I had severe back pain, have lower back issues, and it took days to get them to allow me to meditate sitting against the wall. When my concentration would break every few minutes, I would gasp in pain, my lower back muscles cramping and spasming the whole time, because it was overwhelming. I thought, and I still think, that requiring me to go through that was ridiculous, and it was only when I told the lead teacher I was leaving if he didn't allow it that he permitted me to sit against the wall. It still hurt like hell, and that was fine, but I could hold myself physically upright at least.
I don't think the courses in the US are so uptight, though.