Situations when this may occur:

• Chronic pain
• Injury
• Pregnancy
• Amputation

Ways to mitigate:

• Plan a scene that does not require standing for a long time, or at all.
• Let them sit or lay down! There are plenty of binding options for those positions.
• If they are in a wheelchair, you can turn it into a bondage wheelchair!
• If you both specifically want to do a scene that will require a position difficult for them to maintain – perhaps having their hands tied to an overhead hard point for a flogging scene, or some form of partial suspension – plan ways to support them or to get them down quickly and safely if needed.
• Perhaps a cushioned platform (massage table, etc) nearby that is easily moved underneath the rope bottom.
• In the event that the bottom feels unable to stand safely when being untied, have another person or sturdy object to support their weight while the remaining rope is untied.
• BE SURE THEY KNOW NOT TO PUSH THINGS TO THE POINT WHERE THEIR STRENGTH MAY FAIL! Serious injuries can happen quickly when a person falls. If they feel they are getting close to their limits, they need to tell you so you have enough time to get them safely down.
• If you are performing a suspension (partial or full) consider these additional elements:
• Use the Emergency Suspension Munter Hitch above your suspension ring to allow an easy transition to the floor where the rope can be untied without requiring the bottom to support their own weight.
• Engage a trustworthy person to act as an additional spotter during the scene. Give them clear instructions about how they should respond if you need them (e.g., “If I signal you for help, immediately move to support her head and shoulders. I will release the emergency munter hitch and begin lowering her down. Protect her head the entire way down and I’ll tell you if I need any other help afterwards”).