{"id":1411,"date":"2022-04-27T13:46:19","date_gmt":"2022-04-27T11:46:19","guid":{"rendered":"https:\/\/www.heroes-world.de\/dem-schmerz-auf-der-spur\/"},"modified":"2022-04-27T14:07:51","modified_gmt":"2022-04-27T12:07:51","slug":"identifying-the-causes-of-pain","status":"publish","type":"post","link":"https:\/\/www.heroes-world.de\/en\/blog\/2022\/04\/27\/identifying-the-causes-of-pain\/","title":{"rendered":"Identifying the causes of pain"},"content":{"rendered":"<section class=\"l-section wpb_row height_medium\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"g-cols wpb_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\" style=\"--columns-gap:3rem;\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p><strong><span class=\"TextRun SCXW138578617 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW138578617 BCX8\" data-ccp-parastyle=\"Impact 30 wei\u00df (Benutzerdefiniert V)\" data-ccp-parastyle-defn=\"{&quot;ObjectId&quot;:&quot;b0f5c397-f47a-4d88-8d52-70906eba0084|5&quot;,&quot;ClassId&quot;:1073872969,&quot;Properties&quot;:&#091;134233614,&quot;true&quot;,201340122,&quot;2&quot;,201341983,&quot;0&quot;,201342448,&quot;1&quot;,268442635,&quot;60&quot;,335551500,&quot;16777215&quot;,335559740,&quot;288&quot;,469769226,&quot;Impact,Calibri&quot;,469775450,&quot;Impact 30 wei\u00df (Benutzerdefiniert V)&quot;,469777841,&quot;Impact&quot;,469777842,&quot;Impact&quot;,469777843,&quot;Calibri&quot;,469777844,&quot;Impact&quot;,469778129,&quot;Impact30weiBenutzerdefiniertV&quot;,469778324,&quot;Normal&quot;&#093;}\">Everything is linked. Our muscles, bones and organs are encased by bands or sheets of connective tissue called fasciae. But what is the function of fascia, what does it have to do with back pain and how can we train it? Dr. Robert\u00a0<\/span><span class=\"NormalTextRun SpellingErrorV2 SCXW138578617 BCX8\" data-ccp-parastyle=\"Impact 30 wei\u00df (Benutzerdefiniert V)\">Schleip<\/span><span class=\"NormalTextRun SCXW138578617 BCX8\" data-ccp-parastyle=\"Impact 30 wei\u00df (Benutzerdefiniert V)\">, human biologist,\u00a0<\/span><span class=\"NormalTextRun SCXW138578617 BCX8\" data-ccp-parastyle=\"Impact 30 wei\u00df (Benutzerdefiniert V)\">psychologist<\/span><span class=\"NormalTextRun SCXW138578617 BCX8\" data-ccp-parastyle=\"Impact 30 wei\u00df (Benutzerdefiniert V)\">\u00a0and leading figure in fascia research, is on the trail of pain.<\/span><\/span><span class=\"EOP SCXW138578617 BCX8\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:288}\">\u00a0<\/span><\/strong><\/p>\n<\/div><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p><b><span data-contrast=\"auto\">Dr.\u00a0Schleip, why do we get back pain?<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:288}\"><br \/>\n<\/span><span data-contrast=\"auto\">Dr.\u00a0Schleip\u00a0(laughing): I\u2019m afraid that\u2019s not an easy question to answer. The causes of back pain are many and various. In fact, they are even more multifarious than we previously imagined.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:288}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">So\u00a0it\u2019s not always automatically to do with the spinal disc?<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:288}\"><br \/>\n<\/span><span data-contrast=\"auto\">Dr.\u00a0Schleip: No.\u00a0Actually, we\u00a0now know that the spinal disc is only the true cause of back pain in a minority of cases. About 20 percent. In the remaining 80 percent of incidences, the findings are not yet clear. But we know that our fasciae play a part.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:288}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">Please explain this in more detail: What are fasciae?<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:288}\"><br \/>\n<\/span><span data-contrast=\"auto\">Dr.\u00a0Schleip: Fasciae are a kind of packaging that sits beneath our skin. They are a fascinating network of connective tissue which essentially ties everything together. Fasciae give our body a shape and act as a binding mechanism. Think of them as being like the skin of a soft veal sausage. Without fasciae, our muscles would not be able to tense. They would resemble a semi-liquid jelly. Fasciae also have a major part to play in our movements. In some cases, they work like a catapult. They temporarily store movement energy in the same way as an elastic band before releasing it again. Dynamic and cushioning movements such as walking and running make much more use of this rebound of the fasciae than they do of active contractions of the muscle\u00a0fibres.\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:288}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">How does this tissue relate to back pain?<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:288}\"><br \/>\n<\/span><span data-contrast=\"auto\">Dr.\u00a0Schleip: Let\u2019s take our lumber fascia as an example. This envelops our lower back and is equipped with numerous fine nerves which are a perfect source of pain.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:288}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">What causes damage to the fasciae?<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:288}\"><br \/>\n<\/span><span data-contrast=\"auto\">Dr.\u00a0Schleip: Overload or underload.\u00a0Both of these\u00a0can damage tissue. Our fasciae will tear if we overexert ourselves. This impairment is usually very slight, but it can lead to inflammations. At the same time, the fasciae need a certain amount of strain\u00a0in order to\u00a0remain healthy. Typical\u00a0couch potatoes, who spend a lot of time sitting or lying down, will find that their connective tissue will start to wither and become tangled up. This can also happen if we\u00a0neutralise\u00a0our feet by choosing the wrong footwear. Stress is, of course, a further factor.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:288}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">How can I train my fasciae?<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:288}\"><br \/>\n<\/span><span data-contrast=\"auto\">Dr.\u00a0Schleip: The first thing you will require is patience. Fasciae cannot be trained in a few weeks. There are many types of sport and exercise that will automatically strengthen them. But you need to remember that connective tissue grows more slowly than muscles. This means that it is more susceptible to undue strain. In general terms, fasciae do not like movements which are mechanical,\u00a0uniform\u00a0or one-sided. As far as fascia fitness is concerned, the best sorts of exercise are those involving diverse movements which shift the load. Dancing or gymnastics, for instance. Another good way of benefiting your fasciae and the back\u00a0in particular is\u00a0to use a\u00a0Blackroll\u00a0at home.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:288}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">How come that we have only just\u00a0realised\u00a0how important fasciae are to our body?<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:288}\"><br \/>\n<\/span><span data-contrast=\"auto\">Dr.\u00a0Schleip: For a considerable period, the fasciae were dismissed as a mere packaging organ. One of the reasons for this was that they were very difficult to quantify. Now we\u00a0are able to\u00a0use test tubes and high-resolution ultrasound to see what fasciae look like and to discover a whole new world under our skin.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:288}\">\u00a0<\/span><\/p>\n<\/div><\/div><div class=\"w-image align_none\"><div class=\"w-image-h\"><img decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.heroes-world.de\/wp-content\/uploads\/2021\/01\/RS_Foto3-1024x683.jpg\" class=\"attachment-large size-large\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/www.heroes-world.de\/wp-content\/uploads\/2021\/01\/RS_Foto3-1024x683.jpg 1024w, https:\/\/www.heroes-world.de\/wp-content\/uploads\/2021\/01\/RS_Foto3-300x200.jpg 300w, https:\/\/www.heroes-world.de\/wp-content\/uploads\/2021\/01\/RS_Foto3.jpg 1200w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/div><\/div><div class=\"wpb_text_column us_custom_3eba97a9 has_text_color\"><div class=\"wpb_wrapper\"><p><span data-contrast=\"auto\"><span class=\"TextRun SCXW77841983 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW77841983 BCX8\" data-ccp-parastyle=\"Impact 30 wei\u00df (Benutzerdefiniert V)\" data-ccp-parastyle-defn=\"{&quot;ObjectId&quot;:&quot;b0f5c397-f47a-4d88-8d52-70906eba0084|5&quot;,&quot;ClassId&quot;:1073872969,&quot;Properties&quot;:&#091;134233614,&quot;true&quot;,201340122,&quot;2&quot;,201341983,&quot;0&quot;,201342448,&quot;1&quot;,268442635,&quot;60&quot;,335551500,&quot;16777215&quot;,335559740,&quot;288&quot;,469769226,&quot;Impact,Calibri&quot;,469775450,&quot;Impact 30 wei\u00df (Benutzerdefiniert V)&quot;,469777841,&quot;Impact&quot;,469777842,&quot;Impact&quot;,469777843,&quot;Calibri&quot;,469777844,&quot;Impact&quot;,469778129,&quot;Impact30weiBenutzerdefiniertV&quot;,469778324,&quot;Normal&quot;&#093;}\">Dr. Robert <\/span><span class=\"NormalTextRun SpellingErrorV2 SCXW77841983 BCX8 DefaultHighlightTransition\" data-ccp-parastyle=\"Impact 30 wei\u00df (Benutzerdefiniert V)\">Schleip<\/span><span class=\"NormalTextRun SCXW77841983 BCX8\" data-ccp-parastyle=\"Impact 30 wei\u00df (Benutzerdefiniert V)\">\u00a0is one of the leading lights in the field of fascia research and was also a co-initiator of the first International Fascia Congress held at Harvard Medical School (Boston 2007). Dr.\u00a0<\/span><span class=\"NormalTextRun SpellingErrorV2 SCXW77841983 BCX8\" data-ccp-parastyle=\"Impact 30 wei\u00df (Benutzerdefiniert V)\">Schleip<\/span><span class=\"NormalTextRun SCXW77841983 BCX8\" data-ccp-parastyle=\"Impact 30 wei\u00df (Benutzerdefiniert V)\">\u00a0lectures on physiotherapy,\u00a0<\/span><span class=\"NormalTextRun SpellingErrorV2 SCXW77841983 BCX8\" data-ccp-parastyle=\"Impact 30 wei\u00df (Benutzerdefiniert V)\">orthopaedics<\/span><span class=\"NormalTextRun SCXW77841983 BCX8\" data-ccp-parastyle=\"Impact 30 wei\u00df (Benutzerdefiniert V)\">\u00a0and training science as well as authoring and editing specialist publications on the theme of \u201cfasciae\u201d. He is a constant presence in the media relating to this topic.<\/span><\/span><span class=\"EOP SCXW77841983 BCX8\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:288}\">\u00a0<\/span><\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"<p>Everything is linked. Our muscles, bones and organs are encased by bands or sheets of connective tissue called fasciae. But what is the function of fascia, what does it have to do with back pain and how can we train it? Dr. Robert\u00a0Schleip, human biologist,\u00a0psychologist\u00a0and leading figure in fascia research, is on the trail of pain.<\/p>\n","protected":false},"author":4,"featured_media":1236,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[132],"tags":[143,135],"class_list":["post-1411","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fitness-en","tag-health","tag-read"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.5 (Yoast SEO v27.5) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Identifying the causes of pain - HEROES WORLD<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.heroes-world.de\/en\/blog\/2022\/04\/27\/identifying-the-causes-of-pain\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Identifying the causes of pain\" \/>\n<meta property=\"og:description\" content=\"Everything is linked. Our muscles, bones and organs are encased by bands or sheets of connective tissue called fasciae. But what is the function of fascia, what does it have to do with back pain and how can we train it? 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Our muscles, bones and organs are encased by bands or sheets of connective tissue called fasciae. But what is the function of fascia, what does it have to do with back pain and how can we train it? 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