Meditation & Practice

Body Scan Meditation: How to Do It, Origins, Research

Man lying on his back on a floor mat with eyes closed, palms up and a wool blanket over his legs, doing a body scan

The body scan was the first meditation I ever did, and I fell asleep. The second time too. The third time I noticed I had not felt my left foot in years, not because anything was wrong with it but because I had never looked. That is the whole exercise: looking, without wanting anything. It comes from Burma, became medicine in Massachusetts, and now sits in every meditation app. Here is how it works, where it comes from, what research has measured, and who, for all its gentleness, should not start here.

Quick answer

A body scan is a mindfulness exercise done lying down: attention moves from the toes to the top of the head, resting a few breaths in each region, noticing without changing anything. It comes from Burmese vipassana and Yoga Nidra and became the first practice of Jon Kabat-Zinn's MBSR in 1979. Research shows moderate benefits for stress, anxiety and pain coping; with trauma symptoms, practice shorter, sitting, eyes open.

Evidence
Verified

Jon Kabat-Zinn opened the Stress Reduction Clinic at UMass Medical School in 1979; MBSR begins with the body scan.

Source/tradition: Kabat-Zinn, Contemporary Buddhism 12 (2011)

Verified

Meditation programs show moderate evidence for improving anxiety, depression and pain.

Source/tradition: Goyal et al., JAMA Internal Medicine 174 (2014)

Verified

Eight weeks of body scan practice improved heartbeat perception (interoception).

Source/tradition: Fischer, Messner & Pollatos, Frontiers in Human Neuroscience 11 (2017)

Verified

Some participants in mindfulness programs experience adverse effects such as anxiety or resurfacing memories.

Source/tradition: Britton et al., Clinical Psychological Science 9 (2021)

Traditional

The sweeping method goes back in an unbroken line to the Buddha.

Source/tradition: Goenka tradition; Satipatthana Sutta

Lived practice

Anchoring the practice with the same time, light and scent each evening.

Source/tradition: Common MBSR teaching practice

Not proven

A body scan cures illness or dissolves blockages in an energy body.

Source/tradition: No evidence

VERIFIED = verifiable in scientific or official sources · TRADITIONAL = historically or culturally recorded · LIVED PRACTICE = widely practiced, experiential knowledge · NOT PROVEN = spiritual interpretation, not scientifically established.

What a body scan is, and what it is not

A body scan is a guided walk of attention through the body. You lie on your back, close your eyes, and direct your awareness in turn to the toes of the left foot, the foot, the lower leg, the knee, the thigh, then the same route on the right, then the pelvis, back, belly, chest, arms, hands, shoulders, neck, face, skull. In each region you stay for a few breaths and notice what is there: warmth, cold, pressure, tingling, pain, nothing. Nothing counts.

And this is what sets the exercise apart from almost everything else called relaxation: you are not supposed to relax anything. You are not supposed to let go, breathe anything out, send anything away. You are supposed to notice and move on. If relaxation comes, fine; if not, also fine. Jon Kabat-Zinn, who brought the exercise into medicine, puts it roughly this way: the point is not to feel differently but to feel what you feel.

That is easier said than done, because the mind hates regions where nothing is happening. It jumps away, plans dinner, grades the pain in your knee. The practice consists of noticing that and coming back, a hundred times. That is why the body scan is where most mindfulness courses begin. It is concrete, it has the body as an anchor, and it forgives you for falling asleep.

Where it comes from: Burma, Bihar, Massachusetts

The exercise has three parents. The first is Burmese vipassana in the line of Ledi Sayadaw, Saya Thetgyi and U Ba Khin, which S. N. Goenka carried around the world in ten-day courses from the 1970s on. There the technique is called sweeping: you move attention systematically through the body, region by region, and observe the sensations in order to study impermanence in them, anicca, everything arising and passing. The textual basis is the Satipatthana Sutta, the discourse on the foundations of mindfulness, in which contemplation of the body comes first. The concrete sweeping method, though, is recent, from the nineteenth and twentieth centuries, and the claim of an unbroken line back to the Buddha is tradition. What the ten-day course makes of it is described in inside the 10-day Vipassana course.

The second parent is the Yoga Nidra of the Bihar School, which Swami Satyananda assembled in the 1960s from tantric sources and the corpse pose, shavasana: the "rotation of consciousness," in which you lie down and name and feel body parts in a fixed order, right thumb, index finger, middle finger. The body scan took its sequence and its lying position from there.

The third is Jon Kabat-Zinn, a molecular biologist trained at MIT and a student of Zen and vipassana, who in 1979 opened a Stress Reduction Clinic at the University of Massachusetts Medical School in Worcester, for patients medicine had run out of options for: chronic pain, heart disease, anxiety. His eight-week program, later called Mindfulness-Based Stress Reduction, starts with two weeks of daily body scan, 45 minutes, lying down, from a cassette. In 2011 Kabat-Zinn himself described developing the exercise from Goenka's sweeping and from Yoga Nidra, deliberately leaving out the Buddhist vocabulary so it could hold its own in a hospital. His 1990 book Full Catastrophe Living carried it into the world; today the body scan is the most widely practiced meditation exercise in the West.

The instructions: 25 minutes, step by step

  1. Lie down. Back on the floor, on a mat or blanket, arms beside the body, palms up, feet falling outward. A cushion under the knees if your lower back pulls; a blanket over you, because the body cools down lying still. Practice in bed and you will fall asleep. That is allowed, but then it is no longer practice.
  2. Arrive. For three breaths just feel the body as a whole: the weight on the floor, the points of contact, the belly rising and falling. Change nothing.
  3. Start at the toes of the left foot. Direct attention there as if you were shining a flashlight into them. What is there? Warmth, contact with the sock, tingling, nothing. Two or three breaths. Some people imagine breathing into the toes, which is Kabat-Zinn's image; others only feel. Both work.
  4. Keep walking. Sole, heel, top of the foot, ankle, shin, knee, thigh, hip. Then the right side from toes to hip. Then pelvis and buttocks, lower back, belly, upper back, chest. Then the fingers of the left hand, hand, forearm, elbow, upper arm, shoulder; the same on the right. Then neck, jaw, mouth, nose, eyes, forehead, back of the head, crown. Two to four breaths in each region. When you drift off, and you will, notice it kindly and go back to the last region.
  5. Stay with what is unpleasant. Pain in the knee, tightness in the chest, unrest in the belly: do not breathe it away, do not push it away, do not analyze it. Look, name it ("pressure," "pulling"), stay a few breaths, move on. If it gets to be too much, go back to the feet or the breath. That is not failure; that is the exercise.
  6. The whole body. At the end, a few breaths feeling the body as a whole, crown to toes, as one breathing thing. Then move fingers and toes, stretch, roll onto your side, sit up slowly.

The first times, use guidance, a recording, a voice, so you do not have to keep figuring out where you are. After two or three weeks you can practice on your own. Ten minutes is a start, 25 a good everyday length, 45 the full course version. The order is not sacred; what matters is that you have one and keep it.

Four lying-down body practices, and how they differ

Practice What you do Goal Origin
Body scan Notice region by region, change nothing Mindfulness, body awareness Vipassana and Yoga Nidra, then Kabat-Zinn 1979
Progressive muscle relaxation Tense muscle groups, hold, release Relaxation through contrast Edmund Jacobson, Chicago, 1929
Autogenic training Repeat formulas such as my arm is heavy and warm Relaxation through self-suggestion Johannes Heinrich Schultz, 1932
Yoga Nidra Rotation through the body, breath, images, an intention (sankalpa) Deep relaxation at the edge of sleep Satyananda, 1960s
Bottle of pure certified organic sweet orange essential oil

What we hold for this

Sweet Orange Essential Oil, Certified Organic, $20.00. A practice gets easier when the room around it is always the same: same time, same light, same smell. After ten evenings the body knows what comes next. We suggest a scent for that, not incense or a candle, because you will be lying down with your eyes closed. A few drops of this certified organic sweet orange oil in a diffuser before you lie down, and nothing else changes. It does nothing for you. It reminds you.

See the oil

What research measures, and what it does not

The body scan has rarely been studied on its own; usually it is part of the whole MBSR package, and the research on that is extensive. The large review by Madhav Goyal and colleagues at Johns Hopkins, prepared for the federal Agency for Healthcare Research and Quality and published in 2014 in JAMA Internal Medicine, found across 47 trials with about 3,500 participants moderate evidence for improvement in anxiety, depressive symptoms and pain. Moderate means noticeable, not spectacular, and roughly as large as other active treatments. Later meta-analyses (Khoury, 2015) confirm this for healthy people under stress.

As for the body scan specifically: a study from the University of Ulm (Fischer, Messner and Pollatos, 2017) had participants practice nothing but the body scan for eight weeks and found measurably better perception of their own heartbeat afterward. That is interoception, the ability to sense body signals, which is linked to emotion regulation. A comparison study (Sauer-Zavala, 2013) found that among the three MBSR practices the body scan most strengthens the ability to observe body sensations without reacting to them. That is plausible: it is exactly what you practice.

What research does not measure: healing. No body scan lowers blood pressure for good, cures depression or fixes a herniated disc. It changes how you deal with what is there. And for a long time research overlooked what Willoughby Britton and her team at Brown University have been documenting systematically since 2021: some people in mindfulness programs experience not calm but anxiety, restlessness, estrangement from the body, or distressing memories resurfacing. The body scan is especially prone to this, because it directs attention exactly where the body holds memories. For most people that is no problem. For people living with the effects of trauma, it can be one.

When to skip it, or do it differently

David Treleaven wrote a book on trauma-sensitive mindfulness in 2018, and his rules are simple. If you feel panic during the exercise, numbness, the sense of leaving your body, or if images come that you did not call up: stop. Open your eyes, sit up, feel your feet on the floor, look around the room. That is not weakness; it is the right response. Next time practice with your eyes open, sitting, shorter, and do not start at the toes but at the hands or at the points where you touch the chair, regions that feel safe. And if it keeps coming back, do not practice alone but with someone who knows trauma.

Walking meditation is the better way in for many people, because the body stays in motion. Breath-based practices are another route; read pranayama and its safety rules before you try the stronger ones. And if all you want is to fall asleep, you do not need a body scan but sleep, even though the exercise works remarkably well for that.

What we do not promise

We do not claim that the body scan cures illness, removes pain, treats depression or dissolves blockages in an energy body. Research shows moderate effects on stress, anxiety and coping with pain, nothing beyond that. We do not claim it is relaxing for everyone; some people experience restlessness, and with trauma symptoms it can be a strain. And we do not claim it replaces therapy. It is an exercise in looking. What you see belongs to you.

In practice: how to go about it

  1. Start with ten minutes and guidance. A recording, a blanket, a fixed spot on the floor. The bed is for sleeping.
  2. Want nothing. Do not relax, do not let go, do not breathe anything away. Notice, name, move on. If you feel "nothing," you did it right.
  3. Give the practice a frame. Same time, same light, same scent. After two weeks the frame carries the practice. If you prefer to sit, a firm cushion helps; see choosing a zafu or bolster.
  4. Stop when it tips. Panic, numbness, images you did not call: eyes open, sit up, feel your feet. Next time shorter, sitting, starting at the hands. If it stays, practice with support.
  5. Expand once it holds. In the course, sitting meditation with the breath comes after the body scan, then mindful yoga. Other routes are in the four families of meditation.

Frequently asked questions

What is a body scan meditation?

A mindfulness exercise done lying down, in which attention moves systematically through the body, from the toes to the top of the head, resting on each region for a few breaths without trying to change anything. It is the first practice of Jon Kabat-Zinn's Mindfulness-Based Stress Reduction (MBSR) program.

How long should a body scan take?

Ten minutes to begin with, 20 to 30 minutes for everyday practice, 45 minutes in the original MBSR course version. Regularity matters more than length.

Is it bad if I fall asleep during a body scan?

No, it is very common. If it happens every time, practice during the day, on the floor instead of in bed, with your eyes open or sitting up. As a way to fall asleep the exercise works well too, but then it is no longer meditation.

What is the difference between a body scan and progressive muscle relaxation?

In Edmund Jacobson's progressive muscle relaxation you tense muscle groups and release them to produce relaxation. In a body scan you change nothing and only notice. One is a relaxation technique, the other a mindfulness exercise.

What does research say the body scan does?

As part of MBSR, moderate improvements in stress, anxiety and coping with pain; practiced alone for eight weeks, better perception of body signals such as the heartbeat (interoception). It does not cure illness and does not replace treatment.

Who should not do a body scan?

With trauma symptoms, a tendency toward panic, or dissociation, the exercise can bring up restlessness, numbness or distressing memories. Then practice shorter, sitting up, with eyes open, starting at the hands, or practice with trained support.

Sources & further reading

  • Jon Kabat-Zinn, Full Catastrophe Living (1990; rev. 2013); "Some reflections on the origins of MBSR, skillful means, and the trouble with maps," Contemporary Buddhism 12 (2011).
  • Madhav Goyal et al., "Meditation Programs for Psychological Stress and Well-being," JAMA Internal Medicine 174 (2014); Bassam Khoury et al., "Mindfulness-based stress reduction for healthy individuals," Journal of Psychosomatic Research 78 (2015).
  • David Fischer, Matthias Messner and Olga Pollatos, "Improvement of Interoceptive Processes after an 8-Week Body Scan Intervention," Frontiers in Human Neuroscience 11 (2017).
  • Shannon Sauer-Zavala et al., "Comparing Mindfulness-Based Intervention Strategies: Differential Effects of Sitting Meditation, Body Scan, and Mindful Yoga," Mindfulness 4 (2013).
  • Willoughby B. Britton et al., "Defining and Measuring Meditation-Related Adverse Effects in Mindfulness-Based Programs," Clinical Psychological Science 9 (2021); David A. Treleaven, Trauma-Sensitive Mindfulness (Norton, 2018).
  • S. N. Goenka, The Discourse Summaries (1987); Swami Satyananda Saraswati, Yoga Nidra (Bihar School of Yoga, 1976); Satipatthana Sutta (Majjhima Nikaya 10).
  • More from us: Vipassana · walking meditation · meditation techniques

This piece describes a mindfulness practice; it is not medical advice and does not replace treatment. Questions about an order: 28@templeofdesire.com.

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