The route initially follows the River Medina, now a small stream, across the main road at Blackwater.
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The route then slopes significantly downhill, until it is parallel with the course of a different river, the Eastern Yar.
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Beyond Newchurch lies the village of Alverstone, with a final flat crossing with the minor road there before the route arrives at Sandown, on the edge of town between two holiday camp sites.
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Beyond here, the route leaves the railway trackbed for about one mile, skirting neighbouring farmland, then returning to the old route in good time for Merstone.
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The route then follows the old railway line across the Yar's floodplain until Langbridge, at the edge of Newchurch, where a slight deviation to the north is required, again due to development on the old route.
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Sustrans National Cycle Network routes 22 and 23 have sections through the Isle of Wight, including off road sections of route 23 between Cowes and Newport and Newport and Sandown along disused railway lines.