QUESTION
Some yoga poses twist your neck so much, I’ve heard that it could cause a stroke. How much danger of stroke is there?
ANSWER
Your concern is understandable—especially when some of the twisting, bending and stretching looks like something the human body wasn’t meant to do! However, twisting poses have not been known to cause strokes, and your risk for stroke from yoga is low…as long as you avoid certain poses and take a few reasonable precautions. The possibility of stroke from yoga first rose to public attention in 2012, when a Pulitzer Prize–winning New York Times reporter, William Broad, published a book called The Science of Yoga. He reported that yoga poses that flex the neck extremely could cause tears in neck arteries…which could cause blood clots to form…and the clots could flow into the brain and cause a stroke. A 2009 survey of more than 1,000 yoga teachers from 34 countries published in International Journal of Yoga Therapy did confirm that the neck was the most common site for injury, including severe injury…followed by the shoulder, back, knees and wrists. And it’s true that a few cases of stroke attributed to yoga poses that extremely flex the neck have been reported—but not many. Between 1969 and 2012 there were three published case reports. That said, if you have risk factors for stroke, such as high blood pressure—or if you simply have neck problems—it’s best to avoid certain yoga poses. Poses that can potentially put the neck arteries at risk are those that extremely bend or stretch the neck or put pressure on the neck, such as Shoulder Stand and Plow. Even if you aren’t at higher risk for stroke and don’t have neck problems, it’s a good idea to avoid these poses when you are new to yoga and have not yet mastered proper technique and balance. (In case you wondered, no stroke danger has been found from Headstand and poses that exert pressure on the head.) With the Shoulder Stand, the whole weight of your body is on your shoulders and the back of your neck, which is forced into an extreme flex position. So, too, with Plow, which extends the stretch of the Shoulder Stand to lower your legs so that your toes touch the ground behind your head. In fact, even seasoned teachers almost always put blankets under the shoulders to make the neck angle less acute. [caption id="attachment_27398" align="alignleft" width="203"]