Scalp Care and Treatment for Psoriasis

Scalp psoriasis can be extremely uncomfortable, not only causing itching and discomfort, but also affecting self-confidence.

Since the skin in this case is inflamed and renews itself too quickly, it requires very special, gentle care.

A guide to how to properly care for your scalp to relieve symptoms and prevent worsening.

Proper washing and choosing a shampoo

Scalp psoriasis is not just about cleaning your hair, it’s about treating your skin.

• Therapeutic shampoos: Use products that contain salicylic acid (to soften scales), urea, ichthyol, or coal tar. These help reduce inflammation and remove dead skin.
• Gentleness is key: Never rub the shampoo in with your nails. Use your fingertips and gentle circular motions.
• Leave it on: Most medicated shampoos take 5 to 10 minutes for the active ingredients to penetrate the scales to the skin.
• Alternate use: If you use a strong medicated shampoo, combine it with a very mild, pH-neutral shampoo for daily use to avoid drying out the skin too much.

Removing scales (Keratolysis)

Application of medications (e.g. corticosteroids) will not be effective if they cannot reach the skin due to thick layers of scales.

• Oil wraps: Before washing your hair, apply oil (olive, almond or special oil with salicylic acid) to the scalp. Cover your head with a shower cap or towel and leave it on for at least 30 minutes or overnight. The scales will soften and come off more easily.
• No scratching: Never forcefully remove scales or use your nails, as this can damage the skin (new psoriasis will form at the site of the damage).

After-wash care and drying

• Cooler air: If you use a hair dryer, use a lukewarm setting. Hot air dries out the scalp further and promotes itching.
• Gentle brushing: Use soft-bristled brushes or wide-toothed combs. Be careful not to scratch your scalp.

Additional tips to help ease the problem

• Short nails: Keep your nails short to avoid accidental damage while sleeping if your scalp is itchy.
• Avoid coloring during flare-ups: Chemicals in hair dyes can be very irritating to inflamed skin. If you dye your hair, choose natural colors and test on a small area of ​​your skin first.
• Humidify: Use a humidifier in the winter when the air in your home is dry, as dry air can worsen skin conditions.

Key ingredients in products

Ingredient                   Action

Salicylic acid             Dissolves scales and makes them easier to remove.

Urea                            Intensely moisturizes and softens hard skin.

Coal tar                      Slows down the rapid growth of skin cells and reduces itching.

Corticosteroids (Prescription)      Quickly reduce inflammation and redness.

If you notice hair loss, severe pus, or if the psoriasis spreads to the face, consult a dermatologist immediately for specific topical or systemic therapy.