HOW COLD WILL SCALP COOLING BE? IS IT PAINFUL?

Understanding the Temperature and Experience of Scalp Cooling

Scalp cooling therapy, also known as cold capping, offers individuals undergoing chemotherapy a way to preserve their hair. However, the process involves exposure to cold temperatures, leading many to wonder: How cold will it be and is it painful? While the experience varies from person to person, understanding what to expect can make the process more manageable and even empowering.

How Cold Are Scalp Cooling Caps?

As the name implies, scalp cooling caps are cold. The temperature of manual cold caps typically ranges from -15°C to -40°C (-5°F to -40°F), depending on the brand and type. Machine-operated caps are generally less cold, maintaining a constant temperature between -4°C and 0°C (25°F to 32°F). These temperatures are cold enough to constrict the blood vessels in the scalp, reducing the amount of chemotherapy drugs that reach the hair follicles.

Is Scalp Cooling Painful?

Individual pain thresholds play a significant role in how scalp cooling is experienced. Some people find the cold to be uncomfortable initially, while others adapt quickly. The first 10-15 minutes are often the most challenging, as the initial cold sensation can feel intense. However, as the scalp cools, the nerve endings numb, and most individuals report that the discomfort diminishes significantly.

The Manual Cap Experience

With manual caps, the first cap is generally the coldest. Once the scalp numbs, the remaining 10-25 minutes of wear often become tolerable or even comfortable. Activities such as chatting, snacking, walking around, or playing cards can help pass the time during treatment.

Manual caps need to be changed every 20-25 minutes throughout the chemotherapy session. This means the cold sensation resets a bit with each new cap, but as with the first cap, the initial discomfort subsides as the scalp further numbs.

The Machine Cap Experience

Machine caps operate differently. Patients begin with a room-temperature cap to ensure a snug fit. Once the scalp cooling machine is activated, the cap gradually cools to a set temperature and remains constant throughout the session. Machine caps are not as cold as manual caps, as the temperature doesn’t fluctuate or warm up during wear. For many, this consistency can feel more comfortable.

Tips for Comfort During Scalp Cooling

Scalp cooling requires commitment and a positive mindset, especially if preserving your hair is a priority. To enhance comfort during the process, consider the following tips:

  • Stay Warm: Bring an electric or other blanket, wear warm socks, and dress in layers.

  • Prepare Mentally: Remind yourself that the initial discomfort is temporary and manageable.

  • Distract Yourself: Engage in activities like reading, listening to music, or chatting with a companion.

  • Stay Hydrated: Drinking water can help you feel more comfortable overall.

Cold Therapy vs. Chemotherapy-Induced Sensations

It’s important to note that even without scalp cooling, chemotherapy treatments can make the body feel cold. This is because the saline solution infused into the bloodstream is typically at room temperature, which is cooler than body temperature. Infusion clinics often provide blankets, and patients are advised to dress warmly. Some chemotherapy drugs can also cause a sensation of warmth, making the cooling caps feel less intense by comparison.

Why Commitment Matters

Cold capping is not a passive process. It requires dedication to a personalized schedule and the willingness to endure some initial discomfort. However, for many patients, the benefits far outweigh the challenges. Maintaining your hair during chemotherapy can provide a sense of normalcy and boost self-esteem during a vulnerable time. With a high chance of success for those who follow their regimen, scalp cooling can be a life-changing option. Check out our founder’s testimonial: Liesel’s Story.

Key Points to Remember

  1. Cold but Bearable: Both manual and machine caps are cold, but the sensation diminishes as the scalp numbs.

  2. Preparation is Crucial: Dressing warmly and staying mentally prepared can enhance your comfort.

  3. Commitment Pays Off: Following your schedule with a positive mindset increases the likelihood of success.

Scalp cooling may not be for everyone, but for those committed to preserving their hair, it offers hope and a sense of control during chemotherapy treatment.


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How Long Will the Cold Caps Be on My Head During Scalp Cooling Treatment?