From the Research
Patients should avoid riding a bicycle for at least 4-6 weeks after an Axonics (Sacral Neuromodulation) trial implant. This restriction applies during both the trial period (typically 3-7 days) and the initial healing period following permanent implantation. The primary reason for this restriction is to prevent lead migration, which could occur due to the repetitive movements and potential jarring associated with cycling, as noted in various studies on sacral nerve stimulation 1. Lead migration can compromise the effectiveness of the therapy and might necessitate additional surgical procedures to reposition the lead. Additionally, the pressure from a bicycle seat directly on the implant site could cause discomfort, increase inflammation, and potentially disrupt proper healing of the surgical site.
Some studies have reported infection rates and complications associated with sacral nerve stimulation, such as those found in 2 and 3, but these do not directly address the issue of cycling after implantation. However, the general principles of avoiding activities that could compromise the implant site or lead to complications are relevant.
It's also worth noting that while cycling can have numerous health benefits, as discussed in 4, the immediate post-implantation period requires caution to ensure proper healing and functionality of the device. Once fully healed, most patients can gradually return to cycling, but should start with short, smooth rides and avoid rough terrain initially. Always consult with your specific healthcare provider before resuming cycling, as individual recovery timelines may vary based on surgical approach, patient healing factors, and specific placement of the device components, as suggested by the overview of sacral nerve stimulation in 5.