Koneswaram has many strong historical associations. The shrine is described in the Vayu Purana, the Konesar Kalvettu and Tevaram hymns by Sambandhar and Sundarar as a Paadal Petra Sthalam along with its west coast Ishwaram counterpart Ketheeswaram temple, Mannar, it is the birthplace of Patanjali, the compiler of the Yoga Sutras and was praised for its tradition by Arunagirinathar upon his visit. The Dakshina Kailasa Puranam and Manmiam works note it as Dakshina/Then Kailasam (Mount Kailash of the South) for its longitudinal position and pre-eminence, it lies directly east of Kudiramalai west coast Hindu port town, while it is the easternmost shrine of the five ancient Ishwarams of Shiva on the island. Mentioned as a widely popular bay temple of the island in the Mahabharata, Ramayana and Yalpana Vaipava Malai, the Mattakallappu Manmiam confirms its sacred status for all Hindus. Kachiyappa Sivachariar's Kanda Puranam compares the temple to Thillai Chidambaram Temple and Mount Kailash in Saivite esteem. Konesar Malai may have been the site where Yoga originated; some scholars have suggested that the worship of the almighty god Eiswara on the promontory is the most ancient form of worship existing.