• Frequent use of tight buns or ponytails

  • Applications of weaves and/ or braids to relaxed hair

  • Hair extensions applied to relaxed hair

  • Tight braids, cornrows, locs (frequent and tight re-twisting/ “palm rolling”)

  • Tight scarves worn during the day or at night to bed

  • Any style causing any symptoms such as pain, inflamed red skin, stinging, crusting, tenting, or pimples


  • Loosening of braids/ cornrows/ locks

  • Weaves and braids applied to natural hair

  • Hair extensions applied to natural hair

  • Wigs worn with cotton or nylon wig caps

  • Permanent weaving


  • Loose, low hanging ponytails and buns

  • Wigs worn loosely with satin caps

  • Natural unprocessed hair

  • Very loose twists and braids

Last Thoughts.......


  • See a dermatologist EARLY at the 1st SIGN of PERSISTENT symptoms to avoid permanent irreversible hair loss and to rule out possible associated systemic conditions

    • Scalp pain ​

    • Scalp soreness

    • Hair breakage

    • Increased hair shedding 

    • Bald patches

    • Excessive scale and redness

  • Avoid the use of tight scarves or “hair/ head tie” during the day or while sleeping

  • Avoid tension hairstyles with relaxers

  • Alternate hairstyles when possible

  • Avoid styling in “up-dos”

  • Get regular trims to remove split ends

  • Give hair a break from all styling practices by adopting a “natural hairstyle”

  • Recurrent pain and pimples and hair breakage after any hairstyle hair will eventually cause permanent hair loss. Prevention is better than cure

  • Keep children’s hair natural, and in loose styles otherwise, they may have traction alopecia by the time they are teenagers

  • Try to avoid products with heavy greases on the hair (petrolatum, lanolin, mineral oil) and stubborn silicones that can weigh down the hair down, build-up on the hair and eventually lead to breakage

  • Protect the hair, particularly the ends, from environmental damage (e.g argan oil on hair shaft for sun protection)

  • Caution with any harsh materials on the hair (wool. cotton, etc) 

  • Try to sleep with silk or satin scarf and or pillow