Cycling for knee pain or amputation - the rehabilitation bike
Knee pain and cycling / e-bike
The problem with cycling is that if you're protecting your leg due to knee pain, your leg muscles are hardly used. If your leg muscles aren't working hard, then your heart and lungs don't have to work as hard either. The fitness benefits of cycling with minimal leg effort (e.g., on a standard e-bike) are lost. Your cardiovascular system gets very little exercise.
Learn more about cycling with osteoarthritis using bicycles with arm and leg propulsion. These protect your arthritic joints and even train your muscles and joints.
Cycling and cycling sports with knee pain
The Rehabilitation bike This is the solution for cycling and cycling sports with knee pain. On a rehabilitation bike, leg strength can be reduced to protect against knee pain. At the same time, the cyclist can use their full arm strength for propulsion. Overall, many muscles are active, and the upper body muscles are even heavily engaged. The heart and lungs have to work hard. The cardiovascular system is fully trained on the rehabilitation bike. Simultaneously, the knee is moved yet protected. With reduced leg strength and full arm strength, many muscles are active, and the heart and lungs have to work hard. The cardiovascular system is trained.
Advantages of the rehabilitation bike for knee osteoarthritis
- Relieving pressure on the knees -> Driving with less pain
- Arm propulsion provides additional power that is lacking in the legs -> inclines are possible higher speed
- The arms provide the main driving force, while the legs propel the body with less effort -> leg movement without great force -> the knee is moved and supplied with nutrients damaged cells are removed from the knee -> osteoarthritis can improve.
- Arms provide the main propulsion and legs only perform the pulling motion (with clipless pedals) -> 1.) Relief of the knee during pulling motion 2.) Strengthening of the knee stabilizing muscles through pulling motion
- Legs can recover when arms provide propulsion -> longer distances possible
- When cycling a rehabilitation bike with reduced leg strength but full arm strength, many muscles are active, and the heart and lungs have to work hard. The cardiovascular system is trained. Additionally, it provides an effective full-body workout. Rehabilitation cycling is excellent for fitness.
Single- or double-leg drive with the Extreme rehab bike
The Extreme rehabilitation bike also features independent leg cranks. You can use the leg cranks as needed.
The Extreme rehabilitation bicycle can be driven in the following ways:
·an arm
·both arms
·one leg
·both legs
·an arm and a leg
·one arm and both legs
·both arms and one leg
·Arms and legs together
With the Extreme Rehab Bike, you have complete freedom. For example, if you have an injured leg, you can choose to use it to pedal or not. If you're not pedaling with one leg, the leg crank simply stops, and the other leg can continue pedaling simultaneously. This is a huge advantage, especially when you're in pain. One leg pedals while the other rests. Once the injured leg has rested, it can easily start pedaling again.
Or one arm propels the engine while the other rests. Once one arm has rested, it can simply start propelling again.

Interview with Klaus Kehl
- Owner of a Varibike FR3 type rehabilitation bicycle
How long have you been riding a Varibike?
I've been riding the Varibike for 4 years.
How did you come up with the idea of buying a Varibike?
There were two main reasons that motivated me to do this:
1. I wanted to train not just my legs, but my whole body without having to go to a gym. I had been looking for alternatives to the classic bicycle for many years.
2. I've had osteoarthritis of the kneecap in my right knee for several years and could no longer pedal with that leg – not even with an e-bike, so I had to stop cycling 5 years ago. I really missed the sport itself and being active outdoors.
I searched for a long time for a bicycle like this, but couldn't find one that convinced me and suited my needs; until I came across Varibike. The excellent advice from Martin Kraiss and his great effort to customize the Varibike to my individual requirements ultimately won me over. Furthermore, I was thrilled with the top quality of the bicycle and its design. I haven't found anything even remotely comparable anywhere else.
Does your Varibike have any special features because of your knee osteoarthritis?
I have a pendulum crank for my right leg that allows me to move my knee, but I don't have to bend it nearly as much as with a normal crank. The crank means my leg only moves half as far upwards as with a standard crank. This leg now moves almost passively, without me exerting any force. To be able to cover longer distances and inclines with one leg and two arms, I also had an electric motor installed.
What do you use the Varibike for?
I regularly use it to commute to work, about 37 kilometers a day, and often on weekends for excursions and tours.
And that will also get you up hills?
I can manage smaller inclines without the motor, but larger ones only with its assistance. If I could pedal with both legs in addition to using my arms, the motor wouldn't be necessary.
The Varibike lets you switch between different drive styles. For example, you can pedal synchronously with your arms, asynchronously, or only with your legs, etc. Do you often switch between drive styles on the Varibike?
I switch between them regularly. Sometimes I pedal with just one leg or legs, sometimes I only pedal with my arms (mostly asynchronously). Especially uphill, I use my arms and legs simultaneously, which is the most fun.
What do you like about Varibiking?
Arms, legs, abdominal and back muscles are all trained. The sheer power with which I can climb hills or practically float along at 45 kilometers per hour on flat terrain when I briefly use both legs is incredibly fun.
Wouldn't a regular e-bike have sufficed?
This is no comparison, because the upper body training is missing and the coordination training with all 4 limbs simultaneously, virtually "hands-free" without holding onto the steering wheel, is a great feeling.
Do you have training or rehabilitation goals when you're doing Varibiken, or is it more just for fun?
Initially, the goal was to be able to continue playing sports. Furthermore, it allowed me to move my knee without putting stress on it, which provided long-term pain relief. Thanks to Varibiking, I was able to postpone a knee replacement for four years and even go on short hikes again for a considerable time.
What have you been able to achieve for yourself through Varibiking?
I was able to postpone the surgery for several years, maintaining and even improving my physical fitness despite limitations. My quality of life has increased significantly thanks to Varibiking.
Three months ago I had a knee replacement and have been able to use the Varibike for my rehabilitation ever since, initially on a stationary bike, and now also on the road. This has helped my recovery enormously and accelerated it. I'm looking forward to the coming months when I can use the Varibike for enjoyable and longer rides without any motor assistance. I wouldn't want to be without the Varibike again.
Did it take you a long time to learn how to ride a Varibike?
Thanks to your one-hour instruction, I was able to ride it safely after another 3-4 hours of practice on my own, initially only using the hand cranks on bike paths. After 2 to 3 weeks of practice, I could ride it in traffic and around curves just as easily as any other bicycle.
Do you feel safe there?
Yes. Switching arms and legs, as well as moving from the arm cranks to the steering wheel, gearshift, and brake levers, became second nature after a short time – like using the clutch and shifting gears in a car.
Even in the city?
Even in the city. However, I use the hand cranks somewhat less there, as you often need to be ready to brake quickly and have your hands on the brake levers rapidly.
Do people stare when you ride the Varibike?
Many people stare at me with wide eyes as I approach, and often watch me follow. Almost every time I ride, I'm approached, either by other cyclists while I'm riding or by pedestrians at traffic lights and intersections. People are fascinated and ask lots of questions.
Do you have any tips for Varibike beginners?
The first two to three hours are not easy in terms of coordination and are also physically demanding, but after that, the Varibike becomes more enjoyable every day. So: just show some perseverance at the beginning…
Michel from Ganac /France - Rehabilitation tricycle type Varibike Trike
After five months of using the Varibike Trike, I'm still very happy with my purchase. With one leg unusable since an accident when I was 16, being able to enjoy cycling again is a true rebirth. Using the power of one leg and both arms, I manage to achieve remarkable average speeds. And this recumbent position is well-designed and comfortable. I can wholeheartedly recommend this Varibike to anyone who, like me, suffers from a disability affecting one of their four limbs: the other three compensate through their cooperation. The materials are of very good quality, and the quick removal of the rear wheels makes it easy to transport in a car with a folding back seat. I'd also like to add that my trip to Laichingen allowed me to meet the designer and manufacturer of the Varibike, Martin Kraiß. He's very friendly and goes to great lengths to find the perfect solution for each customer's needs.
Tom from San Luis Obispo / USA
Rehabilitation tricycle type Varibike Trike - Review.
The Varibike Trike rehabilitation tricycle is a versatile and well-built device. It can be powered by hand, foot, motor, or any combination of these. It can be steered by hand or foot. It's solidly built. I only have one leg and wanted a recumbent tricycle that I could propel not only with hand cranks but also with my remaining leg. The Varibike Trike was the only device I could find that offered this option. Because it's robustly built and heavy, and I have to navigate many hills in California, I opted for the addition of the battery and motor. I've found that I primarily need the electric assist on hills or long rides. Since the steering mechanism is different from a regular bicycle or tricycle, it takes some getting used to, but it becomes second nature over time. From the beginning, the staff at Varibike were extremely helpful and assisted with my numerous questions.
Rehabilitation tricycle - review.
I've been using a Varibike-Trike rehabilitation tricycle for a few months now. Because I have a partial spinal cord injury, I can no longer ride a regular bicycle. The rehabilitation tricycle is a fantastic solution for me. Every day I go out on my trike and do rides of about 30 km. If my right leg falls out, it simply keeps turning thanks to the locking system on my pedals. And later, I take over with my arms; eventually, I'm riding with just my left arm. You can imagine how my left arm is becoming quite muscular again. It's a brilliant invention that has given me back some freedom!
We adapt the rehabilitation bike to your needs.
The rehabilitation bike is very suitable for people with one leg, knee damage, hip damage or a stiff leg.
Depending on the application, either a two-wheeled or a three-wheeled rehabilitation bike is suitable. We can also customize the rehabilitation bike specifically to your needs. For almost every condition, we have the right accessories, such as leg rests, shortened cranks, pendulum cranks, special pedals, etc.
Just give us a call. We bFeel free to guess.

