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Blood flow to the cranium or head region will be more. Hence the  sinuses and ventricles in the brain get replenishment of nutrients  through fluid exchange. Opens up the small blood vessels called  collateral circulation in the brain. Improves the sense of balance  (Basal Ganglia) and coordination (cerebellum). Much self-awareness, less stress and clarity of mind (Amygdala & Limbic system) are the  benefits we can observe after every session this pose. So, it is not  advisable for hypertension situation. But as mentioned earlier, this  practice is very good for THYROID, PARATHYROID issues through activation of VISHUDDHI chakra.


Respiration: Thoracic cavity will be pressurized  more than the abdominal and pelvic cavity. Inhalation will be difficult  because of Diaphragm has to contract against gravity. Hence it  strengthens the diaphragm, external intercostals muscles.

Circulation: Vyana of lower limbs eased up like the  venous return to the heart increases because of gravity. This allows the detoxification of feet and pelvic organs.


Digestive system: Improves the digestive reflexes,  peristalsis, and enzyme reactions. This middle place between the pelvic  and thoracic cavity can descend a bit and gives pressure to the neck  region. So this should be avoided after the meal.


Musculoskeletal systems: Ventricle of heart get  assistance from gravity and the ejection fraction will be easy. But the  supply for lower limbs will be against gravity and that is how fewer  pulses, coldness, numbness will be felt after few seconds. Reverse  pressure on joint cartilage, synovial membrane initiates the cartilage  growth in a revered way. The proprioception about the reversed joint  positions also releases the tension on ligaments, tendons and the bursa  than standing.


Excretory organs like the anus, urethra will get resting time with  reversal pressure. Hence it is not advisable during pregnancy,  menstruation, filed bowels. But it replenishes the circulation and which strengthens the uterus make it get ready for menstruation and  pregnancy. So this pose is useful as a preparatory for menstruation and  pregnancy.

All these changes are comfortable for any practitioner. This can be  supported if required for a beginner or patient. But if still the  variation is needed, it may lead to varying degrees of injuries from  muscle, bursa, tendon, ligaments and joint. It is just the variation and flexibility to show to the world. If a practitioner considers this as a wide BOS, the weight shift can be done but that will not be a  Sarvangasana. Variation can be done by (1) reducing the gap between the  elbows, (2) lifting the arms off the ground.

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