Rare presentation of posterior tibial nerve compression at the median calf: A case report

Posterior tibial nerve entrapment is an uncommon condition, particularly when occurring proximally rather than in the tarsal tunnel. The patient's medical history, physical examination, and imaging techniques hold significance in establishing an accurate diagnosis. This case report delineates the clinical presentation, diagnostic process, and therapeutic approach for a patient affected by this rare form of tibial nerve compression. The case involves a 49-year-old recreational runner who developed a sudden onset of posterior calf pain and plantar foot paresthesia following prolonged physical activity. The goal of this report is to provide valuable insights into the evaluation and management of proximal tibial nerve entrapment due to post-traumatic muscular remodeling. By highlighting this rare presentation, this document aims to refine diagnostic accuracy, importance of imaging, and contribute to the optimization of treatment strategies for similar neuropathic conditions.