Fotheringham calls his racing style ‘hardcore sitting’. He claims to be the first person to successfully perform a back flip in a wheelchair at the age of 14. He performs other tricks in his wheelchair including a 180 degree 'aerial'. He plans to fuse the back flip with the 180 aerial into what is known as a ‘flair’.
Fotheringham suffers from Spida Bifida and has been spending his life in a wheelchair since the age of 8. As a young kid he used to watch his brother ride his BMX at the skate-park and one day he took his advice and started riding in his wheelchair. He loved it so much he never stopped since. He got a new, lighter wheelchair, with four-wheel suspension that allowed him to perform most of the tricks BMX riders perform.
In 2006 Aaron Fotheringham ranked forth in a BMX competition in Sunny Springs Skate Park. He has suffered many injuries while practicing his tricks although he first tries them out on cushions and on hard plastic sheets before performing them on skateboard ramps.