Saphenous nerve neuralgia is often underdiagnosed as medial-sided knee pain, resulting in a delay in treatment and increased risk of developing chronic neuropathic pain. The development of saphenous nerve neuralgia can be attributed to direct trauma to the medial side or entrapment of the nerve post-operative knee surgeries. Due to delay in diagnosis, the treatment options are limited, and outcomes vary. We presented two complicated cases of saphenous nerve neuralgia in our sports medicine clinic, Hospital Kuala Lumpur, Malaysia, and outlined the management options available for such cases from sports physician perspectives.