Hair pain, also known as scalp tenderness, is a common yet often overlooked issue. It's not the hair itself that hurts, but rather the scalp, which can experience discomfort for various reasons. This article delves into six primary causes of scalp tenderness, offering insights and solutions to alleviate the pain. Written by a dermatologist, this guide aims to provide accurate and helpful information for those experiencing this issue. 1. Tight Hairstyles One of the most common causes of scalp pain is tight hairstyles. Ponytails, braids, buns, and other styles that pull the hair tight can strain the hair follicles and the scalp. This condition, often referred to as "ponytail headache," results from the continuous tension on the scalp's nerves and tissues. Solution: To alleviate this pain, try to avoid tight hairstyles. Opt for looser styles and alternate the way you wear your hair to give certain areas of your scalp a break. Additionally, consider using hair ties that are gentle on the hair and scalp, such as scrunchies or spiral hair ties. Trusted Link: For more information, visit https://www.aad.org/public/diseases/hair-loss/types/alopecia-tight-hairstyles 2. Scalp Infections Scalp infections, such as folliculitis, ringworm, or seborrheic dermatitis, can lead to inflammation and tenderness. These infections can be bacterial, fungal, or yeast-based, causing the scalp to become sore and sensitive. Solution: If you suspect an infection, it's crucial to consult a dermatologist. Treatments may include medicated shampoos, topical ointments, or oral medications to eliminate the infection and reduce inflammation. Trusted Link: Learn more about scalp infections at https://www.mayoclinic.org/diseases-conditions/folliculitis/symptoms-causes/syc-20361634 3. Scalp Psoriasis Psoriasis is a chronic skin condition that can affect the scalp, causing red, scaly patches that are often itchy and painful. The severity of scalp psoriasis can vary, leading to mild discomfort or significant pain and tenderness. Solution: Treatment for scalp psoriasis includes topical treatments such as corticosteroids, vitamin D analogs, and medicated shampoos. In severe cases, phototherapy or systemic medications might be necessary. Trusted Link: For detailed information on scalp psoriasis, visit https://www.psoriasis.org/about-psoriasis/symptoms/scalp-psoriasis 4. Migraines and Headaches Migraines and tension headaches can cause the scalp to become tender and sore. This phenomenon is known as allodynia, where the skin becomes sensitive to touch. The pain from a headache can extend to the scalp, making it painful to brush or touch your hair. Solution: Managing migraines and headaches through prescribed medications, lifestyle changes, and stress management techniques can help reduce scalp tenderness. Over-the-counter pain relievers and relaxation exercises may also provide relief. Trusted Link: Discover more about migraine-related scalp pain at https://www.migraineresearchfoundation.org/about-migraine/migraine-symptoms 5. Hair Products and Treatments Certain hair products, treatments, and styling tools can irritate the scalp, leading to pain and sensitivity. Chemicals in dyes, relaxers, and perm solutions can cause chemical burns or allergic reactions, while excessive use of heat styling tools can lead to scalp burns and discomfort. Solution: Always perform a patch test before using new hair products and follow the instructions carefully. Limit the use of heat styling tools and ensure they are not too hot. Using mild, sulfate-free shampoos and conditioners can also help reduce scalp irritation. Trusted Link: For guidelines on using hair products safely, refer to https://www.fda.gov/cosmetics/cosmetic-products/hair-dye-products 6. Trichodynia Trichodynia, or scalp dysesthesia, is a condition where the scalp feels painful or itchy without an apparent cause. It is often linked to stress, anxiety, or other psychological factors. This condition can cause a burning sensation, soreness, or a tingling feeling on the scalp. Solution: Addressing the underlying psychological factors through stress management techniques, counseling, or medication can help alleviate trichodynia. Additionally, gentle scalp massages and the use of soothing scalp treatments can provide temporary relief. Trusted Link: Read more about trichodynia at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6472745/ Conclusion Scalp tenderness can be caused by a variety of factors, from tight hairstyles to medical conditions. Understanding the underlying cause is crucial for effective treatment and relief. If you experience persistent or severe scalp pain, consult a dermatologist for a proper diagnosis and treatment plan.