I am able to treat a wide range of conditions such as:
Patches of hairloss that occur throughout the head. It can affect facial hair(beards) in men, eyelashes and body hair in both sexes. The last is very rare and is called alopecia universalis (universal loss of hair). Although rare the patches can join up and cause alopecia totalis(total loss of scalp hair). About 2% of the population suffer with this but fortunately about 98% recover from this. With more extensive hairloss the percentage is less but still a good chance of growing back. The most common age is between 20-50 although children suffer from it too.
The main diagnostic feature is the presence of 'exclamation mark hairs' mostly near the margins of the patches. The number of these hairs depicts the conditions's activity. The cause of this condition is largely unknown however it is largely associated with stress factors sometimes triggered by a shock an accident or bereavement. There can also be a predisposition genetically. It is known as an auto-immune problem and can be more common in those that suffer with eczema, hayfever and thyroid problems.
Treatment is aimed at stimulating the denuded patches with various substances.Cortisone and other steroids are sometimes used, mainly topical. Ultra violet to inflame the scalp like sunburn has also been successful. This condition can also miraculously clear up on its own with no help whatsoever!
Frontal Fibrosing Alopecia is a condition which is most commonly seen after the menopause in women.
This is a Cicatricial Alopecia and as it’s name suggests is a scarring alopecia which starts at the hairline and in some cases can spread to the centre and back.
At present there is no successful treatment for where scarring has already occurred.Topical applications however may help to prevent and arrest the condition from getting any worse.Topical treatments are most effective in halting the spread of this condition and are highly successful.
Although there is no cure at present for Male Pattern Alopecia there is quite a lot of treatments that can slow the process down.
This is done by controlling the effect the androgens have on hair follicles.This can be done internally by taking a prescription of Propecia ( Finesteride) that aims to slow down and encourage growth where it is still present.External treatments (topical) like Minoxidil and Anti-androgens can in some cases improve the thickness of the hair.
Tight scales in patches anywhere on the scalp which build up on themselves and cause hard patches with matted hair at the roots. It often causes hairloss which thankfully is mostly reversible.It is not difficult to cure when correctly treated like psoriasis and a differential diagnosis is made. The most common age when it seems to occur is between 35-50 years old.
Androgenic hair thinning is related to the androgens (male hormones) and is genetically determined. Both men and women have androgens however the levels are higher in men!Genetic hair thinning is not related to how high your male hormone is but to how sensitive your follicles are to them.
Even sub-normal amounts of androgens in women can cause hair thinning if they have high follicle sensitivity. Androgenic hair thinning causes a gradual reduction in the diameter of individual hairs caused by a number of factors. Most common is when the growing phase or cycle of the hair (anagen) becomes shorter and shorter and the hair grows back progressively finer.Hair thinning can occur on it’s own or alongside increased hair shedding.
Small patches of hairloss with indentations denuded of hair all over the scalp often described as like "Foot prints in the Snow". In most cases very little inflammation and it can remain dormant for years. This type of hairloss is classed as cicatrical alopecia (permanent hairloss). The cause is unknown but treatment with topical antibiotics does help.
In the case of scalp conditions home treatments are often advised as in such cases of inflammatory conditions such as Psoriasis and Eczema.
Although many patients do well from home treatments often those that do better benefit from physical treatment which includes massage therapy.
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