Traction alopecia

Traction alopecia is a form of alopecia, or gradual hair loss, caused primarily by pulling force being applied to the hair. This commonly results from the sufferer frequently wearing their hair in a particularly tight ponytail, braid, or hairstyles.

Causes

Traction alopecia is a type of hair loss that happens over time. It's caused by putting the hair under constant strain or tension and is usually caused by one or more of the following:

• Wearing tight ponytails, braids, cornrows, buns, or hairstyles
• Using hair extensions or weaves
• Using chemical hair relaxers
• Using hair straightening treatments
• Using hair rollers
• Using hair clips or hairpins that are too tight

Symptoms

The symptoms of traction alopecia can include:

• Receding hairline, typically around the forehead, temples, or nape
• Small pimples appear on the scalp or at the base of braids
• Redness, itching, and ulcers on the scalp
• Hair breakage around the edge of the scalp
• Thinning or baldness in the areas where the hair has been pulled

Prevention

Prevention of traction alopecia primarily involves changing one's hair routine. This can include:

• Avoiding hairstyles that put tension on the hair
• Using a wide-toothed comb instead of a brush
• Avoiding chemical treatments
• Using silk pillowcases to reduce friction on the hair while sleeping

Treatment

Treatment for traction alopecia includes:

• Changing the hair styling routine to remove the source of tension
• Using topical steroids to reduce inflammation
• Using minoxidil to encourage hair growth
• In severe cases, hair transplant surgery may be considered

See also

• Alopecia areata
• Alopecia universalis
• Alopecia totalis
• Androgenic alopecia
• Telogen effluvium