Chronic anterior ankle pain can be referred from trigger points in the fascia of the ipsilateral tibia. One of the new emerging therapeutic options is treating these trigger points with superficial injections of dextrose 5% water (D5W) or glucopuncture. In this article, we present two cases of chronic fascia referred anterior ankle pain from two different countries treated successfully with D5W injections during several sessions. It is worth noting that the pain region itself has not been injected. Glucopuncture may serve as a potential treatment option since it is a safe, simple, and low-cost procedure to be performed by clinicians globally, including those residing in low-income countries. This finding might trigger for further large, multinational clinical studies to confirm its efficacy in chronic fascia pain.
© 2025 G. Darmawan, J. Kersschot, published by Sofia Medical University
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.