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Traction Alopecia

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It is a form of hair loss that results from prolonged or repetitive tension or traction to the scalp hair. It is most commonly due to wearing hair in tight ponytails for longer periods.

In these types of hair loss mechanical damage to the hair follicle is caused by traction or pulling. Ballerinas, gymnasts, military personnel and certain professionals who are required to wear their hair pulled back, develop traction alopecia.

When your hair is pulled for prolonged periods, it starts getting loose from the follicles and eventually breaks and falls off. The hair follicles
are subjected to constant pulling, they get more and more damaged and scarred that they are no longer able to produce any new hair.

This issue can develop due to

  • Regularly wearing your hair in tight ponytails, buns, braids, dreadlocks.
  • Using relaxers and rollers on hair.
  • Having longer beard and hair and twisting and braiding it, increases its weight causing beard traction alopecia.

The likelihood of traction alopecia increases with age and also from what age you started to put pressure on your hair. There are different stages in this type of hair fall.

This issue can develop due to

The likelihood of traction alopecia increases with age and also from what age you started to put pressure on your hair. There are different stages in this type of hair fall.

The different stages in Traction Alopecia

Early stages
Later stages

There is thinning of hair and you start to notice hair growth cycle change slowly but gradually and the amount of Telogen (resting) hair increases.

Sebaceous glands and terminal hair follicles reduce and are replaced by fibrous tracts (scars). Inflammation is mild to absent.

Causes Of Traction Alopecia

A few hairstyles, such as cornrows, dreadlocks, braids, and tight ponytails.

Hair weaves or extensions the create tension on the hair roots and may result from extensions being bonded or tightly knotted to the base of the hair.

Where the headwear makes contact with the hair, such as with sports helmets or tight elastic headbands, the hair may begin to thin.

Hair ornaments, such as grips or slides that are worn consistently throughout the day.

The weight of very long hair may tug on the hair follicles. Tightly knotted beards or extremely long beards can also cause traction alopecia.

Chemical treatments like hair relaxers. These cause the hair shaft’s structure to change in a way that increases the likelihood of hair loss.

Prevention Of Traction Alopecia

If you have a painful hairdo, loosen it or modify it.

Wear thick, loose braids rather than short, tight braids and switch up your hairstyles every few weeks.

Swap the elastic hair ties for cloth ones.

Keep your hair as loose as you can.

Treatment Of Traction Alopecia

If at all possible, avoid tight haircuts. If a person’s occupation or religion dictates that they wear their hair up or in tight buns, they should tie their hair as loosely as possible and wear it down or loose as often as feasible.

Limit your exposure to chemicals, including relaxants. A relaxer should not be applied to relaxed hair. To avoid putting undue stress on one part of the scalp, switch your hairstyle every few weeks.

Look into hair-growth products. After three to six months of using a minoxidil and laser light treatment, about 40% of users begin to experience some hair growth again.
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