Treatment of damage

Split ends

Split ends, known formally as trichoptilosis, happen when the protective cuticle has been stripped away from the ends of hair fibers.

This condition involves a longitudinal splitting of the hair fiber. Any chemical or physical trauma, such as heat, that weathers the hair may eventually lead to split ends. Typically, the damaged hair fiber splits into two or three strands and the split may be two to three centimeters in length. Split ends are most often observed in long hair but also occur in short hair that is not in good condition.

As hair grows, the natural protective oils of the scalp can fail to reach the ends of the hair. The ends are considered old once they reach about 10 centimeters since they have had long exposure to the sun, gone through many shampoos and may have been overheated by hair dryers and hot irons. This all results in dry, brittle ends which are prone to splitting. Infrequent trims and lack of hydrating treatments can intensify this condition.

Breakage and other damage

Hair can be damaged by chemical exposure, prolonged or repeated heat exposure (as through the use of heat styling tools), and by perming and straightening. Oil is harmful for rough hair and for dry scalp as it decreases nourishment for hair leading to split and hair fall. When hair behaves in an unusual way, or a scalp skin disorder arises, it is often necessary to visit not only a qualified physician, but sometimes a dermatologist, or a trichologist. Conditions that require this type of professional help include, but are not limited to, forms of alopecia, hair pulling/picking, hair that sticks straight out, black dots on the hair, and rashes or burns resulting from chemical processes. Gel provides a shiny look but dries the hair and makes it rough.

There are a number of disorders that are particular to the scalp. Symptoms may include:

• Abnormal odor
• Bleeding
• Bumps
• Caking skin buildup that appears white or another color than one's natural skin tone
• Chafes
• Clumps of hair falling out
• Clumpy flakes that do not easily slough off the scalp skin
• Dandruff and clumps
• Dry hair & scalp
• Excessive itchiness that doesn't go away with a few hair wash, redness of scalp skin
• Patches of thinning
• Pus-like drainage
• Shedding

Any of these symptoms may indicate a need for professional assistance from a dermatologist or trichologist for diagnosis.

Scalp skin can suffer from infestations of mites, lice, infections of the follicles or fungus. There could be allergic reactions to ingredients in chemical preparations applied to the hair, even ingredients from shampoo or conditioners. Common concerns surrounding dandruff (often associated with excessive sebum); psoriasis, eczema, or seborrheic dermatitis.

An odor that persists for a few weeks despite regular hair washing may be an indication of a health problem on the scalp skin.

Not all flakes are dandruff. For example, some can merely be product buildup on the scalp skin. This could result from the common practice of applying conditioner to scalp skin without washing. This would dry upon the scalp skin and flake off, appearing like dandruff and even causing itchiness, but have no health effects whatsoever.

There are various reasons for hair loss, most commonly hormonal issues. Fluctuations in hormones will often show in the hair. Not all hair loss is related to what is known as male pattern baldness, women can suffer from baldness just as men do. Formulas for addressing this specific cause of lack of hair growth yet typically they require around three months of consistent use for results to begin to appear. Cessation may also mean that gained growth may dissipate.

Particularly among women, thyroid disease is one of the more under-diagnosed health concerns. Hair falling out in clumps is one symptom of a set of symptoms that may indicate a thyroid concern. In many gynecological exams a blood screen for thyroid is now a common protocol. Thyroid often shows up first in the behavior of the hair.

During pregnancy and breast feeding, the normal and natural shedding process is typically suspended (starting around month three because it takes a while for the body to recognize and reset for the hormonal shifts the body goes through) for the period of gestation and extended longer if one breast feeds (this includes pumping for breast milk). Upon cessation of either of these, it typically takes around two months for the hormones to shift again to the normal hormonal settings, and hair shedding can increase exponentially, for approximately 3–6 months until hair returns to its normal volume. It is commonly noticed that hair seems thicker and shinier, even, during pregnancy and breast feeding in response to the influx of shifting hormones. It is not unusual also for hair color to change, or hair structure to change (e.g., straighter hair, curlier hair). These changes can occur more often than people may realize yet isn't often reported.

General hair loss

Some choose to shave their hair off entirely, while others may have an illness (such as a form of cancer—note that not every form of cancer or cancer treatment necessarily means one will lose their hair) that caused hair loss or led to a decision to shave the head.

Hair care and nutrition

Genetics and health are factors in healthy hair. Proper nutrition is important for hair health. The living part of hair is under the scalp skin where the hair root is housed in the hair follicle. The entire follicle and root are fed by a supply of arteries, and blood carries nutrients to the follicle/root. Any time an individual has any kind of health concern from stress, trauma, medications of various sorts, chronic medical conditions or medical conditions that come and then wane, heavy metals in waters and food, smoking etc. these and more can affect the hair, its growth, and its appearance.

Generally, eating a full diet that contains protein, fruits, vegetables, fat, and carbohydrates is important (several vitamins and minerals require fat in order to be delivered or absorbed by the body). Any deficiency will typically show first in the hair. A mild case of anemia can cause shedding and hair loss. Among others, the B group of vitamins are the most important for healthy hair, especially biotin. B₅ (pantothenic acid) gives hair flexibility, strength and shine and helps prevent hair loss and graying. B6 helps prevent dandruff and can be found in cereals, egg yolk and liver. Vitamin B₁₂ helps prevent the loss of hair and can be found in fish, eggs, chicken and milk.

When the body is under strain, it reprioritizes its processes. For example, the vital organs will be attended to first, meaning that healthy, oxygenated blood may not feed into the hair follicle, resulting in less healthy hair or a decline in growth rate. While not all hair growth issues stem from malnutrition, it is a valuable symptom in diagnosis.

Scalp hair grows, on average, at a rate of about 1.25 centimeters per month, and shampoos or vitamins have not been shown to noticeably change this rate. Hair growth rate also depends upon what phase in the cycle of hair growth one is actually in; there are three phases. The speed of hair growth varies based upon genetics, gender, age, hormones, and may be reduced by nutrient deficiency (i.e., anorexia, anemia, zinc deficiency) and hormonal fluctuations (i.e., menopause, polycystic ovaries, thyroid disease).

The essential omega-3 fatty acids, protein, vitamin B₁₂, and iron, found in fish sources, prevent a dry scalp and dull hair color. Dark green vegetables contain high amounts of vitamins A and C, which help with production of sebum and provide a natural hair conditioner. Legumes provide protein to promote hair growth and also contain iron, zinc, and biotin. Biotin functions to activate certain enzymes that aid in metabolism of carbon dioxide as well as protein, fats, and carbohydrates. A deficiency in biotin intake can cause brittle hair and can lead to hair loss. In order to avoid a deficiency, individuals can find sources of biotin in cereal-grain products, liver, egg yolk, soy flour, and yeast. Nuts contain high sources of selenium and therefore are important for a healthy scalp. Alpha-linolenic acid and zinc are also found in some nuts and help condition the hair and prevent hair shedding that can be caused by a lack of zinc. Protein deficiencies or low-quality protein can produce weak and brittle hair, and can eventually result in loss of hair color. Dairy products are good sources of calcium, a key component for hair growth. A balanced diet is extremely necessary for a healthy scalp and furthermore healthy hair.