# Shirodhara cautions and contraindications

> Shirodhara is a warm oil application, and the ordinary cautions for external oleation apply: broken or inflamed skin on the scalp and forehead, fever, acute illness, and recent head or neck injury. Pregnancy, high or unstable blood pressure, and any neurological condition warrant clearance from a qualified practitioner first.

Shirodhara is a gentle procedure, but it is still a warm oil application to the head, given
to someone lying still for the better part of an hour. The cautions are mostly practical.

## Do not proceed

- **Broken, inflamed or infected skin** on the scalp or forehead. Oil on a compromised skin
  barrier is a straightforward problem.
- **Acute fever or active infection.** External oleation is deferred until the acute phase
  passes.
- **Recent head, neck or facial injury**, or recent surgery in that area.
- **Immediately after a heavy meal**, or during acute indigestion. The classical instruction
  is to wait until the previous meal is digested.

## Seek clearance first

- **Pregnancy.** Not automatically excluded, but positioning, duration, oil and temperature
  all need adjustment, and several herbs common in shirodhara tailas are avoided.
- **High or unstable blood pressure**, or a history of fainting or postural dizziness. Lying
  flat for forty minutes and then standing is the risk, not the oil.
- **Any neurological condition**, including seizure history.
- **Known sensitivity to sesame or to any herb in the formulation.** Patch test on the inner
  forearm twenty-four hours ahead.

## Practical hazards worth naming

- **Oil in the eyes.** The band above the eyebrows and the eye covering exist for this reason
  and are not optional.
- **Oil temperature.** The forehead is more sensitive than the hands. Test on the inner wrist.
- **Slipping.** Oil on a hard floor is genuinely dangerous. Mat the area.
- **Getting up.** Sit for a minute or two before standing.

## What this practice is not

Shirodhara is a traditional external procedure with a long history of use and a growing but
still limited research base. It is not a treatment for any diagnosed condition, and nothing on
this site should be read as saying that it is. If you are dealing with a medical problem,
treat Shirodhara as something to discuss with your clinician rather than as an alternative to
seeing one.

## Common questions

### Who should not have Shirodhara?

Anyone with broken, inflamed or infected skin on the scalp or forehead, an acute fever or infection, or a recent head or neck injury should not have it. People who are pregnant, have unstable blood pressure, a neurological condition, or a history of fainting should get clearance from a qualified practitioner first. It is also skipped immediately after a heavy meal and during acute indigestion.

### Is Shirodhara safe during pregnancy?

It is not automatically ruled out, but it is not something to self-administer during pregnancy. Positioning, session length, oil selection and temperature all need adjusting, and some herbs used in shirodhara tailas are avoided. Ask a qualified Ayurvedic practitioner who knows your history.


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Canonical version of this page: https://nighantu.ageayurveda.com/shirodhara/cautions/

Published by Age Ayurveda in the Nighantu. Educational reference only, not medical advice.