Treating Scalp Psoriasis.

In the previous post on scalp psoriasis, we discussed what is scalp psoriasis, its causes, symptoms, impact and showed a few pictures of scalp psoriasis.

Here we shall discuss what are the various treatment options. As mentioned in psoriasis, there is no permanent cure for psoriasis. Scalp psoriasis may clear on its own or may require treatment. Cure consists of controlling the symptoms and giving symptomatic relief to the patient.

Treatment of scalp psoriasis differs from person to person and depends on the following factors.

  • Severity of the disease. Treatment for mild and severe forms vary.
  • Response of the disease to a particular line of treatment. If a particular treatment does not give results, it may be necessary to combine it with another therapy or change the medicine itself.
  • Whether there is accompanying psoriasis elsewhere on the body.
  • Amount of hair loss.

The medications used for treating psoriasis are the same as that for scalp psoriasis. But instead of creams, ointments and lotions used in treating skin psoriasis, -shampoos, foams or oils are used to treat scalp psoriasis. In order that the topical medications applied penetrate the skin, it is necessary first to remove the scalp psoriasis scales. For that it is necessary to soften the scales first.

Topical Treatment for Scalp Psoriasis.

  • Apply gels on the scalp which contain keratolytic agents such as salicylic acid, urea, lactic acid or phenol. These agents act as good scale softeners. This has to be done by parting the hair and gently rubbing on to the affected area. Keep it for a few minutes. Over the counter products contain 1% to 3% of salicylic acid and should be used. Higher concentration can irritate the skin. Salicylic acid can weaken the hair shaft causing it to break. Hair returns back to normal after stopping the treatment.
  • Gently comb your hair with a soft brush or a fine toothed comb. Take care not to aggravate the scalp when combing.
  • Shampoo your hair with a shampoo containing salicylic acid and rinse it.
  • Apply emollients while the hair is still damp. Emollients are softeners which soften the skin of the scalp and help to treat dry skin. They could be in the form petroleum jelly or thick creams, lotions or ointments. They should be applied by  parting your hair and gently rubbing onto the scalp. They should be applied once a day and the scalp should preferably be covered with a plastic shower cap for better effect.

To Control Itching of Scalp Psoriasis.

  • Shower with cold water.
  • Do not use a hot air hair drier to dry your hair.
  • After shampooing your hair, use a hair conditioner. Best shampoo to control itching are those which contain menthol or topical steroids or antihistaminics.

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