द्वि पाद विपरीत दण्डासन

Back Injury / Back Pain

Spinal flexion, extension, or rotation under load can compress vertebral discs or strain the paraspinal muscles.

Support the lower back with a block under the sacrum in bridge variations; avoid unsupported inversions.

Neck Injury / Cervical Issues

Looking up, bearing head weight, or unsupported neck rotation can compress cervical vertebrae and irritate nerves.

Avoid all weight-bearing on the head and neck; practise supported Setu Bandha or legs-up-the-wall instead.

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.