Traction Alopecia symptoms? Ways to tell if hairstyle could cause it?

Question

Is there a way to tell if the hairstyle you are using could cause traction Alopecia? For example, do you feel scalps pain, see scars or redness, clumps of hair, etc? I usually have my hair in a loose bun or braid, and don't feel any discomfort in my head doing it this way. I have had this hair style for 3 years and have noticed no change in my hair, but is it possible this hairstyle will cause traction Aloperica for me in the long run, or would I see some signs before the aloperica happens?

Sanusi Umar, MD · Answer

There is a simple way to tell whether you hairstyle can cause traction alopecia, and that is by testing the tightness of the hold. Tension hair loss is due to overly harsh hair styles, such as tight ponytails, braids, and weaves--anything that puts pressure on the scalp and pulls follicles from their roots. In the beginning stages of traction alopecia you may start to notice hair loss in the areas that experience the most pull, which typically the hairline and edges. If you are worried about future hair loss, it’s always a good idea to consult a doctor near you for a proper diagnosis.
In the meantime, if you would like to learn more about tension hair loss and the hairstyles that can cause it, click the link below.

Bernardino Arocha, MD, FISHRS · Answer

BeBusty,Are there any symptoms in Traction Alopecia? It all depends on how much tension vectors are applied to the hair roots. Sounds like your wearing your hair pulled up but only loosely. This should not cause you problems. However, if the hair is pulled with significant tension at the roots for a prolonged period of time then the individual may perceive pain, tingling and even oozing or weeping from the scalp. Traction alopecia is common in up to 33% of African American women, and an equally high percentage of Singh men who wear turbans. All the best,Bernardino A. Arocha, MD

Jason Emer, MD · Answer

Traction alopecia is a type of hair loss caused by putting the hair under constant strain or tension and is usually caused hairstyles like: very tight ponytails or pigtails. If you're concerned, stop using this hairstyle and consult a Dermatologist for a consultation. Best, Dr. Emer

Jeff Donovan, MD, PhD · Answer

Pain, tingling, and "pins and needles" are the first signs of traction  - followed by hair loss (traction alopecia).

If you have symptoms, that you attribute to a hairstyle, stop the hairstyle immediately and get it checked out by a dermatologist.  Early traction is reversible - traction alopecia that is left longer is not.

William Rassman, MD (retired) · Answer

Traction alopecia appears when the hair is constantly pulled back or pulled upon. You really don't have symptoms, just see hair loss

Traction Alopecia symptoms? Ways to tell if hairstyle could cause it?

Answers (5)