Traction alopecia is a form of gradual hair loss (or alopecia ) caused primarily by repeated pulling force being applied to the hair or chronic traction which can be said as mechanical damage to hair resulting permanent hair loss. Traction alopecia appears in form of recession of the hairline which enlarges gradually. This condition appears commonly in people who frequently wear their hair in a particular direction, wear tight ponytail, pigtails or braids.
Sikh people who follow five terms (five religious disciplines) keep uncut hair at head and beard (one of the term). As the time passes the length of hair of head as well as beard becomes long and requires tying. With head hair is tight under the turban and beard is ponytailed, twisted and tightly tied knot beneath of chin. Due to tight wearing of turban for long period’s traction alopecia transpire.
People worn hair weaves either to cover hair loss, or for cosmetic reasons to enhance their looks. Hair weaves are one of the main causes of traction alopecia. For supporting the hair weaves on scalp a braid is created on head below the receding hair line, to which an extended-wear hairpiece, or wig, is attached. At the place of braid hair loss occurs, resulting in traction alopecia. Keeping same hair style for a longer period of time also causes it.
Certain hair styles or braiding patterns that pull the hairline forcefully towards the vertex of the scalp, (as some wear their hair tightly pulled back) causes scarring and hair loss. Cultural obligations also results in gradual hair loss like in case female ballerinas where the hair is voluntarily not cut in religious obeisance, causes progressively increasing weight of the hair itself and traction alopecia. Traction alopecia is mechanical in cause, rather than androgenic, and treatment is typically not pharmaceutical.