अधो मुख श्वानासन भिन्नता अग्रबाहु अधः

Wrist Injury / Carpal Tunnel

Weight-bearing or extended wrist positions can compress the median nerve and aggravate inflamed tendons, worsening pain and causing numbness.

Practise a forearm inversion (Pincha Mayurasana) instead, or use a wall-supported headstand to remove wrist load entirely.

Shoulder Injury

Overhead loading and extreme shoulder rotation can impinge the subacromial space and overload rotator cuff tendons.

Avoid weight-bearing inversions entirely; practise supported Setu Bandha or Viparita Karani as an alternative.

High Blood Pressure

Vigorous effort and inverted positions temporarily raise blood pressure in the head, increasing strain on blood vessels.

Avoid this inversion entirely or keep the head above heart level at all times; never hold the breath.

Pregnancy

Deep twists, abdominal compression, and lying flat on the back can restrict blood flow or cause discomfort as pregnancy progresses.

Avoid all inversions unless already well-established in the practice and with teacher supervision; use a wall-supported legs-up-the-wall instead.