I personally don't think I could sew standing up. I prefer to sew with no shoes, using both feet to "grab" the pedal and big toes pushing down. I laugh at myself just thinking about the way I sew, but it works for me! I know lots of people cringe about being barefoot, but I NEVER put the rotary cutter down without retracting the blade. I have back issues too, so sometimes I have to take breaks and do something else...usually laundry or cooking. I have my chair set lower than most people so I don't have to lean over to see up close when I sew. I also sit close to the machine, with my belly against the table, sewing machine set down into table. I hope you find an arrangement that works for you.