Understanding Traction Alopecia: Causes, Prevention and Treatment

In a world where fashion trends and personal expression are woven into the fabric of our identity, our hair often takes center stage. 

From sleek ponytails to intricate braids, our hairstyles are emblematic of our individuality and cultural heritage. Yet, behind the allure of these styles lies a potential cost that many are unaware of – the gradual thinning and receding of hair due to traction alopecia.

In this article, we’ll provide key information on  the causes, prevention methods, and available treatments for traction alopecia.

What is traction alopecia?

Traction alopecia is a commonly misunderstood form of hair loss that stems from the strain placed on hair follicles due to tight hairstyles and other styling practices.

Although this condition can affect people of any age, it’s more likely to happen as you get older because your hair becomes more damaged the longer you pull on it.

Signs of traction alopecia include:

• Gradual hair  thinning in the areas where tension is applied.

• A receding hairline typically around the forehead, temples or nape. 

• Patchy hair loss in places where the hair has been under strain. 

• Redness and itching on the scalp. 

• Breakage and frizz of hair in affected areas. 

Causes

• Traction alopecia is primarily caused by the consistent tension exerted on hair follicles. 
  
• Tight hairstyles like braids, ponytails, weaves, and extensions can lead to hair loss over time. 
• People with very long hair may also develop traction alopecia due to the weight due to the hair pushing on the scalp. 
  
• Additionally, excessive heat styling and chemical treatments weaken hair, making it more susceptible to breakage.

According to a study in the British journal of dermatology, 31.7% of African women with relaxed hair have traction alopecia. 

It is common among sport professionals who wear tight buns or ponytails for long periods of time. 

Although traction alopecia is not a medical concern, it can have adverse psychological effects. 

This form of hair loss is different from others like, alopecia areata, which is caused by immune or genetic factors. 

Prevention

• To prevent traction alopecia, it's crucial to opt for gentler styling alternatives. 
  
• Consider loose braids, twists, or embracing natural hairstyles that place less stress on the hair.
  
• Regularly changing your hairstyle and giving your hair breaks from tight styles can relieve tension and minimise the risk of hair loss.
  
• It is important to keep your  hair healthy by getting enough protein and iron, which are essential for hair growth.
• Good sources of iron include: beans, brown rice, nuts, meat, and leafy vegetables, such as spinach. 

Treatment

• Treatment options for traction alopecia include topical solutions that promote hair growth, such as minoxidil. 
  
• However, the most effective approach is altering your hair care routine. Avoid tight hairstyles and give your hair time to recover, especially overnight. 
  
• Avoid or limit chemicals, including relaxers which can damage your hair. 
  
• Consult with a dermatologist. He/she will examine your scalp and take a sample of tissue called a biopsy to look for other possible causes of hair loss. 
  
• If you’ve lost a lot of hair and it’s not growing back, a hair replacement procedure may be an option.

Beneath the surface, the significance of traction alopecia transcends the confines of aesthetic appeal. 

It serves as a reminder that our hair is not merely an accessory to our style; it is a living, breathing part of our body deserving of care and consideration. Just as we nurture our skin and prioritise our well-being, our hair too requires attention to flourish. 

Understanding the nuances of traction alopecia compels us to redefine our relationship with hairstyling and embrace a holistic approach that harmonises our quest for beauty with the vitality of our hair.