In this presentation, we will delve into the complexities of managing Achilles tendon ruptures, a condition often characterized by prolonged recovery and significant rehabilitation challenges. Given the sparse and often contradictory evidence base, our focus will be on practical strategies that clinicians can use to optimise patient outcomes. Key topics will include the comparative effectiveness of surgical versus non-surgical approaches, accelerated versus slower rehabilitation protocols, and the critical stages of rehabilitation. We will explore biomechanical considerations in recovery and discuss how to tailor rehabilitation strategies to individual patient needs. The workshop will also address common issues such as tendon elongation, calf muscle atrophy, and persistent strength deficits.