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Can You Cycle With hEDS or Hypermobility?

Cycling can be a useful low-impact way to build cardiovascular fitness and leg endurance with hEDS or HSD, but bike setup and exercise dose matter.


Why cycling may suit some people


The bike provides external support and avoids repeated running impact. Seated cycling may also be easier than upright exercise for some people with orthostatic symptoms.


Set the bike up for control


Avoid positions that force painful end ranges at the knees, hips, wrists or shoulders. Start with comfortable resistance and duration rather than a very hard session.


Build gradually


Increase time or resistance progressively. Persistent joint pain, recurrent instability or significant dizziness may justify individual assessment and bike-position advice.


A structured next step


The 227-page HSD & hEDS Physiotherapy Exercise Guide brings together joint control, strength, proprioception, pacing and 39 adaptable exercises across four pathways. It is a £24.99 one-off digital purchase with immediate access.



This article provides general physiotherapy education and does not replace individual medical or physiotherapy assessment.

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