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TENSION ALOPECIA: Causes, Natural Remedies, and When to See a Doctor



Tension alopecia is a type of hair loss that is caused by pulling or rubbing the hair too tightly. This can happen with hairstyles that put a lot of tension on the hair. Tension alopecia is common in the African American community, but it can happen to anyone. The condition is usually reversible if you stop pulling or rubbing your hair too tightly. However, if the hair loss is severe or long-term, it may be permanent. Going to a skilled and knowledgeable hair stylist can help prevent tension alopecia from occurring in the first place.


Causes of tension alopecia


The most common cause of tension alopecia is wearing hairstyles that put a lot of tension on the hair. This can include braids that are too tight, and ponytails, buns, and other hairstyles that are pulled back tightly.


Other possible causes of tension alopecia include:

  • Trichotillomania (a condition that causes people to pull out their own hair)

  • Hair styling with heat

  • Chemical treatments for hair, such as relaxers or perms

  • Frequent brushing or combing of the hair

  • Wearing hats or other headwear that puts pressure on the hair

Symptoms of tension alopecia


The symptoms of tension alopecia can vary depending on the severity of the condition. The most common symptom of tension alopecia is hair loss. The hair loss is usually symmetrical, meaning that it occurs on both sides of the head. In mild cases, you may only notice a few small bald patches. In more severe cases, you may lose a large amount of hair, or your hair may become thin and brittle. The hair loss can be patchy or diffuse, meaning that it covers a large area of the scalp.


Other symptoms of tension alopecia may include:

  • Scalp pain

  • Scalp tenderness

  • Irritation of the scalp

  • Dandruff

Natural remedies for tension alopecia


There are a number of natural remedies that may help to promote hair growth and prevent further hair loss. Some of these remedies include:

  • Aloe vera: Aloe vera is a natural plant that has anti-inflammatory and moisturizing properties. It can help to soothe the scalp and promote hair growth. You can apply aloe vera gel directly to your scalp.

  • Essential oils: Essential oils such as rosemary, lavender, and peppermint have been shown to have beneficial effects on hair growth. You can add these oils to your shampoo or conditioner, or you can apply them directly to your scalp.

  • Massage: Massaging the scalp can help to improve circulation and promote hair growth. You can use your fingertips to massage your scalp for a few minutes each day.

  • Hair care products: Using gentle hair care products can help to prevent further hair loss. Look for products that are free of harsh chemicals and sulfates.

  • Stress management: Stress can contribute to hair loss. Finding ways to manage stress, such as yoga, meditation, or exercise, can help to prevent further hair loss.

When to see a doctor


If you are concerned about hair loss, it is important to see a doctor to rule out any underlying medical conditions. A doctor can diagnose tension alopecia by examining your scalp and hair. They may also ask you about your medical history and your hair care routine. If tension alopecia is diagnosed, the doctor may recommend that you stop wearing hairstyles that put a lot of tension on your hair. They may also prescribe medications or recommend other treatments to help promote hair growth. If the hair loss is severe or long-term, you may also want to see a hair loss specialist.



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