Thanks so much everyone! I feel like such an invalid!! I like the step up change table idea from Playfelt. I use a change table as I found a long time ago that changing on the floor was too hard on the back and knees etc. But, it nearly kills be to lift the bigger kids up there and on of my daycare parents actually joked about steps up to the change table this morning (she's a doctor and understands). I will have to see what I can come up with. Miraculously, one of my 16 month olds who I have been training for 4 months now to crawl up and down the stairs, without much success, today actually did it on his own Yay! Unfortunately, his same age buddy who was doing well, decided it would be funny to resist today...so you win some you lose some..LOL. I have two more physio appoinments this week, so I am hoping it helps. I will think about some of the other suggestions here too. Thanks again everyone!