Cycling is one of the most popular leisure activities worldwide and is appreciated by people of all ages as a means of transportation, fitness exercise, and therapy form. For people who have received a joint replacement - be it a hip TEP (total hip endoprosthesis) or a knee TEP - cycling offers an ideal opportunity to get back in motion. It spares the joints, promotes rehabilitation, and can significantly improve quality of life. However, despite the numerous benefits, there are many questions and myths surrounding the topic.

In this article, you will learn everything worth knowing about cycling after joint replacement – from the first steps in rehabilitation to long-term benefits and tips for optimizing your training.

Benefits of Cycling after Joint Replacement (Hip Replacement / Knee Replacement)

Joint-friendly movement

Cycling is characterized by its gentle movement, as the joint is less axially stressed compared to walking or jogging. The even motion sequence helps to mobilize and stabilize the joint without overstressing it.

Improvement of muscle mass and coordination

The use of leg muscles when cycling specifically strengthens quadriceps, hamstrings, and calves. These muscle groups play an essential role in the stability and functionality of knee and hip joints.

Psychological Benefits

Resuming sports activities like cycling has immense psychological benefits. It boosts self-confidence, reduces stress, and offers a social component, for example, during group rides.

Cycling and Rehabilitation – The right start

When is the ideal time?

After a knee or hip replacement, recommendations vary depending on the patient and surgical method. On average, it is recommended to start with light cycling training between 6 and 12 weeks after surgery. The treating orthopedist or physiotherapist should always be consulted.

Indoor or Outdoor?

The first cycling attempts after a joint replacement should be done on a stationary bike. Indoor cycling allows for controlled movement without the risk of falls or unpredictable stress. Once the muscles are sufficiently strengthened, the transition to cycling outdoors can occur.

Cycling after hip replacement

Biomechanics and Stress

After a hip replacement, the range of motion of the hip is crucial for the success of rehabilitation measures. Cycling helps to improve the mobility of the hip joint prosthesis and reduce the risk of stiffness or muscle shortening.

Step-by-Step Guide

1. Optimize pedal settings: The pedals should be adjusted so that the knee joint is slightly bent at the bottom dead center.
2. Sitzhöhe anpassen: Der Sattel sollte so hoch sein, dass eine Überbeugung der Hüfte vermieden wird. Der Hüftwinkel sollte mindestens 90° betragen.
3. Gradual Progression: Start with short training sessions of 10 minutes and gradually increase by 5 minutes per week.

Precautions

Avoid abrupt movements as they may stress the hip prosthesis. Especially in the first few months, steep inclines and high resistances should be avoided.

Cycling after TKR (Total Knee Replacement)

Joint Movement and Load Distribution

The knee replacement requires a cautious approach to cycling, especially with regard to the correct flexion and extension of the knee. Cycling can help to regain mobility and optimize the gliding movement of the implant.

Importance of pedal tension

For patients with knee prostheses, the correct pedal tension is of great importance. Light pedal entries reduce the torque exerted on the knee.

Tips for Safe Cycling Training

1. Easy Clicking In and Out: Use low tension settings on clipless pedals to avoid unnecessary pressure on the knee.
2. Avoid Overextension: Control the knee angle while cycling.
3. Training supplements: Combine cycling with targeted stretching and bending exercises.

Myths about Cycling after Joint Replacement

Myth 1: “Cycling stresses the prosthesis and leads to faster wear“

In fact, the opposite is true. Cycling supports joint function and contributes to the longevity of the prosthesis by promoting the surrounding muscles and joint fluid.

Myth 2: “I can only ride on flat surfaces”

Although training on flat routes is recommended in the initial period, this does not mean that gentle slopes must be avoided in the long term. With advanced recovery, even mountain rides are possible.

Myth 3: 'Outdoor cycling is too risky'

With appropriate precautions such as protective clothing, adjusted pace, and suitable routes, outdoor cycling can be just as safe and effective as indoor cycling.

Long-term benefits of cycling after joint replacement

Improving quality of life

Regular cycling significantly improves quality of life. Studies show that people who remain active have fewer postoperative complaints and a faster recovery of mobility.

Cardiovascular Benefits

The combination of joint friendliness and endurance training makes cycling the ideal sports activity for people with artificial joints.

Social Integration

Cycling enables patients to participate in joint activities again and maintain social contacts.

Conclusion

Cycling after joint replacement – whether after a hip replacement or knee replacement – is one of the most effective methods to regain mobility, joie de vivre, and health. Through targeted rehabilitation, suitable training methods, and understanding one's own physical limits, those affected can not only accelerate their recovery process but also enjoy an increased quality of life in the long term. Take advantage of this wonderful opportunity to return to movement and joy in life!