What causes pain at the hair roots when moving the scalp in the opposite direction?

Nov 05, 2024 Source: Cainiu Health
Dr. Liu Wenmin
Introduction
In general, pain at the hair roots when pulling hair in the opposite direction may be caused by various factors such as follicular sensitivity, hair texture, folliculitis, seborrheic dermatitis, or post-herpetic neuralgia. The sensitivity of hair follicles to stimulation varies among individuals; some people's follicles may be particularly sensitive to reverse pulling, making them more prone to pain.

In general, pain at the hair roots when pulling hair in the opposite direction may be caused by various factors such as follicular sensitivity, hair texture, folliculitis, seborrheic dermatitis, or herpes zoster. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified physician. Specific analyses are as follows:

1. Follicular Sensitivity

Follicles vary in sensitivity to stimulation among individuals. Some people's hair follicles may be particularly sensitive to reverse pulling, making them prone to pain. Avoid frequent or excessive pulling of the hair, choose gentle hairstyles and combing methods, and reduce irritation to the hair follicles.

2. Hair Texture

Coarse or curly hair has an irregular surface that increases friction against the scalp when pulled in reverse, exerting greater pressure on the hair follicles and causing pain. Regular hair and scalp care is recommended, along with using shampoo and conditioner suitable for your specific hair type.

3. Folliculitis

Folliculitis is caused by bacterial infection. Pulling hair in the opposite direction can aggravate inflammation and intensify pain. Symptoms may also include scalp itching and pustules. Under the guidance of a healthcare provider, medications such as mupirocin ointment, erythromycin ointment, or doxycycline hydrochloride tablets may be used to relieve symptoms.

4. Seborrheic Dermatitis

Seborrheic dermatitis may result from genetic factors, improper diet, or other causes, potentially damaging hair follicles and making surrounding skin tissue sensitive and fragile. When hair is pulled in reverse, this sensitive tissue is easily irritated, leading to pain. This condition is often accompanied by oily scalp and flaking. Treatments may include terbinafine hydrochloride gel, ketoconazole shampoo, or clotrimazole cream, used according to medical advice.

5. Herpes Zoster

Herpes zoster is caused by reactivation of the varicella-zoster virus. When the virus invades the trigeminal nerve in the head, it can trigger nerve inflammation, degeneration, and pain. Pulling hair in reverse may stimulate damaged nerves, worsening the pain. Other symptoms may include scalp blisters and neuropathic pain. Medications such as gabapentin capsules, amitriptyline hydrochloride tablets, or pregabalin capsules may be prescribed under a doctor’s supervision.

In daily life, maintain regular作息 (sleep patterns), eat a light diet, and avoid spicy or irritating foods.

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