The GIRM explicitly accounts for this. Those who cannot kneel "ought to make a profound bow when the Priest genuflects after the Consecration." A deep bow of the body — not just the head — expresses the same reverence. No explanation is needed; the Church has already made the provision. You are not doing something wrong by sitting or standing when kneeling is impossible.
📖 GIRM §43 — "except when prevented on occasion by ill health, or for reasons of lack of space, of the large number of people present, or for another reasonable cause."