The temple is one of the shrines of the 275 Paadal Petra Sthalams - Shiva Sthalams glorified in the early medieval Tevaram poems by Tamil Saivite Nayanar Sambandar. The temple is frequented by Hindu devotees with birth star of Moola praying for marriage and the temple is locally referred as Moola Nakshatra Parikara Stalam.
The temple priests perform the pooja (rituals) during festivals and on a daily basis. Like other Shiva temples of Tamil Nadu, the priests belong to the Shaivaite community, a Brahmin sub-caste. The temple rituals are performed six times a day; Ushathkalam at 5:30 a.m., Kalasanthi at 8:00 a.m., Uchikalam at 10:00 a.m., Sayarakshai at 6:00 p.m., Irandamkalam at 8:00 p.m. and Ardha Jamam at 10:00 p.m. Each ritual comprises four steps: abhisheka (sacred bath), alangaram (decoration), neivethanam (food offering) and deepa aradanai (waving of lamps) for both Mathuraiyappar and Azhagammai.
The worship is held amidst music with nagaswaram (pipe instrument) and tavil (percussion instrument), religious instructions in the Vedas read by priests and prostration by worshippers in front of the temple mast. There are weekly rituals like somavaram and sukravaram, fortnightly rituals like pradosham and monthly festivals like amavasai (new moon day), kiruthigai, pournami (full moon day) and sathurthi.[2] Annabishekam during the Tamil month of Aipassi (October–November), Karthikai Deepan during November–December and Adi Sankaracharya Jayanti in Vaikasi (May–June) are the festivals celebrated in the temple.
Images of horse sculptures outside the main entrance of the temple