Trichodynia is deined as a painful sensation in the skin of the scalp or the hair without an underlying cutaneous disease. The term "trichodynia" (cutaneous dysesthesia syndrome) has also been proposed for discomfort, pain, burning, or stinging of the scalp related to difuse alopecia. Probably, the difuse alopecia or telogen eluvium and trichodynia are related. The underlying mechanisms creating the pain are not clear, though it has been proposed that it is probably multi-etiological. The most accepted hypotheses are increased expression of the neuropeptide substance P, underlying psychiatric disorders, nutritional deiciencies, and perifollicular inlammation. Although dealing with trichodynia can be distressing and literature support is weak, there are a number of treatments available.