20) found that trichodynia was associated with depression in the telogen alopecia group and with obsessive-compulsive personality disorder in the androgenic alopecia group. Opt for moisturizing shampoos. It is the "substance P". Hair pain (trichodynia): Frequency and relationship to hair loss and patient gender. *Address all correspondence to: mgulerozden@hotmail.com, Current Perspectives on Less-known Aspects of Headache. 17) hypothesized that chronic activation of the c-fibers, in addition to mediating inflammatory pain and follicular injury, might reduce substance P and CGRP concentrations resulting in altered peribulbar antigen presentation and inhibition of further hair growth. These lesions can be found anywhere in the peripheral nerve tissue. On the basis of psychiatric origin, the physician also may use low-dose antidepressants (venlafaxine, amitriptyline, and doxepin) and also pregabalin [22, 23]. Excessive hairiness can, Each form of a hair disorder will have different times when symptoms first appear. In this study the patients with telogen alopecia were consisting the control group, and they could have the opportunity to evaluate only the trichodynia patients. Men's skincare: guide to must-have products and a complete routine to convince him (or convince you) to take care of his skin, What is the Pixie cut and who does it give more to, How to remove short hair from legs? Hobbies in which allows you to use repetitive movements of your hands. J Eur Acad Dermatol Venereol. Precisely it happens that these erector muscles become inflamed and consequently the hair follicles are also altered, thus causing a state of pain and inflammation on the whole skin. Chong A, Wade M, Sinclair R. Modern Med Australia. 1999;42:105–110. But what is the trigger for the sensitivity of the scalp? "Clinical Management of Psychodermatology." They also observed that botulinum increases substance P and calcitonin gene-related peptide-containing cutaneous nerves in the scalp. found that numbness and pain are common symptoms of somatoform dissociation or conversion reaction [15]. They also observed that botulinum increases substance P and calcitonin gene-related peptide-containing cutaneous nerves in the scalp. In 2009, Cutrer et al. Stretching will help discharge Substance P from the nerve endings. Thorsberry L, English J. Scalp dysesthesia related to cervical spine disease. Int J Dermatol. (Sept. 22, 2009)http://voices.washingtonpost.com/reliable-source/2009/03/rs-missvirginia16.html, Shapiro, Jerry. Does getting your hair cut regularly really promote hair growth? Hair follicles are innervated by unmyelinated neural plexuses located around the hair follicle stem cells. A large number of women, especially those with long hair, have a bad habit of constantly applying rather tight hair clips. In addition to medical treatment, ingesting vitamins such as C and B, eating antioxidant foods, avoiding caffeine and drinking about six glasses of water daily promotes healthy hair. 2010;30(8):1000–6. If doctors link the symptom with depression over losing one's hair, they may prescribe anti-depressants. 2001;29(5):417–424. July 1, 2005. "Women and Hair Loss: The Causes." Trichodynia (Scalp Dysesthesia), Current Perspectives on Less-known Aspects of Headache, Hande Turker, IntechOpen, DOI: 10.5772/67792. If the patient reports headache or temporal pain by palpation, tension headaches or temporal arteritis should be evaluated first. The pain occurs with no pathological findings, and is usually considered a type of somatoform disorder 4). It is important that from time to time, the hair remains free and natural. Well yes, it is probably a rather unknown pathology, but at the same time it can affect many people. There is no one way to treat trichodynia; doctors take a very individualistic approach. They proliferate at a temperature ranging between 4°C and 30°C. This parasite can only be observed with a (good) microscope. Müge Güler Özden (April 12th 2017). Kanti V, Messenger A, Dobos G, Reygagne P, Finner A, Blumeyer A, et al. Sensory tests revealed that trichodynia patients were significantly more sensitive to touch and to pressure pain and exhibited cranial mechanical hyperesthesia and cranial hyperalgesia [25]. However, evidence level is very low to confirm this nutritional hypothesis for trichodynia patients 25). In addition, the situation could be aggravated when combing through the use of a brush. Evidence-based (S3) guideline for the treatment of androgenetic alopecia in women and in men. "Hair Pain (Trichodynia): Frequency and Relationship to Hair Loss and Patient Gender." Its propagation occurs by fission. (Sept. 22, 2009)http://books.google.com/books?id=_FtwkHHXf8oC&printsec=frontcover&source=gbs_navlinks_s#v=onepage&q=&f=false. To treat burning scalp syndrome and hair loss, patients should seek medical advice from a trained dermatologist or a doctor specializing in this disorder. 2003;42:691–3. Informa Health Care. Nutritional deficiencies have been reported in other cutaneous dysesthesia syndromes. Int J Trichology. It is the "substance P". Are chicken pox and shingles the same thing? 1994;71:134–40. J Cell Physiol. Perifollicular SP is also involved in the regulation of hair growth [9]. (Sept. 22, 2009)http://www.webmd.com/skin-problems-and-treatments/hair-loss/effluviums, "Miss Virginia 2008 cuts her hair off to help children with cancer." You consent to our cookies if you continue to use our website. 2018;34:88–94. Scalp dysesthesia also called trichodynia or cutaneous dysesthesia syndrome, is characterized by abnormal cutaneous sensations such as burning, stinging, itching (pruritus) or even … Your email address will not be published. Tips and remedies, What colors and designs to choose for winter nails, The favorites of November: between skincare, haircare and face and eyes. In some cases, this pathology is caused by a "constriction" of the erector muscles of the hair, which during the day are pressed by the hair. It has been found that 76% of the people who had trichodynia had psychopathic signs versus 20% in the control group, supporting this idea. Often, in fact, it happens that following the manifestation of this pathology, they begin to lose their hair, thus arriving at a real hair loss. Dermatology. Cannabinoids, for example, have been demonstrated to inhibit SP [21]. Springer. What are the complications of a hair disorder? Swimming, cycling are few examples. Ways to Treat Burning Scalp Syndrome. 2003. Uncombable Hair Syndrome—It’s a Real Thing. Trichodina is a single-celled flagellate which frequently parasitizes pond fish, like koi and goldfish. Durham PL, Cady R, Cady R. Regulation of calcitonin gene-related peptide secretion from trigeminal nerve cells by botulinum toxin type A: Implications for migraine therapy. Willimann B, Trüeb RM. Bienenfeld A, Azarchi S, Lo Sicco K, Marchbein S, Shapiro J, Nagler AR. Trichodynia treatment. Both such studies and clinical observations have led to the idea that the diffuse alopecia or telogen effluvium and trichodynia are related. So, gentle scalp maintenance may provide some relief. Another explanation may be an underlying psychiatric disorder. Help us write another book on this subject and reach those readers. Brief introduction to this section that descibes Open Access especially from an IntechOpen perspective, Want to get in touch? An old acronym may help us to remember them. The most accepted hypotheses are increased expression of the neuropeptide substance P, underlying psychiatric disorders, nutritional deficiencies, and perifollicular inflammation 14). Does the Mini Pill Increase the Risk of Heart Attack In Women. In some cases, a real degenerative symptomatology may occur. In a recent survey, Grimalt et al. "Telogen Effluvium and Other Effluviums." These nerve fibers contain neuropeptides including substance P and calcitonin gene-related peptide (CGRP).