Clinically Guided Pelvic Floor Therapy
EMSELLA®
We have a saying here about EMSELLA®: we cheat. You sit in a chair, fully clothed, for 28 minutes — and the machine does the equivalent of thousands of Kegel exercises that would take you months to complete on your own. For people dealing with leaking, urgency, or pelvic floor weakness affecting their confidence and their intimate life, this is often the most significant change they've experienced in years.
FDA-Cleared Device
Manufactured by BTL Industries
The EMSELLA® chair uses High-Intensity Focused Electromagnetic (HIFEM) energy to penetrate deep into the pelvic floor. You sit fully clothed. The machine does the work. 28 minutes per session.
✓ FDA-cleared for urinary incontinence
✓ FDA-cleared for improvement of sexual function
✓ Fully clothed — no undressing required
✓ Zero downtime — resume normal activities immediately
✓ Shannon is a Certified Continence Advisor — one of few EMSELLA® providers in Niagara with this credential
More Than Chair Time
Clinically guided pelvic floor therapy — not just a chair
At many clinics, EMSELLA® is chair time and nothing more. At Revitalize, it is clinically guided care. Alongside the chair, your program includes interaction with a virtual pelvic floor physiotherapist matched to your situation, and the oversight of a Certified Continence Advisor. The technology, the physiotherapy, and continence expertise — together — are what make this more than the chair-alone programs offered elsewhere.
The EMSELLA® Chair
High-intensity focused electromagnetic technology strengthens the full pelvic floor — the equivalent of thousands of Kegels per session, fully clothed.
Virtual Pelvic Floor Physiotherapist
Guided interaction with a pelvic floor physiotherapist relevant to your situation — so the chair is part of a plan, not a stand-alone.
Certified Continence Advisor
Shannon’s continence expertise oversees your program — clinical judgment that extends well beyond operating a device.
What Actually Matters
Four things decide whether continence improves — and stays improved
Whether your concern is urinary or fecal, the same four things determine the outcome. The chair is one of them. On its own it strengthens muscle and changes nothing else — which is why chair-alone programs so often fade. Your full continence assessment works through all four.
1
Are you drinking enough water?
Most people are not — and many have deliberately cut back hoping to leak less, which usually makes things worse. The general target is 1.5–2 litres a day, adjusted to your body, your medications, and how you actually live. We work out your number in detail at your continence assessment.
2
Are you irritating your bladder?
Everyday foods, drinks, and habits provoke the bladder, and almost nobody has been told which ones. This is proper health teaching, not a printed list handed to you at the door — we go through it in full at your continence assessment and work out what applies to you.
3
Are your pelvic floor muscles strong enough?
This is what the chair is for, and it does it well — thousands of supramaximal contractions per session, fully clothed. Then Shannon teaches you Kegels properly, so you can hold onto the strength you have built. Building strength and keeping it are two different jobs — and Kegels done on your own will never match what the chair delivers, which is why most people keep a maintenance session going.
4
Do you need to retrain your bladder?
This one matters a great deal — and it does not apply to everyone. Some people need bladder retraining and some do not. Whether you are one of them is determined at your continence assessment, not assumed in advance.
Your complimentary consultation is where we find out which of these are in play for you, whether we can help, and where you try the chair for yourself. The full continence assessment — where all four are worked through in detail — is part of your protocol once you decide to go ahead.
Who This Helps
What this treats
EMSELLA® treats both women and men. It is FDA-cleared for urinary incontinence and has also received clearance for improvement of sexual function through pelvic floor strengthening.
Shannon holds a Certified Continence Advisor designation — one of the few EMSELLA® providers in the Niagara region with specific clinical training in both urinary and fecal continence. EMSELLA® strengthens the entire pelvic floor including the anal sphincter complex. If fecal urgency or leakage is part of your picture, mention it when you book — it is within our scope and it deserves the same attention as urinary incontinence. People just talk about it even less.
Leaking when you cough, sneeze, laugh, or exercise
Urgent, sudden need to urinate
Frequent urination
Reduced sensation during sex
Post-partum pelvic floor weakness
Pelvic floor weakness from age or menopause
Urinary leakage in men post-prostate surgery
Fecal urgency or leakage (discuss at assessment)
How It Works
HIFEM technology — the full pelvic floor, all at once
EMSELLA® uses High-Intensity Focused Electromagnetic (HIFEM) energy to penetrate deep into the pelvic floor and stimulate supramaximal contractions — the kind of full-depth, maximal contraction that voluntary Kegel exercises cannot achieve.
A single 28-minute session delivers thousands of these contractions. Over a course of six sessions, the cumulative effect rebuilds the strength, coordination, and neuromuscular control of the pelvic floor in a way that exercise alone rarely achieves — especially in tissue that has been weakened by childbirth, menopause, age, or surgery.
Clinical Data — BTL Published Research
EMSELLA® has the most robust device-specific clinical evidence of any pelvic floor treatment currently available. The mechanism is well-established: High-Intensity Focused Electromagnetic (HIFEM) energy induces supramaximal contractions — contractions at a depth and intensity that voluntary effort cannot achieve. A single 28-minute session delivers thousands of these contractions, producing the equivalent of thousands of Kegel exercises in terms of neuromuscular stimulus, but recruiting the deep pelvic floor in a way that voluntary Kegels typically cannot.
Across BTL’s standardized 6-session protocol, the large majority of patients report meaningful improvement in quality of life, better pelvic-floor awareness and coordination, and reduced reliance on pads. Separate peer-reviewed research has examined EMSELLA® for female sexual function and reported benefit for both sexual function and urinary symptoms following the protocol. We speak to these outcomes qualitatively — Shannon will tell you at your assessment what is realistic for your specific type and severity.
EMSELLA® is FDA-cleared for urinary incontinence and for improvement of sexual function through pelvic floor strengthening — two separate cleared indications. It is the only device in its category with both clearances. Shannon holds a Certified Continence Advisor (CCA) designation from McMaster University — a credential held by very few EMSELLA® providers in the Niagara region. This means your assessment includes clinical expertise in continence that extends well beyond operating a device.
We attribute these figures to their correct source (BTL clinical white paper). We do not fabricate statistics. Shannon will tell you at your assessment which outcomes are realistic for your specific type and severity of incontinence.
EMSELLA® + O-Shot® — the Comprehensive Pelvic Health Approach
EMSELLA® rehabilitates the pelvic floor through neuromuscular training. The O-Shot® PRP regenerates the tissue of the anterior vaginal wall and clitoral area — the tissue responsible for urethral support and sensory response. Together they address both the muscular and tissue components of pelvic floor dysfunction. This combination is a comprehensive non-surgical approach to urinary incontinence and pelvic sexual function currently available.
Protocol
Typical treatment frequency
- Most patients complete 6 sessions
- Treatments are typically scheduled 1–2 times per week, and never two days in a row — the muscle needs recovery time between sessions
- Coming once weekly: Shannon teaches you Kegels at your first appointment. After each session you wait two days, then practise Kegels through to your next appointment.
- Coming twice weekly: keep at least one clear day between sessions, and do no Kegels during the protocol. Shannon teaches the technique at your sixth session; you wait two days after your last EMSELLA® and practise consistently from that point forward.
- A four-week break follows your sixth session — the same for everyone, whatever your session frequency
- Clinical studies used twice-weekly sessions; many patients achieve excellent results with weekly sessions
- Elderly patients are generally scheduled once weekly to allow adequate muscle recovery
- Some patients may benefit from 8 sessions, depending on muscle response and clinical factors — determined during treatment
Session Length
28 minutes
Standard Protocol
6 sessions, 1–2× weekly
Initial Response
Often after 1–2 sessions
Full Effect
Builds over 4–6 weeks after completing protocol
Maintenance
Most choose monthly; some every 2–3 months
EMSELLA® is often combined with the O-Shot® or P-Shot® for a comprehensive pelvic health approach.
Investment
Two treatment pathways
Choose the path that fits how you’ll pay — both deliver the full, clinically guided EMSELLA® program.
Option 1 — Standard
Standard EMSELLA® Program
Without physiotherapy benefits
- Consultation with Shannon
- Complimentary EMSELLA® test session
- 6 EMSELLA® sessions
- 4-week follow-up session
$2,034 full 6-session course
Final price · HST included
Option 2 — Tax-Exempt
EMSELLA® Physiotherapy Pathway
Using extended health benefits — claimable
- Physiotherapy assessment & treatment planning — $250 (initial; required mid-protocol reassessment included)
- EMSELLA® sessions — 6 × $300 = $1,800
$2,050 total program
Tax-exempt · eligible for extended health reimbursement
If using physiotherapy benefits, physiotherapist involvement is required and is governed by the College of Physiotherapists of Ontario.
Payment structure
The $250 physiotherapy assessment and treatment planning is paid when you begin with the physiotherapist, alongside your first EMSELLA® session ($300) — $550 at that appointment. This puts the required documentation and reassessment in place for benefit submission.
Because the assessment fee is payable once it has been done — whether or not you carry on afterwards — we normally arrange it only once you have decided to go ahead with the protocol.
The Physiotherapy Pathway
How the process works
- Consultation with Shannon
- Required virtual physiotherapy assessment before treatment
- Begin EMSELLA® sessions (1–2 weekly)
- Mandatory mid-protocol reassessment (typically after sessions 3–4)
- Complimentary in-person follow-up with one EMSELLA® session, 4 weeks after session 6
- Ongoing support throughout
Insurance
Insurance information
We do not direct bill insurance. You’ll receive a physiotherapy receipt to submit to your extended health provider. Before beginning, we recommend confirming the following with your provider:
- Your annual physiotherapy coverage limit
- Your remaining coverage
- Any per-visit maximums
- Whether coverage is 100% or percentage-based
- Your benefit year (calendar vs policy)
- Whether a physician prescription is required (not required by us, but some insurers request one)
Options & After Your Program
HSA, maintenance & referrals
Health Spending Account
If you have an HSA, EMSELLA® may be eligible as a medical expense — without any physiotherapy involvement.
$2,034
Final price, HST included. 6 sessions, including consultation and 4-week follow-up. No physiotherapy assessments required.
Maintenance
$150 per session
Value upgrade — join the monthly maintenance membership: one session a month for a year, and receive two complimentary sessions. Pay for 12, receive 14.
Referral Appreciation
Complete your full EMSELLA® protocol and refer someone for EMSELLA®, GAINSwave®, or the O-Shot®/P-Shot®, and you’ll each receive one complimentary maintenance session.
Flexible Payment
Money shouldn't be the reason you wait
We really do work with our patients — money should never be the reason you don't feel amazing. Most programs can be split into manageable monthly payments through Beautifi, our primary healthcare-financing partner. Checking your options is a soft credit check that won't affect your score — no obligation.
Individual results vary and are not guaranteed. EMSELLA® at Revitalize Your Health Inc. is delivered under a supervised pelvic physiotherapy framework. Treatment suitability is confirmed at assessment.
