172580.
  2. Silantyeva et al., Female Pelvic Medicine and Reconstructive Surgery. (2021). A comparative study on the effects of high-intensity focused electromagnetic technology and electrostimulation for treatment of pelvic floor muscles and urinary incontinence in parous women favored HIFEM. PMID: 31860567.
  3. Leonardo et al., Neurourology and Urodynamics. (2025). A systematic review and meta-analysis concluded that noninvasive HIFEM therapy improves urinary incontinence outcomes in women. PMID: 39760417.
  4. Long et al., Biomedicines. (2024). HIFEM technology improved symptoms of female stress urinary incontinence across the treatment course. PMID: 39767789.
  5. Tosun et al., Therapeutics and Clinical Risk Management. (2025). HIFEM therapy was evaluated as an effective option for postprostatectomy urinary incontinence in men. PMID: 40909763.
  6. National Institute of Diabetes and Digestive and Kidney Diseases. (2021). Overview of bladder control problems and urinary incontinence in women.
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