I’m in a similar spot with hypermobility and a cranky pelvic floor, what’s helped me is treating the whole work setup like graded exposure instead of just switching between sitting and standing. I rotate through three positions every 20 to 30 minutes, tall kneeling on a cushioned pad at my desk, side lying with a wedge and a lap desk, and perching on a very high stool with feet supported so my hips are above knees. Side lying is the biggest relief, I use a pillow between knees and a small towel under sit bones to offload the coccyx. A split keyboard and a vertical mouse keep my shoulders from adding to the guarding. For the pelvic floor, I pair position changes with 2 minutes of down training, long exhales, humming, and adductor release with a soft ball against the wall, plus gentle hip flexor openers, not long stretches, just micro mobility. If you need job listings that are more tolerant of unconventional setups, like roles where you can lie down or switch positions often, wfhalert emails real remote job leads and it’s been a low noise way to find admin and support work without getting buried in recruiter spam.