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CONDITION · Germany

Traction alopecia, Germany

Hair loss caused by hairstyles that pull on the roots.

  • Assessed by an EU-licensed doctor
  • Oral, topical or compounded treatment
  • Full refund if not approved
Explore Hair growth

What is it?

Traction alopecia is a type of hair loss caused by repeated mechanical tension on the hair follicles. It is typically caused by hairstyles that pull the hair from the root, such as tight ponytails, braids, dreadlocks or extensions.

Prolonged traction can inflame the follicle and, if not corrected in time, lead to permanent damage. The doctor assesses the degree of involvement and recommends the steps to take to prevent progression.

Treatments a doctor considers

Ongoing treatment plan

For ongoing treatment and doctor-reviewed renewals.

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One-off consultation

One consultation, one doctor, one decision.

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Licensed EU doctors

Every case read by a registered doctor.

Reply in under 2 hours

On average, in writing, no video call.

Pay only if approved

Not approved? Refunded in full, automatically.

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4.8 from 540+ independent reviews.

Valid across the EU

E-prescription accepted at EU pharmacies.

FAQs

About traction alopecia

Hair growth4 questions
Does Hi-Doctor treat Traction alopecia directly?
Traction alopecia falls within hair growth, but it isn't always the primary indication of our treatments. The doctor reviews your case and tells you clearly whether Traction alopecia fits our current scope or whether you should be referred on.
An individualised medical review within hair growth, no algorithms. If your case is eligible, we propose a treatment plan with clinical evidence and EU authorisation. If it isn't, the doctor tells you and the consultation is refunded.
The doctor tells you during the consultation and points you to the most appropriate route. Hi-Doctor does not issue prescriptions outside the scenarios we can review safely via telemedicine.
Yes. Hi-Doctor runs 100% online across the EU, so from Germany you can fill in the questionnaire and receive the medical review without travelling. The electronic prescription issued by the licensed doctor is valid at any EU pharmacy under Directive 2011/24/EU; outside Spain the pharmacist dispenses the locally marketed equivalent of the same active ingredient.

Keep the hair you've got

Answer a few simple questions and a doctor reviews your case in under 2 hours on average.

Explore Hair growthNo charge unless a doctor approves your treatment.
All content on this page has been medically reviewed by: Dr. Alejandro Infante, General medicine, on 27 July 2026. Registration: 080869277 View profile

Pay nothing if a doctor doesn't approve your treatment. Every consultation is fully refundable. How refunds work

More about your care
Read the full condition information

Traction alopecia is mechanical. The first step is usually changing the hair habit; the doctor helps decide whether anything further is needed.

HOW COMMON IT IS

One of the most preventable causes of hair loss, especially common in populations that regularly use tension-based hairstyles.

CAUSES

  • Hairstyles with prolonged tension (ponytails, braids, dreadlocks)
  • Use of extensions or hairpieces
  • Clips or pins that exert local pressure
  • Repeated pulling during styling or brushing

TREATMENT APPROACHES

  • Removal of the source of mechanical traction
  • Topical corticosteroids if there is inflammation
  • Growth stimulation with minoxidil
  • Scalp physiotherapy and massage
  • Long-term change in hairstyling habits

WHEN TO SEE A DOCTOR

If you notice areas of hair loss in the areas of greatest tension or if changing habits is not enough, the doctor assesses whether there is permanent damage and what options are available.

Through the pattern of loss, how long it has been progressing, family history and current medication. In some cases we ask for scalp photos. The doctor proposes a tailored treatment plan and adjusts it to your tolerance.
The private electronic prescription (Receta Médica Privada Electrónica) is issued by a licensed doctor in Spain. It is a PDF carrying every field required by EU Directive 2011/24/EU (patient, prescriber with country of registration, active ingredient, dose), which makes it legally recognised across all 27 EU member states. In Spanish pharmacies it is dispensed from the QR; outside Spain, the pharmacist dispenses the locally marketed equivalent of the same active ingredient.

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