As MH instructs, I keep my feet out of the water. Kinda awkward, but doable. I notice when I go a few days without a sitz bath, that my knees seem creekier, joints stiffer. I'm thinking of doing the hot bath in the tub while filling up one of those big plastic tubs with cold water til its half full, putting a little stepping stool in it and then sitting in that. That may be more comfortable.