There are plenty of reasons why your scalp might be feeling tender in one specific area. From something as simple as wearing your hair too tight to underlying skin conditions, the cause of scalp tenderness can vary. Understanding what’s triggering that tender spot is the first step in finding some relief. 

Let’s take a look at a few of the more common causes.

1. Scalp Trauma

One common reason for a tender scalp in one spot could be an injury you might not even remember happening. Scalp trauma can come from something as simple as bumping your head, a small cut, or even a bruise that you didn’t notice right away. You might feel pain, see some bruising, or find a small cut in the area. If you’re asking yourself, “why is my scalp tender in one spot,” an old knock to the head could be the answer.

Treatment is pretty straightforward. Keep any cuts or wounds clean and dry to avoid infection. If there’s a bruise, you can try using an anti-bruising cream to help speed up the healing process. Most importantly, be gentle with that area until it feels better.

2. Friction or Pressure from Headgear

Wearing tight hats, helmets, or any kind of headgear for long periods can be a sneaky cause of scalp tenderness. The constant friction or pressure from these items can irritate your scalp, leading to redness, irritation, and even the occasional blister. If you’ve been wearing something snug on your head and notice a tender spot, this could be the culprit.

To help relieve the discomfort, it’s best to take a break from the headgear until the area heals. A cool compress can also help reduce any irritation or swelling. In the meantime, be gentle with your scalp and avoid anything that might put pressure on the tender spot.

3. Sunburn on the Scalp

It’s easy to forget that our scalp can get sunburned just like the rest of our skin—especially in exposed areas or if you’re balding. A tender scalp in one spot could be a result of too much time in the sun without protection. Common symptoms include redness, peeling, and that uncomfortable soreness that comes with sunburn.

To prevent this, use sunscreen specifically made for your scalp or wear a protective hat when you’re out in the sun for extended periods. If you do get burned, keep the area moisturised and soothe the pain with aloe vera or cool compresses until it heals.

4. Common Scalp Problems (Psoriasis, Folliculitis, etc.)

Certain scalp conditions like psoriasis, folliculitis, and eczema can also be the cause of a tender spot. Scalp psoriasis often leads to dry, scaly patches that are sore to the touch. Folliculitis is an inflammation of the hair follicles that can cause painful bumps. Eczema can result in itchy, irritated areas on the scalp.

Treatment varies based on the condition but generally includes moisturising creams to soothe dryness, anti-inflammatory medications for flare-ups, and keeping your scalp clean and hydrated. If the tenderness persists, it’s best to consult a dermatologist for a personalised treatment plan.

5. Traction Alopecia

Tight hairstyles like ponytails, braids, or even constant use of hair extensions can lead to a condition called traction alopecia. This happens when the tension from the hairstyle causes hair to thin or fall out, particularly around the temples or hairline. Along with hair loss, you might notice tenderness in those areas, along with white bumps near the roots.

The best way to prevent further damage is to give your hair a break. Avoid tight hairstyles and let your scalp rest. Opt for looser styles that don’t pull on your hair, and in severe cases, you might want to speak with a specialist about treatment options.

6. Trichotillomania

Trichotillomania is an impulse control disorder that leads to repetitive hair pulling, often causing localised scalp tenderness in the areas where hair is frequently pulled. This can result in redness, tender patches, and small bumps where the hair has been repeatedly yanked out. It can be difficult to manage on your own, as the urge to pull hair can be very strong.

Treatment typically involves therapy, particularly cognitive-behavioural therapy (CBT), which helps manage the underlying impulse. Mindfulness techniques can also be helpful in recognising triggers and reducing the urge to pull hair. Working with a mental health professional is key to addressing this condition.

7. Migraines and Scalp Tenderness

Migraines don’t just cause headaches—they can also make your scalp feel tender, even though there are no visible symptoms. This tenderness often starts during a migraine and can stick around for days afterward, leaving your scalp feeling sensitive to the touch.

If you notice that your scalp feels sore during or after a migraine, it’s worth mentioning it to a neurologist. Proper migraine treatment, including medications or lifestyle adjustments, may help reduce both the headaches and the associated scalp tenderness.