How is traction alopecia treated?

Traction alopecia develops when repeated tension from tight braids, extensions, locs, ponytails, buns, wigs or headwear stresses the follicles. Early signs can include tenderness, bumps, itching, broken hairs or a [Receding Hairline](/symptoms/receding-hairline/), often around the temples and front hairline. Continued pulling can lead to inflammation and lasting follicle damage. Review [Traction Alopecia](/conditions/traction-alopecia/) and [Hair Breakage](/symptoms/hair-breakage/) for related patterns.

Remove the painful or tight style and choose loose, low-tension hairstyles. Avoid extensions that pull, heavy added hair, tight edges and chemical or heat treatments on an irritated scalp. Give the scalp breaks between styles, vary where a tie or part sits, and ask a stylist to reduce weight and tension. A dermatologist may consider [Topical Minoxidil](/treatments/hair-restoration/topical-minoxidil/) when follicles remain active or another form of hair loss is present. If the area stays smooth and sparse despite removing traction, [Hair Transplant](/treatments/hair-restoration/hair-transplant/) may be discussed after the condition is stable.

Arrange a dermatology review for scalp pain, crusting, pus, persistent itching, shiny smooth skin, widening loss, or ongoing [Hair Loss](/symptoms/hair-loss/) after changing the hairstyle. Early assessment matters because inflammation can damage follicles. Seek prompt care if redness and swelling spread or the scalp becomes very tender.

Ask whether the follicles appear recoverable, which styles are safe for your hairline, and whether inflammation or another diagnosis is contributing. Ask how long to avoid traction before judging regrowth and when restorative options should be considered.