Gernot Weiss has strained his back. An orthopedist was not able to find the cause and several months of exercises had no effect. Only medication was able to temporarily numb the pain. These sacks used to be full and I was able to carry quite a bit more. Nowadays I reduce the weight considerably. I know my lower back and I don’t want to risk, aggravating it again. Now he has the opportunity to take part in a scientific study at the University clinic of Ulm-Günzburg. His first appointment is with Prof. Widder in the department of neurosurgery. I have been suffering from back pain for nearly 6 months now. The pain can be quite clearly localized in this area. What I am worried about is that the pain is sometimes starting to radiate down the right leg. Prof. Bernhard Widder examines him. The bones and Gernot Weiss’s reflexes appear to be o.k. Typical symptoms of a disc herniation are radiating pains all the way into a foot and especially all the way into the toes. This is not the case, so we can exclude that. This leaves us with a localized problem of the back. Often this points to a problem in the fascia. This assumption now needs to be verified through ultrasound. If the fascia was indeed at the root of the problem one should be able to detect the place using high resolution ultrasound. The white material you see here, is the big fascia of the back and down here the musculature begins. You can see very nicely how the muscles slide when he moves, the fascia itself hardly moves at all. I can also measure the thickness of the fascia and in your case it appears to be slightly thicker than in the population on average. We know that in some patients with chronic back pain, the lumbar fascia is considerably thickened. Such thickenings in fascia are painful but they can usually be treated. Dr. Robert Schleip is a pioneer in fascial research and has a lot of experience in making thickened and glued connective tissue more elastic. One tool is manipulation. Precisely targeted pressure and the stimulation of the area alleviates the pain. This area is definitely thickened – I can clearly feel that. How does this feel to you ? It feels good. What I am doing can certainly have a pleasurable intensity but there shouldn’t be any sharp pain. Very good. Robert Schleip explains to what extent our movement capabilities are dependent on the fascial webwork. It is ultimately the fascia that provides the musculoskeletal system with sufficient stability to allow the transfer of muscular forces. In the case of painful rigidifications specific exercises can help to slowly restore the proper function of the fascial layers. Slowly roll your pelvis in the direction of the window – as slowly as possible. Yes – marvelous. I feel my back and I think I also feel the area, which I need to work on. Now try some swinging movements, to the left, the middle to the right. You can play with that a little bit. Gerson Weiss is supposed to do the first exercise every day and the swinging exercise every other day. There should be noticeable improvement within a couple of weeks.