Causes and Risk Factors:

Anatomic Abnormalities: Certain anatomical variations, such as a flat foot or a prominent bump on the inside of the ankle, can increase the risk of compression on the tibial nerve.

Overuse or Repetitive Stress: Activities that involve prolonged standing, walking, or running can put excessive pressure on the tibial nerve, leading to irritation or compression.

Overpronation and Weakness: When the anterior tibialis is weak or lacks sufficient strength, it can contribute to overpronation and fallen arches. Overpronation occurs when the foot excessively rolls inward, putting strain on the structures of the foot and potentially leading to imbalances and discomfort.