More Than Just Kegels: Why Urinary Leaks Are a Core Stability Issue

It happens when you sneeze. It happens when you jump rope. Sometimes, it happens just because you laughed too hard.

Stress Urinary Incontinence (SUI) affects millions of people, yet most suffer in silence. They rely on pads, cross their legs when they cough, and assume it’s just a "normal" part of aging or having kids.

But leaking isn't just a bladder problem—it is a Core Stability Problem.

At Phelts Chiropractic PC, Dr. John W. Phelts, D.C. views the pelvic floor as the foundation of your entire skeletal structure. When that foundation cracks, you don't just get leaks; you get back pain, hip issues, and poor posture.

The "Core Canister" Concept

Think of your core as a soda can.

• The Diaphragm is the lid.
• The Abs/Obliques are the walls.
• The Pelvic Floor is the bottom.

If the "bottom" of the can is weak, the internal pressure created when you sneeze or lift something heavy has nowhere to go but down—resulting in a leak.

Furthermore, because these muscles stabilize your spine, a weak pelvic floor often leads to chronic lower back pain. You cannot fix the back if the bottom of the core is missing.

The Solution: EMSELLA (The Kegel Throne)

Doing manual Kegels is difficult, and most people do them incorrectly. EMSELLA solves this with High-Intensity Focused Electromagnetic (HIFEM) energy.

You simply sit on the chair (fully clothed), and the device induces 11,200 supramaximal contractions in just 28 minutes. It strengthens the entire pelvic floor instantly, stopping leaks and stabilizing your spine.

Who is EMSELLA for?
It is not just for incontinence. Because it regenerates the neuromuscular control of the pelvis, it offers profound benefits:

• For Women: It treats women who want to improve vaginal tightness, lubrication, and comfort, as well as those suffering from urinary or fecal incontinence.
• For Men: It effectively treats men with erectile dysfunction by improving blood flow and muscle control.
• For Everyone: It improves gait (walking pattern) and reduces hip and back pain.

Book Your EMSELLA Consultation

The Phelts Difference: The Adductor Connection (AK)

Why do some people do Kegels for years and see no result? Because they are ignoring the neighbors: The Inner Thighs (Adductors).

At Phelts Chiropractic PC, Dr. Phelts uses Applied Kinesiology (AK) to ensure that the adductor muscles are working in synergy with the pelvic floor. If your inner thighs are weak or inhibited (low tone), your pelvic floor cannot fully contract.

Our Protocol:

1. The Test: Dr. Phelts tests your Adductor muscles to see if they are "turned on."
2. The Reset: We use AK corrections to ensure the inner thighs are firing correctly.
3. The Chair: When you sit on the EMSELLA with your adductors activated, the stimulation recruits significantly more muscle fibers in the pelvic floor. This leads to faster, drier results.

Complete Regenerative Care: EMSCULPT NEO and EMFACE

To fully "pressurize the can" and stabilize your body, we often combine therapies:

• EMSCULPT NEO (The Walls): While Emsella fixes the floor, Emsculpt Neo strengthens the abdominal wall.
  • The Benefit: It builds abs by 25% and reduces visceral fat. The Radiofrequency also stimulates collagen and elastin  to tighten loose skin on the stomach (especially helpful after weight loss or pregnancy).
  • Book Your EMSCULPT NEO Consultation
• EMFACE (The Upper Lift): Stress from incontinence often shows up as tension in the face and jaw.
  • The Benefit: EMFACE lifts sagging facial skin and is FDA-cleared for the treatment of TMJ, helping to relax the clenching associated with bodily stress.
  • Book Your EMFACE Consultation

Stop Crossing Your Legs. Start Living Your Life.

You don't have to plan your day around bathroom breaks. Strengthen your foundation, fix your stability, and live leak-free.

Ready to strengthen your core from the bottom up?

Schedule Your Consultation at Phelts Chiropractic PC

References

1. HIFEM for Incontinence (EMSELLA): Multiple studies confirm the efficacy of HIFEM technology for treating urinary incontinence by strengthening pelvic floor muscles. Strengthening these muscles also provides critical stability for the lumbar spine.
   Source: PubMed - Noninvasive High-Intensity Focused Electromagnetic Therapy in Women With Urinary Incontinence
2. Sexual Function Improvement: Clinical data suggests that strengthening the pelvic floor via HIFEM can improve sexual function, including sensation and control, by enhancing neuromuscular control and blood flow.
   Source: PubMed - Electromagnetic stimulation of the pelvic floor: A new method for treating sexual dysfunction?