An 18-year-old swimmer presented to the athletic training room with a complaint of bilateral calf pain. History: Prior history of bilateral exertional compartment syndrome and popliteal artery entrapment syndrome with surgery approximately 1 year prior. Pain described as a “brain freeze” and endorsed an achy, burning sensation in her calves during swimming. No weakness or loss of function. After a period of conservative treatment and activity modification, her pain continued. Physical Exam: Gait was without antalgia.

Mild genu recurvatum was noted. Well healed surgical scars were present without evidence of herniation  Calves were soft and non-tender. No swelling or erythema was noted. Normal ankle range of motion. Neurovascularly intact and there was a negative straight leg raise. Lab Studies: MRI Angiogram: negative for popliteal artery entrapment Xrays: No bony abnormality …