What should you know about scalp tension hair loss?

Braids, extensions, ponytails, buns, locs, or head coverings that pull repeatedly can place force on the hair shaft and follicle. Early signs may include soreness, stinging, broken hairs, a receding edge, or thinning where the style pulls most. If tension continues, follicle injury may become harder to reverse. Other causes include Alopecia Areata, Male Pattern Hair Loss, Female Pattern Hair Loss, Scalp Ringworm, and Telogen Effluvium.

Loosen styles, vary how hair is arranged, remove extensions that cause pain, and choose lighter accessories. Avoid chemical or heat stress while the scalp is tender, and detangle gently. Take clear photographs of the hairline and thinning areas so changes can be followed. A clinician can examine the scalp and discuss treatment; Finasteride Treatment may be relevant for some people with a different pattern of hair loss, but it does not remove traction.

Arrange a dermatology assessment if shedding continues after tension is reduced, the scalp is smooth or shiny, patches appear suddenly, or there is itching, scale, swelling, pain, or broken skin. Prompt review helps distinguish Traction Alopecia from infection or inflammatory hair loss. Seek urgent care for rapidly spreading redness, pus, or fever.

Ask whether the pattern fits traction alopecia, whether follicles appear scarred, what styling changes support recovery, and when to reconsider the diagnosis if shedding or scalp symptoms persist.