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The main difference between EmSella and Kegel exercises is intensity and consistency. Kegels rely on you contracting the pelvic floor muscles correctly and often, which many people struggle to do. A single EmSella session triggers thousands of strong pelvic floor contractions in about half an hour, reaching muscles that voluntary exercise has a hard time working. At Oyler Chiropractic in Reynoldsburg, EmSella is used to strengthen the pelvic floor for people dealing with incontinence and weakness.
What Kegel Exercises Do
Kegels are voluntary exercises that involve squeezing and releasing the muscles of the pelvic floor, the same muscles you would use to stop the flow of urine. Done correctly and consistently, they can help strengthen that muscle group over time.
The concept is sound. The pelvic floor is a muscle system, and like any muscle, it can get stronger with training. The challenge is in the execution.
Why Kegels Often Fall Short
The first problem is technique. Clinical experience and research both show that a large share of people do Kegels incorrectly, often squeezing the wrong muscles or holding their breath. Without feedback, it is hard to know if you are doing them right.
The second problem is consistency. Kegels only work if you do them regularly over a long period, and most people simply do not keep up with them. Life gets in the way, results come slowly, and motivation fades.
The third problem is depth. Even done well, voluntary contractions may not reach or fully activate the deeper pelvic floor muscles, which is exactly where many people need the most work.
What EmSella Does Differently
EmSella uses focused electromagnetic energy to stimulate the entire pelvic floor at once. A single session produces thousands of strong contractions, far more than anyone could perform on their own, and it works the muscles at a depth that voluntary effort has trouble reaching.
In other words, it removes the two biggest obstacles with Kegels. You do not have to worry about doing it correctly, and you are not relying on daily discipline. The device does the work in a controlled, consistent way.
What a Session Is Like
EmSella is about as easy as treatment gets. You sit fully clothed on the EmSella chair, and the device does the rest. There are no needles, no gowns, and no downtime.
Most people find the sensation unusual at first but not uncomfortable. Sessions are short, and you can go straight back to your day afterward.
Who EmSella Helps
EmSella is used most often for urinary incontinence and general pelvic floor weakness. That includes leaking with a cough, a sneeze, a laugh, or exercise, as well as the urgency and frequency that can come with a weakened pelvic floor.
These issues are common, especially after childbirth or with age, and many people quietly accept them as something they have to live with. Strengthening the pelvic floor can change that, and EmSella offers a way to do it that no voluntary exercise program can easily replicate.
What to Realistically Expect
EmSella is not magic, and results vary from person to person. It works by strengthening muscle, so improvement builds over a series of sessions rather than appearing after a single visit. Dr. Oyler will talk through a realistic plan based on your situation.
Because it is strengthening a muscle group, keeping some form of activity going after the initial sessions helps hold the gains. That is where simple home exercises can complement the treatment.
Do Kegels Still Have a Place?
They can. For someone who has learned to do them correctly and stays consistent, Kegels are a reasonable part of pelvic floor care. The two approaches are not mutually exclusive, and some people use EmSella to build a strong foundation and then maintain it with home exercises.
The honest takeaway is that EmSella does something Kegels cannot match in intensity and consistency, while Kegels cost nothing and can be done anywhere. Which combination makes sense depends on your situation and your goals.
EmSella Is Not Just for Women
Pelvic floor problems are often assumed to be a women’s issue, but men experience them too, including after prostate procedures. EmSella works for both men and women, since the pelvic floor is a muscle group everyone has.
Serving Reynoldsburg and the surrounding area, Dr. Oyler can help determine whether EmSella is a good fit for you. You can learn more about his background on the Meet Dr. Oyler page.
Why the Pelvic Floor Weakens in the First Place
The pelvic floor is a group of muscles that supports the bladder, bowel, and other pelvic organs, and helps control when you go to the bathroom. Like any muscle group, it can weaken over time.
Pregnancy and childbirth stretch and strain these muscles, which is why so many women notice changes afterward. Age plays a role too, as does surgery in the area, chronic coughing, heavy lifting over the years, and the natural drop in muscle tone that comes with getting older. For men, prostate surgery is a common trigger.
The result is often gradual. Small leaks or a sense of urgency creep in, and because it happens slowly, many people adjust their lives around it instead of addressing it.
The Quiet Toll of Incontinence
Pelvic floor problems are about more than the physical symptom. People start avoiding exercise for fear of leaking, plan outings around bathroom access, or pass on activities they used to enjoy. The worry can be constant, even when the leaks themselves are minor.
It is also a topic many people feel embarrassed to bring up, so they stay quiet about it for years. There is no reason to. These issues are common, they are not a personal failing, and there are real ways to address them.
How Many Sessions Are Typical?
EmSella is done as a series rather than a single visit, since it works by building muscle strength over time. The exact number of sessions and how they are spaced depends on the person and the severity of the weakness.
Dr. Oyler will recommend a specific plan after talking through your history and goals. As with any strengthening program, results build gradually, and some form of maintenance helps hold the gains afterward.
What EmSella Does Not Do
Being honest about limits matters. EmSella strengthens the pelvic floor, so it is best suited to incontinence and weakness that stem from muscle function. It is not a treatment for every cause of bladder trouble, and some symptoms have other sources that need a different approach.
That is exactly why an evaluation comes first. If EmSella is a good fit, it can do something home exercises struggle to match. If your symptoms point to another cause, Dr. Oyler will help you understand that rather than pushing a treatment that is not right for you.
If you are tired of Kegels that do not seem to work, EmSella may be worth a closer look. Contact Oyler Chiropractic in Reynoldsburg or call (614) 863-0111 to schedule a visit.

