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You are here: Home / Cycling Tips and How-Tos / How to Come Back from a Cycling Injury

How to Come Back from a Cycling Injury

February 27, 2025 by Average Joe Cyclist 1 Comment

This post presents a step-by-step plan for you to come back to cycling after a cycling injury. Almost all cyclists sustain injuries from time to time. For example, a poor bike fit or overuse could lead to Piriformis Syndrome or patellar tendon irritation. I have had more than my share of these injuries. In fact, a while ago I suffered a really bad cycling injury that put me out of cycling for several months. Just before that cycling injury I could cycle up to about 50 km a day and feel just fine.

Then disaster struck with my cycling injury, and my body was set back horribly. For a long time all I concentrated on was getting back normal daily functions, because even the most simple things – like walking – were difficult. It was depressing as hell. But I tried to focus on imagining myself back in the saddle, cycling mile after mile, strong and effortless, like an athlete. I followed a step by step approach to get back on my bike. BUT with a difference: to start out, I cycled on my electric bike exclusively.

My electric bike - a Haibike Sduro HardSeven. How to Come Back from a Cycling Injury - with an E-Bike
My electric bike – a Haibike Sduro HardSeven

Using an e-bike meant I could go through the motions of cycling, but use as much (or more to the point, as little) energy as I wanted. Even using the motor at full power, each bike ride exhausted me, and I would lie on the couch afterwards, feeling like I’d been sat on by an elephant, and then had to run away from a ferocious rhinoceros. Not fun, and I am sure I was no fun to be with, lying on the couch and whining loudly.

Related Post: How to Modify Your Bike to Cycle with Thumb Arthritis (CMC Arthritis)

Nonetheless, I was happy and proud that I was at least going through the motions – my legs were pumping my pedals in a motion that exactly resembled being a real cyclist, even if I was benefiting from a whole lot of help. My mood improved, just because I was getting out there and getting SOME exercise. So of course, there was less whining, and Mrs. Average Joe Cyclist was happier too. And of course, I was getting to experience the joy of riding a bike – something I always find joyful, whether it’s on a regular bike or an electric bike, in the sunshine, or in a monsoon-like rain storm.

I took Maggie’s advice and took it slow. Truth to tell, even I knew it was smart to take it slow. Our step-by-step guide below explains exactly how to pace your return to cycling after injury.

Related Post: How to Prevent and Treat Iliotibial Band Syndrome (ITBS)

Related Post: A Step-by-step Guide to Returning to Cycling After Severe Piriformis Syndrome

Step-by-step Plan to Come Back to Cycling After an Injury

Here is the structured plan that I followed. With various personal tweaks, this plan will work for you as well.

Step 1: Rehab Before You Ride

Before getting back in the saddle, ensure you’ve completed your rehabilitation phase:

  • Pain-Free Daily Movement: Can you walk, squat, and go up stairs without pain?
  • Strength & Flexibility Work: Have you rebuilt muscle balance with exercises for your glutes, quads, and core?
  • Professional Clearance (if needed): If you had a severe injury, a physiotherapist should give the green light.

Step 2: Test the Waters Indoors (Week 1-2)

Start with short and controlled rides on an indoor trainer:

  • Session Length: 15–20 minutes at an easy effort
  • Resistance: Low, with a smooth cadence (85–95 RPM)
  • Post-Ride Check: Any pain or stiffness? If so, back off and return to rehab.

In my case, I did this step with an electric bike, and I stayed with this step for about a month.

Step 3: Reintroduce Outdoor Rides (Week 2-4)

Now that you’re comfortable indoors, ease back onto the road:

  • First Outdoor Ride: Flat terrain, 20–30 minutes, light effort
  • Gradual Progression: Increase by 5–10 minutes per ride, watching for any discomfort
  • Avoid High-Load Riding: No hills, sprinting, or long rides yet

Step 4: Adjust Your Bike Setup

If your injury stemmed from a poor bike fit, now is the time to correct it!

  • Saddle Height & Setback: Prevent overloading the knees or hips
  • Cleat Position & Float: Ensure proper foot alignment
  • Handlebar Position: Reduce strain on the lower back and hips

Related Post: How to Find the Right Height and Setback for Your Bike Saddle

Step 5: Build Strength & Endurance (Week 4-6)

As you gain confidence, gradually increase intensity:

  • Ride Duration: Increase to 45–60 minutes, still avoiding hills
  • Cadence Focus: Keep pedaling smoothly at 90+ RPM to reduce joint strain
  • Light Climbing & Resistance: Introduce small hills or gentle gear increases

Step 6: Return to Normal Training (Week 6+)

By this stage, you should be close to pre-injury fitness:
Increase Ride Length: 1–2 hours, adding mild climbs
Introduce Intervals: Short efforts at 75–85% effort
Listen to Your Body: If any pain returns, scale back

Related Post: Exercises and Stretches for Piriformis Syndrome in Cyclists

Products We Recommend for Coming Back from Cycling Injuries
Electric heating pad for pain relief. I have had mine for many years
Electric heating pad for pain relief and rehabilitation. Around $20. I have had mine for many years
I have used my Therapearl Ice Pack countless times for many years to treat a variety of cycling injuries. Please click here for the current price on Amazon
Bike Fit 2nd edition. This book will show you how to optimize your bike position for injury avoidance. Please click here to view the best current price on Amazon
ISM PR Series Noseless Bicycle Saddle
ISM PR Series Noseless Bicycle Saddle. Noseless saddles have been proven to reduce saddle pain and injuries. Around $160. Please click here to see the best current price on Amazon
Terry Padded Women's Bike Shorts. Padded shorts will help to avoid pain and injuries. Around $60. Please click here for current price on Amazon
Here are our bikes on Peter Iredale Beach. The wreck is the dot in the distance!
Electric bikes will help you to get out and about, enjoying the outdoors and improving your mood

Returning to Regular Cycling

I did not try to graduate to a regular bike until the rides on my electric bike did not cause pain. Finally I got there, and I started interspersing my electric bike rides with regular bike rides.

On my very first ride on my regular bike, I was passed on an uphill by an older man. He gave me a huge smile and confided, “I don’t usually PASS people!” I looked at him in his full construction gear, including steel-toed boots, riding his rusty, ancient bike. I was riding my slick-looking racer, and was decked out in cycling gear from head to toe. Regardless, he passed me with the greatest of ease. Because I am a nice guy, I resisted the urge to shout angrily: “I’m coming back from an injury!” Instead, I forced a smile through my teeth, said “Good for you!”, and let him enjoy his moment of triumph. (I’ll get him one day …)

In short, it was a bit depressing at first. I could do 80 km with ease before, and suddenly 10 km was tiring – and 20 km was killer. But I kept going, inching up my distances, trying to slowly improve without overdoing it.

After a few weeks, I finally started to ENJOY the rides on my regular bike. I found myself standing up in the pedals, feeling exhilarated, feeling like an athlete. It’s absolutely the best feeling you can have with your clothes on.

I’m still not all the way there. I can still only do about two rides on a regular bike per week. But that’s a lot better than when I first had my cycling injury. And I can feel my strength growing and my energy increasing. Every day I feel just a tiny bit stronger. And I can feel the joy of cycling rising in my heart again.

The point is, it’s a process to come back from a cycling injury. Here are our key tips for this process.

Tips for Coming Back from a Cycling Injury

How to Come Back from a Cycling Injury - with an E-Bike
As we age, we may develop balance problems that make cycling impossible. Some people, such as Dr. Len, move to electric tricycles to be able to keep enjoying cycling
  • Take it slow, and listen to your body.
  • Don’t give up, and trust that you will get there.
  • Follow the advice of your doctor or physiotherapist, and keep icing or heating (or both), as directed.
  • Consider using alternative aids, such as a stationary bike or an electric bike, to ease yourself back into regular cycling.
  • Be flexible. For example, if you are getting very old, or if you have a disability, then maybe you just need to stick to an electric bike, or a tricycle, or maybe even an electric trike. As with the gym, it is essential to check your ego at the door. It’s about how you feel, not about how anyone else perceives you.
  • Whether you use a regular bike or an e-bike, make sure that it fits you perfectly.
  • Make sure you have the right saddle and, more importantly, that it is set at exactly the right height. Also make sure that your saddle setback is correct (that’s how far forwards or back it is on the bike relative to the bottom bracket, on the horizontal plane).
  • Once you are cycling again, build up slowly, carefully, and consistently.
Bike Fit book
It is absolutely essential to get your bike fit correct. This book shows you how to do it right. Click here to check out the current price on Amazon

Related Post: How to Figure out Your Optimal Saddle Height and Setback

Good luck with your journey back to cycling! Remember what bought you to cycling in the first place: the love of cycling. You still have that love, and you can and will enjoy cycling again.

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Filed Under: Cycling and Health, Cycling Tips and How-Tos Tagged With: Bike rehab, cycling for health

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Comments

  1. Michael H. Johnson says

    June 1, 2013 at 7:51 pm

    If you’re not a regular cyclist, build your mileage up gradually as this will decrease likely injuries. Look to develop the speed at which you cycle, it’s this cadence that helps develop cardiovascular capacity, and will help you get a good base level of fitness. If you’ve been a sporadic cyclist, start building a more regular programme into your routine and develop your fitness from there. If you’re cycle fit and commute to work regularly or do regular rides, consider incorporating a few longer distance rides into your cycling and you should be fine. If you need advice, visit a Rutland Cycling shop and have a little chat with one of their cycling experts.

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