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It exerts pressure on the surrounding nerves resulting in the sensitivity and a strong pulling on your head. Scalp pain causes may include environmental factors, which are easy to remedy by simply avoiding them. For example, some chemicals found in hair dye, relaxers, shampoos, soaps, herbal oil, water, and some hair treatment products can cause scalp pain. “Hair care products and treatments that are loaded with chemicals can induce scalp dermatitis, a condition characterized by an itchy, swollen, painful scalp.
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Scalp pain treatments and relief
For example, people who wear braids, ponytails, cornrows, or weaves are at risk of traction alopecia. In fact, one 2012 article estimated that 44% of people in France experience scalp sensitivity. People experiencing female pattern baldness may also notice a general thinning of hair on the top of your head, but hair loss typically won’t occur on the front of your scalp, per Harvard Health. According to Agbai, genetics, hormonal shifts, stress, underlying medical conditions, nutritional deficiencies, and scalp inflammation are notable factors. In one study, hair thickness increased in nine males after receiving a four-minute scalp massage once daily for 24 days. Researchers proposed that mechanical stress on the cells of the hair follicles (dermal papilla cells) stimulates the hair follicles to produce thicker hair.

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If you’re wearing your hair in a style that puts a lot of tension on the roots, you might be causing damage. Tight braids, for example, can put a lot of stress on the hair follicles and lead to inflammation. Many people experience discomfort in their hair roots at some point. The base of each of your hair follicles contain sensory nerve fibers.
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Conditions like Trigeminal Neuralgia, Occipital Neuralgia, or even shingles can result in severe shooting pains in the scalp. Other potential causes of a sore and tender scalp include occipital neuralgia, a type of headache, and alopecia areata. In many cases, the conditions causing scalp tenderness resolve on their own. Many also require basic cleaning and care to ensure that the area heals successfully. People should talk with a doctor if they experience especially painful, severe, or prolonged scalp sensitivity.
A second study confirmed these results based on the responses of 340 participants with androgenetic alopecia (pattern baldness). The participants performed two 20-minute scalp massages daily for at least six months. In self-reported results, about 69% of participants noted improved hair regrowth.
Scalp Massage: Weighing the Benefits and Drawbacks
But there are a few at-home and over-the-counter (OTC) remedies that can help address pain and common scalp problems. Any worsening or changing headache patterns that impact the scalp may be a sign to visit a healthcare provider for new or updated treatment guidance. In other words, your strands themselves aren't sore, but rather the pain is produced by the skin around your hair, which is rich in blood vessels, nerve endings and oil glands.
However, there is some evidence that the treatment may offer health benefits such as hair growth and stress relief. Should your hair mandate multiple days between washings, stimulating your scalp with the help of a brush is a crucial addition to your routine. Though the method is simple, investing in a high-quality brush is something of a necessity for desired results.
When to see a doctor
Just like the rest of the skin, UV rays can still reach the scalp after one spends an extended amount of time out in the sun. When certain hairstyles are causing scalp discomfort, the first step should involve changing the hairstyle. For example, this could be by freeing the hair from tight, pulling hairstyles, such as tight buns or braids. According to Healthline, other common types of alopecia include traction alopecia, telogen effluvium, alopecia areata, central centrifugal cicatricial alopecia (CCCA), and lichen planopilaris (LPP). Though it may be beneficial for some ailments, scalp massage and any form of massage therapy should not be used in place of medical treatment. Visit a spa to have a scalp massage administered by a licensed massage therapist who can provide professional treatment.
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You assume responsibility for decisions made with your individual medical situation.
If the friction is severe, you may even notice fluid-filled blisters or friction burns, which likely cause sharp, burning pain when touched. If you are concerned about your scalp being tender in one spot, you will be relieved to know that your discomfort is likely not caused by a serious condition. Many people find that it hurts when they move their hair on a certain area of their head when they touch it or press on it. It’s essential to identify the specific cause of scalp pain through consultation with a healthcare professional.
Scalp sunburns can form with just a small amount of UV exposure, even in winter months. Dermatitis develops from different causes, including genetics, an overactive immune system, allergens, or irritating substances. For example, a compound called paraphenylenediamine (PPD) commonly used in hair dye might cause allergic contact dermatitis on the scalp when applied. But keep in mind that shampoo treatments need enough contact time with the scalp to have an effect. "Rub it into the scalp with your fingertips and let it sit while you sing the alphabet before rinsing out," Dr. Zeichner says.
Infections and inflammatory conditions affecting the scalp can lead to pain and discomfort. Conditions like Scalp Folliculitis, Seborrheic Dermatitis, Psoriasis, or even head lice infestation can cause itching, redness, and soreness on the scalp. Depending on the specific diagnosis, these conditions may require medical attention, and treatments can range from topical medications to oral antibiotics. Additionally, some individuals may have a heightened sensitivity to certain hair care products, such as shampoos, conditioners, or hair dyes, which can result in scalp irritation and pain.
If prevention measures aren't helping, ask a healthcare provider for additional treatment options. There are numerous reasons why you may experience a tender, painful or itchy scalp when you move or touch your hair. It can be mild and go away without intervention, while sometimes it’s a sign of a more serious condition that requires medical assistance. First, if you have a lot of hair, it can be heavy and put a lot of stress on your scalp. Second, if you have a lot of hair and you’re not used to brushing it, you may have experienced a headache or pain in your neck from pulling on your hair too much.
Outbreaks of pimples on the skin can interfere with quality of life, making the person self-conscious about their appearance and causing pain and discomfort in the skin. A medical provider can help to manage the condition, sometimes through referral to a dermatologist. Scalp pain symptoms can take a variety forms and it is difficult to find at-home relief that does not include multiple painkillers. For some people, the scalp pain symptoms can be so severe as to require missed days at work or school.
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