trichodynia

Yesterday I woke up with pain on my scalp, a soreness I hadn’t felt for quite sometime. I know what it’s called, Trichodyia. I dread it because in my experience it always seems to correlate with a impending hair shed. I’ve been doing okay so far, since I’ve reduced my synthyroid dosage and my hair loss has improved and seems more stable. But now this, why now? I certainly don’t tie my hair tight in a ponytail, it always fairly loose because if it’s tight I can feel every single follicle tugging. Why now? Even though nothing has changed today and yesterday, I just feel a great sadness. The thought of the possibility of enduring yet another shed brings me to tears. I’ve been in hazy lack luster state since this began, paralyzed by fear thinking I won’t be strong enough to take anymore… my hair can’t take anymore. I feel like I’m one shed away from being entirely bald. Eight years of dealing with this, I know that isn’t true, I know even with all the shedding I somehow manage to make it through and get by, but I still feel the sadness and the pain. I type this though tear obscured eyes. The possible impending shed isn’t even here and may never come yet the pain on the scalp was enough to made me incredibly sad. Like any other conditioned response, my hair loss as conditioned me to feel pain and sadness.~Y

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Scalp Pain, sensitivity, burning, and Hair Loss

by admin on September 23, 2007

Throughout the time I’ve suffered with hair loss I’ve had several episodes of scalp pain, sensitivity and a burning sensation. Trying to touch my head, lying down on a pillow or even moving my hair slightly would cause excruciating severe pain to my scalp. I had no idea what caused this and why it was sporadic, it would last for while then just disappear, last episode I had was this past July. Apparently there is a correlation between hair loss, telogen effluvium and scalp pain, also called trichodynia.

This is what I found about it on Wikipedia:

Trichodynia is a condition where the patient experiences a painful sensation on their scalp. The pain sometimes is described as burning. Trichodynia often is associated with hair loss, but some studies show it has no connection to hair loss. Often there is an underlying psycho-somatic cause, such as stress, depression or anxiety.

Only a few studies have been conducted on this condition. A theory behind the condition is that nerves innervating scalp hair follicles send pain messages back to the brain when the follicle no longer has a hair in it, in a similar way to phantom limb pain. Another theory is that people who have this condition (sometimes called “ponytail syndrome”) have super-sensitive nerves in their scalp.

A possible treatment is to halt hair loss in the patient, however it is important to understand and address any underlying psychologic comorbity (humm…of course I’m thinking, easier said than done)

I also wanted to share this article I found about it:

Hair Pain (Trichodynia): Frequency and Relationship to Hair Loss and Patient Gender
Barbara Willimann, Ralph M. Trüeb

Background: Patients complaining of hair loss frequently claim that their hair has become painful. Objective and Methods: The aim of the study was to evaluate the frequency of this phenomenon and its relationship to hair loss. Patients seeking advice for hair loss either spontaneously reported or were questioned about painful sensations of the scalp. [click to continue…]

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