Biking with dogs can pose several health risks if not managed carefully. Dogs can sustain pad injuries from running on hard surfaces, which may lead to cuts or abrasions. Activities like bikejoring, where the dog pulls the bike, demand significant training to prevent accidents and injuries to both the dog and the biker. Without proper conditioning, dogs may also suffer from overexertion. To mitigate these risks, it's advisable to start slowly, consider protective gear like dog boots, and ensure the dog is healthy and well-trained for such activities.