I started on a recumbent bike. Low resistance. Worked up. I have bad knees for reference. I started this about 4 months ago. Now I hit the bike, still on a low resistance, for about 45 minutes every other day. On workout/weights days, I use the bike for 30 minutes with pretty tough resistance (Level 5 for 10 minutes; Level 4 for 10 minutes; Level 5 for 10 minutes; it's pretty much a 30 minute uphill...that's my leg training as I can't stand due to back issues). Legs are toned, actually showing some muscles mass increase as well. Here's the thing...if you do this uphill, work up to it. I did over months to get to this point. Start low on it, as on anything else like Keith says, and work up. In other words, don't be a hero! :)