Mild cases can ease with rest, activity modification, and time — particularly if it is caught early. For many people, though, the strain that caused it in the first place, whether that is training load, footwear, or biomechanics, does not resolve on its own, which is why symptoms can persist or return once activity resumes. An assessment helps identify what is actually driving your symptoms rather than treating the pain and having it come back. Generally, the earlier it is assessed, the more straightforward the recovery.

They’re different injuries. Achilles tendinopathy develops gradually through repeated strain on the tendon, while a sprained ankle usually happens suddenly, from rolling or twisting the ankle and damaging the ligaments. Both can cause pain around the same general area, so an assessment helps identify which structure is actually affected and guides the right treatment approach for your situation.

In many cases, yes, though it usually needs to be managed rather than ignored. High-impact activity can aggravate the tendon, so we often recommend reducing volume or intensity, or temporarily switching to lower-impact options such as swimming or cycling, while symptoms settle. Continuing to train through significant pain is not advisable as it can prolong recovery. We will work out a plan with you based on your goals and your assessment findings.

Calf strengthening exercises, done consistently as part of a structured loading program, are one of the more effective self-management strategies for Achilles tendinopathy. The right exercises, and how to progress them, depend on your specific presentation and how irritable your tendon currently is, so we’ll set out a plan tailored to you as part of your assessment, rather than a generic list.

No, ankle pain can come from a range of structures, including ligaments, joints, or other soft tissue around the ankle, and doesn’t always involve the Achilles tendon. An assessment helps identify exactly which structure is contributing to your pain, since treatment differs depending on the underlying cause.

Not everyone needs orthotics. If your foot posture or biomechanics contribute to your symptoms during assessment, custom orthotics can be a helpful part of a broader treatment plan — they’re rarely used as a stand-alone treatment. Whether they’re recommended for you depends on your individual assessment findings.

Shockwave therapy is particularly effective for chronic or persistent Achilles tendinopathy that hasn’t responded to conservative care over several months. It is a non-invasive treatment that delivers targeted acoustic waves to the affected tissue, triggering a controlled healing response. Brendan will advise whether it is appropriate for your situation during your assessment.