Abstract
The fascial system represents an intricate network within the human body, comprising both superficial and deep layers. Regional fascial dysfunctions can be related to overuse, trauma, stress and posture. Fascial dysfunction has been associated with both diminished range of motion as well as regional pain. Unfortunately, such tiny fascial lesions are not visible on ultrasound or MRI. Glucopuncture, a nonsteroidal injection technique, involves the administration of sugar water injections such as dextrose 5% (or glucose 5%) to treat regional pain and musculoskeletal dysfunction. This article is both a case report and a brief review article. It presents a patient with vague low back pain who received subcutaneous injections in the dorsal midline fascia. He experienced significant pain relief in the low back without receiving injections in the pain region itself. This clinical case highlights the potential of glucopuncture as a simple and safe method for modulating referred pain. This article also presents the interstitium as a potential way to explain the clinical outcome of this case. The difference between Glucopuncture and other nonsteroidal injection procedures is also discussed. This article makes also clear that further research is necessary to fully ascertain the efficacy and safety of intrafascial injections with dextrose 5% or glucose 5% for treating referred pain in the back.