June 2026 blog.
When living with knee or hip osteoarthritis, staying active can sometimes feel counterintuitive. Yet inactivity often contributes to increased pain, stiffness, and loss of mobility. Among the most recommended forms of exercise for these patients, cycling — especially stationary biking — stands out as one of the safest and most effective options.
Why is cycling so well suited for osteoarthritis?
Unlike high-impact activities such as running or jumping sports, cycling allows the joints to move with minimal compressive stress.
The repetitive cycling motion helps:
- lubricate the joints;
- maintain range of motion;
- strengthen the quadriceps and gluteal muscles;
- improve joint stability;
- enhance cardiovascular fitness;
- support weight management, an important factor in osteoarthritis progression.
Stationary bikes also offer several practical advantages:
- a controlled environment;
- no risk related to traffic or uneven terrain;
- precise resistance adjustment;
- gradual and safe progression.
What does the science say?
A systematic review and meta-analysis published in Clinical Rehabilitation in 2021 examined the effects of stationary cycling in patients with knee osteoarthritis. Researchers observed significant reductions in pain as well as improvements in physical function following regular stationary bike programs. (journals.sagepub.com)
The authors concluded that stationary cycling is a safe and effective intervention for reducing symptoms associated with knee osteoarthritis, particularly pain.
Regarding hip osteoarthritis, a major systematic review published in 2023 demonstrated that therapeutic exercise improves both pain and function in patients with hip osteoarthritis. (pubmed.ncbi.nlm.nih.gov)
Although the studies did not focus exclusively on cycling, low-impact exercises such as biking were consistently among the most recommended approaches.
Earlier meta-analyses had already reached similar conclusions: regular exercise reduces pain and improves physical function in individuals with hip osteoarthritis. (sciencedirect.com)
Stationary biking
Stationary biking is often preferable at the beginning of a rehabilitation or exercise program because it allows a better intensity control, a steady cadence, less apprehension and a safer environment.
Practical tips to avoid irritation
Cycling is generally very well tolerated — provided the bike is properly adjusted.
A few important recommendations:
- set the seat high enough to avoid excessive knee flexion;
- begin with low resistance;
- prioritize smooth cadence over high intensity;
- gradually increase duration;
Moving without worsening osteoarthritis
For many years, people mistakenly believed that joint degeneration meant they should “protect” the joint by avoiding movement. Today, scientific evidence clearly shows that appropriately prescribed physical activity is one of the first-line treatments for osteoarthritis. Movement not only helps reduce pain, but also preserves independence and quality of life.
Cycling therefore represents an accessible, safe, and highly effective way to keep joints moving without excessive loading.
Every case is different
It is important to remember that every person suffering from osteoarthritis has a different condition. The duration, intensity, and type of cycling (stationary bike, road bike, electric-assisted bike, etc.) should be adapted according to the symptoms, tolerance for exertion, and overall physical condition. Your chiropractor can guide you in choosing the most appropriate and safest way to cycle if you suffer from osteoarthritis in the knee or hip, in order to maximize the benefits while minimizing discomfort.
References
Fransen M, et al. Does land-based exercise reduce pain and disability associated with hip osteoarthritis? Osteoarthritis and Cartilage. 2010. (sciencedirect.com)
Luan L, et al. Stationary cycling exercise for knee osteoarthritis: A systematic review and meta-analysis. Clinical Rehabilitation. 2021. (journals.sagepub.com)
Teirlinck CH, et al. Effect of exercise therapy in patients with hip osteoarthritis: A systematic review and cumulative meta-analysis. Osteoarthritis and Cartilage Open. 2023. (pubmed.ncbi.nlm.nih.gov)




















