Orthopaedic Surgeon - United Kingdom

I may be a little biased, but this may contribute to the debate: https://www.ncbi.nlm.nih.gov/pubmed/32035553 Best wishes Matt

Chiropractor - Canada

Certainly an interesting dilemma. I have had patients (myself included) who went the non-surgical route with early mobilization following Achilles tendon rupture, and dealt with reduced Achilles tension (and a reduced heel raise height and peak PF torque). Whether that was due to early mobilization, or non surgical intervention (or other factors) remains mostly unknown. Given the minimal rates of re-rupture, patient age and activity level seem to be the greatest determining factors for surgical vs non-surgical managment. Thanks Dr. Costa for the link to the recent literature!