Yes, you can get injured doing a headstand… especially if you take the name literally.
We can often gather information from the name of a posture. Sometimes embrace the quality or energy of the name, like Virabadrasana (Warrior). Sometimes the name is exactly what we should be doing. Shoulderstand comes to mind. It’s not neck stand after all is it?
Sometimes the English name is a little misguiding though. Headstand is one of those posture names that we probably don’t want to take to literally. We don’t really want to put all of our weight on our head do we? No, we don’t, if we do, we might end up being a statistic in a New York Times article.
When we think of headstand we should think that what we’re really wanting is to do a forearm balance with our head lightly touching. This is very hard to do as a beginner but we can certainly look at the anatomical components that create a firm foundation and steady posture.
Hand positions
The great debate is often which hand position to use? For me the answer is simple, the one that keeps the student the most steady and weight off of the head and neck. There is the classic interlaced finger where the palms are open and the top of the head is placed in the hands. The area above the forehead is what we place on the floor. This is the way I do my headstands.
In terms of popularity, this technique has been overtaken by the most popular hand position at present, which is to press the hands into a single fist and then place the top of the head on the floor between or on the forearms. There are variations in the arrangement of the pinky fingers, but either way, a closed fist headstand seems the more popular of the two.
I think the main reason for the popularity of the closed fist hand position is for the sake of alignment. If the head is in open hands then the back of the neck must shorten to place the top of the head in the hands. If you place the top of your head between your forearms, the neck stays in a neutral alignment. This would seem to transmit the force in a straight line through the head and neck.
That seems like a good reason to put the head between the forearms. After all we need a straight neck to do a headstand. Don’t we? Well, if you’re going to put your body weight onto the top of your head, then I couldn’t agree more, keep your head and neck straight so the weight passes through it in as straight a line as possible. But what if there’s no weight in your head? Does it matter?
In Practice
When I come across students who are doing headstand, I don’t change anything if they have built a strong and steady foundation. If they can hold headstand and not have very much weight on their head, then I don’t change it for the sake of having them do it the way I want.
The students that attract me to their headstand are the ones that either can’t do it at all, and have been trying for some time, or those that look wobbly. The wobbly ones make me a bit nervous and need some help. At first, I look to see what it is that is making them wobbly. Of course, I usually start at the foundation of their headstand. What hand position have they used?
I look at the base of a headstand from both a geometrical and anatomical point of view. My personal observation of one of the main changes between the hands being open and the hands closing to make a single fist is where the shoulders end up in relationship to the elbows below and the body above it. The further forward the head goes, as in the open handed set-up, the further forward the shoulders go. When the hands close to make a single fist, the head naturally moves back in space and the shoulders go with it.
At the moment, I firmly believe that this is one of the critical changes that accounts for whether or not someone is wobbling as they are up in their headstand as a beginner to the posture. I’m assuming for a moment that someone has developed or has enough strength in their shoulders to successfully do a headstand. I specify beginner because and advanced practitioner can usually do headstand with either hand position and just has a preference for one or the other.
There are two elements at play between these two types of hand positions. One is the shoulder position as I just mentioned. The second element is the head and whether it is up or down. As it turns out, they are intimately connected together.
I’ve already asserted that what we’re really after is a forearm balance with the head lightly touching. As a beginner to a forearm balance would you do it with your head up or down? I’m going to guess that your answer is head up. If you tried to hop up into a forearm balance with your head down in a straight line with the rest of your body I can imagine how easily you would go over your hands and onto you back. Can you imagine a similar thing happening in a handstand? The head looking forward and being up becomes a counter balance. I think there is a similar principle at play in our headstand.
Some time ago I wrote a newsletter article titled “So you want to do a handstand”. In this article, I discussed head and shoulder positioning and even connected a part of it (the pelvis) to a headstand. Think about these three postures I’ve mentioned, headstand, forearm balance, and handstand. Can you see a relationship between them that is a progression? If you were going to make a sequence of development, with which pose would it begin? I think it would go headstand, forearm balance, handstand, no?
When you are a beginner to any of these three postures, it’s easier to do the postures by allowing the shoulders to move further forward. As one advances it may be possible to have the shoulders back further. For instance, in handstand an advanced practitioner may be able to align their shoulder with the line of their arms below and body above. I’ll guess that when they started their shoulders were out in front of their wrist a bit. They evolved or progressed to the more advanced alignment. I believe this process to be true of either forearm balance or headstand as well.
As I said, there are two elements, the shoulder and head position. If the shoulders go forward so does the head. If the head lifts and goes forward so do the shoulders. If we place our hands behind a closed fist our shoulders are naturally further back than they would be if our hands were open. With the shoulders further back and the head pointing down it the shoulder is sitting right above the elbows and the body aligned right above that. I think that in this case it is much easier to end up going over your head and crashing down.
There is an anatomical proportion at play here. It’s simple enough and divides the world into those who can more easily do either one of the two types of hand positions in their headstand. Those with proportionally short upper arms relative to their lower arms will usually have a much easier time doing the type of headstand where the hands sit behind the closed fist. Because the upper arms are shorter it still takes the shoulders forward enough to engage the right tissues in the shoulder complex. If they were to open their hands and put the top of their head in them, their shoulders might actually end up too far forward and throw off balance in that direction.
The opposite is also true. If you have long upper arms relative to your shorter forearm you will probably have an easier time with an open handed headstand. In this case, if you were to put your head on the floor behind a closed double fist, your shoulders might end up so far back that you begin to teeter on your elbows. In a sense, you become too aligned for the tissues to be able to engage and counteract any tilt forward or backward.
For those of us with more or less equal proportions we can probably do either of the two hand positions. Possibly depending on slight differences in proportion we will have a preference for one or the other.
Shoulder Forward
Why does the shoulder forward have so much importance? It really has to do with how it causes our body to respond and react. In the handstanding newsletter as well as the Chaturanga newsletter I wrote at length about serratus anterior muscle. Revisit them if you need to. As our body moves forward through the shoulders the body has to engage the muscles to prevent us from collapsing forward at the shoulder joint. I might compare it to how the body uses the quadriceps in warrior pose to prevent us from falling forward through our front knee. There is a natural pushing back and engagement that happens at both of these places. This push back creates stability and strength. What it really is, is our response to body weight and gravity!
If however our shoulders aren’t forward, then this pattern isn’t triggered in the same way. You can see this in the beginners to headstand sometimes when the top of their head is on the floor between a double fist and they go up into a headstand. If they are totally wobbling around then their shoulders never really engage in a stability kind of way. Even though the idea is that they will not be placing weight on their head, they are completely putting weigh on it, and it’s obvious because the elbows are coming off of the floor sometimes. This is a definite indication that something has to change.
There are other effects on other tissues that also get missed. For instance I never let beginners go over to a wall and kick up into headstand. They miss out on using their abdominal muscles. Then when they need them they are not there.
Anatomical Components
When we say we need arm strength for headstand, what do we mean? Where does the strength come from? What is the foundation that is established to physically allow us to do a headstand as if we were doing a forearm balance with our head lightly touching?
The shoulder complex is the source of strength at the foundation. Once we put our hands into the headstand position we are upwardly rotating and protracting our scapula. If you followed along in the handstand article then you know that the strongest muscle for these actions is the serratus anterior. This is exactly why we need to orient our perspective to see how similar headstand, forearm balance, and handstand all are to one another.
When we hear or give the instruction of moving the scapulae down the back for a headstand, what we really mean is the anatomical movement of protraction and upward rotation. Because of our positioning, when we do this it lightens the load on our head and at the same time does draw our shoulders down relative to the line of our body. The feeling of drawing the scapulae down the back is what it feels like, but the anatomical reality is just slightly different.
The way I often express this to students to get them to do what I want is to ask them to try and lift their heads off the floor without it coming all the way off. Give it a try and you’ll probably see the scapulae move as you want them to. Sometimes words can get in the way and when you’re upside down it’s harder to understand directions to move parts up or down.
There is always more to say about headstand but I wanted to put this part of it out because we can miss out on seeing the individual for who they are so easily as we teach. Neither hand position is right or wrong, we should stop thinking that things are so black and white, they’re not. In both of the images above I have the same amount of weight in my head, almost none! Steady as we go in headstand; establish the appropriate foundation for beginners of headstands. Complete beginners of yoga have no business doing this pose anyway! They’ll also end up as a New York Times statistic!









very helpful and interesting.
I have found that open hands works better for me (and probably most people like me who have long upper arm bones in relation to their neck). Doing the pose closed fist actually compresses the neck and jams the shoulders if my head touches the floor. Even open handed my head will come off the floor if I get the desired lift out of the shoulders, so a little support, like a folded blanket, under the head also helps to free up the shoulders and fully lengthen the C-spine and at the same time still have some weight on the head and a sense of grounding through the crown.
just finish to read it for the first time. as a begginer i was tauhght to do it with the fist closed. it was not easy at all, it felt shakey. then another teacher open my palms and i found relaxation in the pose. when i did the teacher trainig my head was on my hands not touching the floor. it took me a month for taking a few breathes. now almost a year after i can see that when your head no touching the floor you have to be with your abdoumen and tihghs (on more sutle level whith your banadas and your breath). its good to do them all.
a lot of information and good tips for observation, thank you
roee
this is great! Thanks.
The Provocation of Headstand : Therapeutic or Injurious ?
Thank you David for your insights into sirsana. I would like to weigh in as well, especially since the recent New York Times excerpt of William Broad’s new book, The Science of Yoga : The Risks and The Rewards.
I believe that headstand is a pose that is fraught with danger to someone with a vulnerable neck. I mean that someone, through fault of their own, have developed a sensitivity, that is, a vulnerability towards mid cervical vertebrae facet joint compression. One who continues to position themselves in forward head with thoracic and C7 kyphosis have to compensate with mid cervical hyperextension to look out into our very visual world. This abnormal, excessive, repeated compressive mechanical stress combined with scapular instability, levator scapula and scaleni hypertension seem to describe the majority of people in our culture.
I agree that sirsana is not a beginner’s pose. But I disagree that intermediate students should not stand on your head, literally. I believe we should most definitely ground our head through the floor to create a lengthening, a lifting into lightness, to avoid the collapse into vulnerable mid cervical facet joints.
I teach sirsansa by guiding students to ground from a slightly backbending thoracic and cervical spine through the front of the top of the head, continuing the image, the intention in the same curve of the spine through the floor. The common tendency to collapse into a banana like shape can be minimized by drawing the front lower ribs and navel into the body by grounding through elbows. Once the weight shifts towards the wrists and head, I suggest to first be sure shoulder blades are actively supporting the thoracic arch as they lift away from the floor by grounding through the wrists. I suggest not to lighten or lift the head off the floor by interpreting the pose as the much more demanding forearm stand like pose. Rather I ground through the front of the crown through the head as the tailbone engages into the body as I lift up through predominately inner spiraling legs. If one needs to adjust out of the common “banana” collapse, or to move into and out of the pose, or to do the variations, grounding elbows and wrists help sure up the foundation, protecting the neck from undo compressive torques and shears that are possible when one moves away from their “sweet spot”. This is the relatively vertical alignment where the actions of grounding through the head, centering by drawing the lower ribs/ belly and the tailbone from the other side into the midline, and lifting up through the vertical lengthening legs are possible. As well,these are the main actions of sirasana 2,3, and 4.
I prepare people for headstand with the core poses of my beginner level classes; namely, chest openers over a round bolster, bridge pose, a fish pose variation, down dog, half handstand, and the standing poses. These are the same poses I teach students with diagnoses as whiplash, cervical spondylosis, post surgical cervical vertebrae replacements, cervical fusions, rotator cuff syndrome, and frozen shoulder. Depending on the acuteness of their symptoms, and the mindfulness and skillfulness of these foundational poses, some do well healing their necks with headstand. I agree with you and William Broad that some others have no business standing on their heads.
The provocative nature of sirsana can either “kill you or cure you”. I believe that with a proper foundation, a stand on your head, as the name suggests, can be taken literally.
Stan,
Very nice of you to weigh in as well. I tried to leave as much space in the post as possible for people such as yourself to add your ideas and comments.
What I’m really getting at is that different foundations might be more appropriate for individuals. I really appreciate the fact that you talk about establishing the foundations of core with your students so that they can actually do a posture such as this.
As far as putting weight into the head is concerned… at the end of my second series practice I do a sequence of 7 headstands that require me to have pretty much all of my weight on my head. Shhh!!!! They’ll string us up if we talk too much about having weight in our head. I’ve never so much as tweaked my neck doing this. Because I’m familiar and prepared with tissues that can accommodate this. Just as you prep your students.
Really, anything is possible with the right preparation and work.
In addition, someone with a number of possible injuries to the head and neck, or even glaucoma would be contraindicated for even attempting as the risks outweigh the reward.
Thank you for adding value to the post!
Best,
David
I have found that open hands works better for me (and probably most people like me who have long upper arm bones in relation to their neck). Doing the pose closed fist actually compresses the neck and jams the shoulders if my head touches the floor. Even open handed my head will come off the floor if I get the desired lift out of the shoulders, so a little support, like a folded blanket, under the head also helps to free up the shoulders and fully lengthen the C-spine and at the same time still have some weight on the head and a sense of grounding through the crown.
I became a student of Stan Andrzejewski’s about three years ago. I have several long term vulnerabilities, including shoulder and neck issues, from a serious car accident many years ago. I began to do headstands about two years into my practice. The foundational poses Stan describes in his comments are critical for me. In layperson language, they “set” my neck and shoulders for headstand. I move out of the posture as soon as I feel my alignment shifting. I went through years of physical therapy, but the headstand is the best therapy for my vulnerabilities. Ah, the bearable lightness of being!
I’ve been practising Ashtanga yoga for about a year now. I have very tight hips and incredibly tight shoulder muscles but my body has really changed in that time – my hips are opening and I can just about get into half Lotus and I can now do a full backbend which is amazing. Obviously it’s not just about the physical side, however I would love to be able to end with a head stand but my forearms always raise. I will attempt to digest and use this article to help me. My yoga teacher, Mo Still, recommended this site and this article.
[...] This is due to the movement of the scapula moving the humerus and shoulder joint in space. It is more externally rotated but as a result of the movement of the scapula not necessarily the shoulder joint. My sense is that the protraction part is often the one that’s missed out or less commonly cued. The reason we want to include some protraction is because it activates one of the most important stabilizers of the scapula, the serratus anterior muscle. I’ve discussed the importance of this muscle in other posts such as so, you want to do a handstand and in the more recent piece about headstanding. [...]
Hi David and Stan,
thank to both of you for a really useful information and tips on the headstand, correct alignment and preparation.
Although i agree with you that that should be very little weight on the head and that’s the way i always try to practice it. I was recently reading Light on yoga by B.K.S. Iyengar who says it quite different. I quote: “The whole weight of the body should be borne on the head aline and not on the forearms and hands. The forearms and hands are to be used only for support to check any loss of balance. In a good pose you feel a circle, about a size of an Indian rupee, of the head in contact with the blanket on the floor.” i found it a bit contraversal, unless it’s the advanced practice, as David mentioned when you have developed the tissues to be able to really support the weight into your head, as it’s in the 2nd series headstands sequence.
with regards and gratitude
Bilyana