After the injuries sustained from his 2001 racing accident, Zanardi decided to return to sport, taking up handcycling. In 2007, he achieved 4th place in the New York City Marathon in the handcycle division, after only four weeks of training. He has since taken up handcycling in earnest, and competed at the Para-Cycling Road World Championships in 2009. He stated that he was targeting a place in the Italian team for the 2012 Summer Paralympics. In 2009, he won the Venice Marathon in the category for the disabled, riding his wheelchair in one hour, thirteen minutes, 56 seconds, and won the Rome City Marathon in 2010, in a time of one hour, fifteen minutes, 53 seconds. In 2011, at his fourth attempt, Zanardi won the New York City Marathon in his handcycling class.