Scalp Pain at the Hair Root

I am 28 years old. i started losing hair at the age of 22. 2 years before that on the top of my head red spots appeared and a diffuse pain in the roots of my hair(only on the upper area of the head). the quality of the hair on the top of my head changed noticeably. i went to a doctor, and he said it was the beginning of MPB. The pain is still here after 6 years. i tried a lot of different strategies to make it stop. the funny thing is that i still have my hair but the pain in the roots it’s still here too. when i scratch my head with my fingers the pain stops for some hours.

is it any possibility for this strange thing to happening due to bad blood circulation? Plus the skin on the top of my skull has become much harder. thanks in advance.

I do not know the source of your pain, but it does not seem related to the hair itself as you reported not losing any hair over the 6 years since being told you had early MPB. It may be a skin, scalp, or nerve problem.

There’s a large list of diseases that have scalp pain as a symptom, so I would get a second opinion from a doctor (perhaps a neurologist) that can examine your scalp to hopefully determine a cause.