Pico do Arieiro to Pico Ruivo: A Physiotherapist’s Guide to succesful Hike

Robbie Braz

2025

Pico do Arieiro to Pico Ruivo: A Physiotherapist’s Guide to Madeira’s Hardest Hike

Are you planning to hike from Pico do Arieiro to Pico Ruivo? It´s widely considered one of the most beautiful trails in Madeira- and while the descent can be a bit challenging for the joints. , many hikers find it a rewarding and memorable experience.


Before you head out, here are a few simple, practical tips to help you get the most out of hikes like Pico do Arieiro—and recover well after.

Why do people often feel it in their knees (and sometimes their back)?
The main challenge is the long descents on uneven stone steps. Walking downhill increases
eccentric loading on the quadriceps, meaning the muscles are working to control and “brake” your movement. Over time, this can lead to fatigue around the knees.

At the same time, carrying a backpack and leaning slightly forward can place sustained load on the lower back, especially if core muscles fatigue.

A few things that can help:
Use trekking poles to offload some of the demand from your knees and improve overall posture
Keep a soft bend in your knee—this allows better shock absorption rather than transferring load into the joint
Control your cadence—shorter, steadier steps reduce peak joint stress
Engage your hips and core—good glute activation and light core engagement help distribute load and support the lower back
Keep your posture tall—avoid excessive forward lean, especially on descents
Adjust your backpack properly—keep the load close to your body and evenly distributed
Stay hydrated—muscle function and coordination depend on good fluid and electrolyte balance.


After the hike
Some stiffness is normal, especially 24–48 hours later. Gentle movement, mobility work, and soft tissue recovery can help reduce both leg and back discomfort and get you moving comfortably again.

If you’d like to recover properly after your hike—or avoid aches building up during your trip—you can book our physiotherapy or sports massage session or even a Lymphatic drainage session directly on our website. We come to your hotel or Airbnb anywhere in Madeira, making it easy to fit recovery into your holiday.

Feel free to reach out to us  or book online—happy to help you stay active and enjoy every hike.


By Robbie Braz March 27, 2026
Why You Wake Up Stiff After Hiking in Madeira (And What to Do About It)
By Robbie Braz November 19, 2025
Pelvic Floor Physiotherapy: What It Is, How It Works, and Why It Matters | Physiotherapy Madeira
By Robbie Braz August 25, 2025
Why Early Rehabilitation is Crucial After Surgery: Especially After Total Knee Replacement and Amputatio n
By Robbie Braz August 17, 2025
This is a subtitle for your new post