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The main reason to choose a recumbent bike over an upright bike is for safety and/or comfort. In cases where balance is an issue or if the rider is dealing with back, hip and knee pain, a recumbent bike may be a better option.he main reason to choose a recumbent bike over an upright bike is for safety and/or comfort. In cases where balance is an issue or if the rider is dealing with back, hip and knee pain, a recumbent bike may be a better option.
Using an exercise bike to mitigate back pain. If your physician has cleared you to begin an exercise bike program, the first step is deciding which type of exercise bike you would like to use: upright or recumbent.