Benefits of Sarvangasana (Shoulder Stand) and How to Do It By Dr. Himani Bisht

Introduction

Yoga is a rich treasure with techniques beneficial for physical, mental, and spiritual well-being. In this era of expensive pharmacotherapy with innumerable side effects, it is difficult to manage diseases like hyperthyroidism or hypothyroidism, cardiovascular conditions, obesity, and diabetes.  

Therefore, introducing physical exercises like yoga can gradually hasten the recovery process. Though it evolved and flourished in India, the introduction of yoga in Western culture gained much popularity and has become a statement of an optimum lifestyle in the upper-middle classes¹. 

Yoga involves a lifestyle that requires maintaining certain postures (Asanas) along with controlling breathing, thoughts, and enchanting mantras (recital phrases), unlike other exercises that focus on muscle stress, repetitive movements, and heavy breathing. In yoga, body is relaxed and blood requirement is reduced. This is opposite to aerobics, zumba and other exercises that increase the workload on heart to pump more blood. Yoga triggers the neuronal hormones that add significant benefits to mental and spiritual well-being¹.            

One of the countless postures in yoga is the ‘Shoulder stand’, also known as Sarvangasana. 

What is Sarvangasana?

Sarvangasana is a posture where the whole body is balanced on the shoulder and is therefore, also known as a Shoulder stand. 

Sarvangasana constitute 3 words “Sarva”, “anga” and “asana”. “Sarva” means “all”, “anga” means body part and “asana” means posture. As the name indicates, Sarvangasana is the posture involving the whole body. 

It is referred to as the Queen of asanas because it maintains the physical and mental health of an individual². 

Asanas that involve postural inversion are not part of traditional practice, as the three classic hatha yoga texts do not mention these postures. They have only recently gained more popularity with increased visibility through social networks³. It is the most effective way to streamline the body and mind. It may help in attaining peace, containment and happiness⁴. 

How to Do It?

Sarvangasana or shoulder pose is to be practiced in the presence of trained yoga professionals. The steps to be followed while performing this asana are: 

• Lie back on a folded blanket keeping the head, spine, and legs aligned with feet together. 
• Place your hands beside the body with the palms facing towards the ground. Relax your body and mind.  
• Taking support of your arms, raise your legs slowly in the vertical position, contracting the abdominal muscles. 
• Press the arms and hands down once your legs are straight in a vertical position. 
• Roll off the buttocks and spine from the floor, slowly hovering the trunk to the vertical position. 
• Place your hands, turning the palms upward, below the ribcage allowing your elbows to bend. 
• Press your chest against the chin gently. 
• To reach the final position, the legs should be vertical aligning the trunk and shoulders must support the neck and back of the head with the chest resting against the chin. 
• The arms should provide stability to the body. 
• Close your eyes, relax your body and hold it as long as it is comfortable. 
• Returning to the original position should be a slow and smooth process. 
• Gently bring your legs forward, keeping them straight and feet above and behind the back. 
• Place your arms beside the body, palm facing down. 
• Smoothly and gradually bring each vertebra to the floor followed by the buttocks. 
• Legs should resume the initial straight and vertical position.  
• Keeping knees straight, bring down the legs to the floor slowly. Do not take the support of your arms. 
• The balance of the body should be controlled while performing this asana. 
• Relax until your breathing and heart rate becomes normal. Shavasana (corpse pose) is the preferred posture post shoulder stand as it is the restorative pose which helps in relaxation of body at the end of a session. 
• Breathing should be maintained throughout the Sarvangasana. 

Do not strain your body by holding the final position for long during the initial practice. Increase the duration gradually from three to five minutes. Perform Sarvangasana only once during the yoga session². 

By regularly practising Sarvangasana, you can improve your posture, relieve back discomfort, and enhance overall spinal health. I recommend practising Sarvangasana (Shoulder Stand Pose) to alleviate stiffness in the back muscles caused by poor posture or prolonged standing. This pose involves stretching and lengthening the back muscles, helping to release tension and improve flexibility⁷.

Dr. Rajeev Singh, BAMS

Benefits of Sarvangasana

Sarvangasana offers several benefits to improve physical and spiritual health. Some of the potential benefits are: 

1. Benefits of Sarvangasana in Enriching Blood Supply

Sarvangasana may improve the blood supply to the brain. There is an increased influx of blood to the brain during the shoulder stand position. This increased influx can also help in nourishing the hair and hydrating the scalp, thus helping in preventing hair loss and improving hair growth.  

An increase in blood supply to facial muscles may lead to glowing skin. The greater blood flow may also help in keeping ourselves active and energized². 

2. Benefits of Sarvangasana in Stimulating Thyroid Hormone

Sarvangasana may help in decreasing the production of thyroxin hormone responsible for causing hyperthyroidism.  The inverted position during shoulder stand allows the heart to pump the blood to the brain and the thyroid gland and helps in curing thyroid-related disorders. The potential benefit of the blood flow during Sarvangasana is on respiration, increasing the digestive and excretory processes, and strengthening the nervous system, which is controlled by the thyroid and parathyroid glands. When the thyroid gland functions properly, all of the above-mentioned systems of the body work effectively². 

3. Benefits of Sarvangasana in Controlling Diabetes Mellitus

Kumar et al. 2017 mention a study⁵ involving 20 patients with diabetes (increased glucose level) subjected to 40 days of yoga, involving sarvangasana as one of the postures, showed a decrease in glucose levels and changes in insulin levels. The shoulder stand pose improves the functioning of pancreas, responsible for insulin production. The enhanced insulin production may help in decreasing the risk of diabetes. The involvement of asanas or postures in daily life does not have any adverse effects, and can be used as an alternate means to improve health⁴. 

4. Benefits of Sarvangasana in Patients with Low Blood Pressure

The shoulder stand may help in increasing the blood pressure of patients with low blood pressure. A study⁶ conducted by Naidu, S.T. et.al., 2015 on postural inversion in yoga and its effects on cardiovascular parameters, mentions that there was an increase in diastolic and systolic blood pressure during the sarvangasana. The increase in blood pressure depends on various factors especially the population (healthy or on patients with blood pressure fluctuations) performing the sarvangasana³. 

 5. Other Benefits of Sarvangasana:

• It may rejuvenate the entire body relieving tension and sluggishness⁴. 
• It may also tone the endocrine gland responsible for producing hormones⁴. 
• It may help maintain the balance³. 
• It may also help in improving digestion. 
• It may help in increasing concentration and cognition³. 
• It may also help in colitis (inflammation in the colon). 
• It may also help in relieving improving asthma with practice.

Over the years, I have found that practising Sarvangasana (Shoulder Stand Pose) can help counteract the pooling of blood in the legs and abdomen. This pose involves elevating the legs above the heart, which promotes return of the blood from the organs and improves overall circulation⁷.

Dr. Siddharth Gupta, B.A.M.S, M.D (Ayu)

Also Read: Benefits of Halasana (Plough Pose) and How to Do It By Dr. Himani Bisht

Risks of Exercise

Some of the contraindications related to Sarvangasana are: 

• It should be avoided by patients with high blood pressure². 
• Patients with diabetic retinopathy (weak eye capillaries) and near-sightedness should avoid shoulder stand². 
• People suffering from headaches or migraine must avoid shoulder stand yoga². 
• Sarvangasana should be avoided in patients suffering from a slipped disc, weak spine, or vertigo². 
• Pregnant and mensurating women should avoid doing sarvangasana. 
• Asthmatic patients should perform breathing exercise before doing shoulder stand². 
• Individuals suffering from cold, sinusitis, and tuberculosis must avoid performing Sarvangasana or shoulder stand². 
• Patients undergone abdominal and spine surgeries should avoid performing shoulder stand pose. 
• Atherosclerosis (deposition of fat/cholesterol in the wall of the arteries) and cerebral thrombosis (blood clot in the brain) patients should not perform shoulder stand². 
• It can cause stress on the cervical and upper part of the body. This can lead to pain, discomfort and injury to the neck³. 

The important point to consider while doing postural inversion is to perform it smoothly and slowly and it should be only practiced with a trained yoga teacher.   

Also Read: Benefits of Prana Mudra and How to Do it By Dr. Himani Bisht

Conclusion

Tension and stress are part of everyday life, but they should not affect the mind and body. Performing sarvangasana helps de-stress by relieving the pain and increasing the blood supply to all parts of the body. However, it is necessary to follow precautions while performing sarvangasana to avoid the associated physical risks. Given the rising popularity of postural inversions in yoga, through social media, it is important to do additional research on the benefits and risks. 

Also Read: Benefits of Bhramari Pranayama and How to Do it By Dr. Himani Bisht

Frequently Asked Questions (FAQs)

References

1. Jayasinghe SR. Yoga in cardiac health (a review). European Journal of Preventive Cardiology. 2004 Oct 1;11(5):369-75. https://academic.oup.com/eurjpc/article/11/5/369/5932628?login=false . 
2. Waldia V. A REVIEW STUDY ON THE EFFECT OF SARVANGASANA ON HYPOTHYROIDISM. https://wjpr.s3.ap-south-1.amazonaws.com/article_issue/1531725361.pdf . 
3. Naidu ST, Cavalcante FS, Silva RP. POSTURAL INVERSION IN YOGA AND ITS EFFECTS ON CARDIOVASCULAR PARAMETERS. https://scholar.googleusercontent.com/scholar?q=cache:m_laiD56r6cJ:scholar.google.com/&hl=en&as_sdt=0,5  
4. Kumar YS, Nishi J. Yoga and Diabetes Mellitus: Recommendations and Benefits-Systematic. International Journal of Ayurvedic & Herbal Medicine. 2017;7:2651-5. http://interscience.org.uk/images/article/v7-i4/3ijahm.pdf. 
5. Dutta D, Bhattacharya S, Sharma M, Khandelwal D, Surana V, Kalra S. Effect of yoga on glycemia and lipid parameters in type-2 diabetes: a meta-analysis. J Diabetes Metab Disord [Internet]. 2021 Feb 1 [cited 2025 Jul 15];20(1):349–67. doi:10.1007/s40200-021-00751-0. PMID: 34178843; PMCID: PMC8212260. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8212260/
6. Naidu ST. Postural Inversion in Yoga and Its Effects on Cardiovascular Parameters [Internet]. 2015. Monograph (Specialization in Cardiology) – Faculty of Medicine, Clinical Medicine Department, Universidade Federal do Ceará; 38 pp. Available from: https://www.researchgate.net/profile/Soujanya-Naidu/publication/360427661_Postural_inversion_in_yoga_and_its_effects_on_cardiovascular_parameters/data/
7. Dwivedi MK, Tripathi JS, Awasthi HHA. Stress Management Intervention Strategy through Rational Thinking and Yoga [Internet]. 2016 [cited 2025 Jul 15]. Available from: https://www.researchgate.net/profile/Manish-Dwivedi-9/publication/312153479_Stress_Management_Intervention_Strategy_through_Rational_thinking_and_Yoga/links/5872504608ae6eb871c51870/Stress‑Management‑Intervention‑Strategy‑through‑Rational‑thinking‑and‑Yoga.pdf

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

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