The Achilles tendon acute rupture (ATR) is a prolonged injury, since the operative reconstruction marks the beginning of a lengthy period of time. Duration of recuperation, a significant feature of post-surgical recovery is in the treatment of such injuries, the aim of early restoration of the level of pre-injury operation, without raising the risk of rupture or elongation of tendons. Despite the growing number of available RCTs and feedback, there is still no general agreement on the most desirable protocol. In addition, the available evidence is routinely ignored. A 40-year-old farmer reported with history of accidental injury by a plough to left foot. There was sudden pain, bleeding following the injury and was not able to stand on his own. The patient was unable to bear weight on the left foot and therefore was unable to take further action. Left tendoachilles tear Surgical repair of tendon followed by physical therapy intervention for functional rehabilitation. Physical therapy for 6 weeks led to early recovery of functional activities.