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There is strong evidence that e-bike injuries have increased in the United States, particularly injuries resulting in emergency department visits. A JAMA Network Open analysis found that e-bike injuries increased by more than 99% annually from 2017 to 2022, while conventional bicycle injuries did not increase significantly. Additionally, a more recent post from the Colorado Sun notes that clinicians at Children’s Hospital Colorado are seeing increases in serious trauma—particularly traumatic brain and facial injuries—associated with higher-speed cycles. Injuries from e-motorcycles and e-bikes combined increased 184% overall from 2024 to 2025 at the hospital, and speed can be a contributing factor. Many of the electric cycles can reach speeds similar to that of automobiles. A resource from the American Academy of Pediatrics offers tips for parents to help keep their kids safe when choosing and riding e-bikes, which can be found on the healthychildren.org website.

Double the trouble: It stands to reason that much of the increase in the absolute number of injuries simply reflects the fact that substantially more e-bikes are on the streets and sidewalks of America. The e-bike market was valued at an estimated $2 billion in 2025 and is projected to more than double and reach $4.3 billion by 2035.

Injuries Increase As More E-Bikes Hit The Streets
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