Scalp psoriasis is a chronic condition or skin problem characterized by the formation or presence of red, scaly, and itchy patches on the scalp skin. Scalp psoriasis is often considered a sub-type of psoriasis, a system auto-immune disease that affects the skin and damages it. However, it is not a life-threatening skin disease, and various scalp psoriasis treatments are available to patients. 

Scalp psoriasis can cause severe discomfort, itchiness, and self-consciousness. Treating scalp psoriasis can be challenging due to its chronic nature and the unique characteristics of the scalp. But, with the right approach and treatment one can get relief from this skin problem and improve their quality of life.

Scalp Psoriasis and Its Symptoms

Scalp psoriasis is a chronic and severe inflammatory skin condition that mostly affects the scalp or back of the neck area. It is assessed that scalp psoriasis affects approximately 50% of individuals with psoriasis, making it a common manifestation of the disease. The prevalence of scalp psoriasis varies, with studies reporting rates ranging from 50% to 80% among psoriasis patients.

Symptoms –

Common symptoms of scalp psoriasis include –

  • Redness on the scalp
  • Scaly patches on the scalp
  • Itching and Burning
  • Tenderness and Irritation
  • Affect on the forehead, neck, and ears
  • Dandruff-like flakes on the scalp

Triggers and Causes of Scalp Psoriasis

The definite cause of scalp psoriasis is still unknown. However, various research suggests that it is a multifactorial condition and can be influenced by several factors, including the immune system, genetics, psychological factors, and environmental factors.

  1. In our body and skin care, genetics play an important role. These genetics can be a trigger or cause of scalp psoriasis issues. Various studies have shown that a person with a family history of psoriasis has a higher chance of developing scalp psoriasis condition compared to those who do not have it.
  2. Some other specific gene issues associated with immune system regulation and skin cell turnover have been identified as strong or potential contributors to the development of scalp psoriasis.
  3. An abnormal immune system response is believed to be a key factor in scalp psoriasis. In individuals with psoriasis, the immune system mistakenly attacks healthy skin cells, leading to rapid skin cell turnover and the characteristic symptoms of psoriasis, including scalp involvement.
  4. Various environmental stressors or triggers, such as scalp infections, scalp injuries, medications, chemical-based shampoos, etc., can also exacerbate symptoms of scalp psoriasis. In addition, stress and emotional factors have also been linked to the worsening of psoriasis flare-ups.

Scalp Psoriasis Treatment Options

If you think you have scalp psoriasis, it is necessary to seek medical advice from a dermatologist for an accurate and appropriate skin treatment. A dermatologist or healthcare professional experienced in treating psoriasis can evaluate your symptoms and provide a comprehensive assessment.

The treatment of scalp psoriasis typically involves a physical examination and a thorough medical history review. The healthcare professional will examine your scalp for the characteristic red, scaly patches and inquire about your symptoms and duration.

Conventional Scalp Psoriasis Treatment Options For You

Several treatment options are available for scalp psoriasis, ranging from topical medications to systemic therapies. The choice of treatment depends on the severity of the condition and individual factors.

1- Topical medications are commonly used as a first-line treatment for mild to moderate scalp psoriasis.

  • Corticosteroids, such as betamethasone and clobetasol, are often prescribed to reduce inflammation and alleviate symptoms. 
  • Anthralin, a medication that slows skin cell growth, can also be applied to the scalp.

2- Topical calcineurin inhibitors, such as tacrolimus and pimecrolimus, are another option for managing scalp psoriasis. These medications work by suppressing the immune response and reducing inflammation.

3- Coal tar treatments have been used for years to diagnose psoriasis, including scalp involvement. They help alleviate symptoms and reduce the rapid turnover of skin cells. Scalp shampoos and cleansers containing ingredients like salicylic acid, selenium sulfide, and zinc pyrithione can effectively remove scales and reduce itching.

4- Phototherapy, a treatment that uses ultraviolet light, is another option for scalp psoriasis. It can be delivered as narrowband ultraviolet B (NB-UVB) or psoralen plus ultraviolet A (PUVA) therapy. Phototherapy helps to slow down skin cell turnover and reduce inflammation.

Alternative and Complementary Treatments

In addition to conventional treatments, some individuals may seek alternative and complementary treatments for scalp psoriasis. While these scalp psoriasis treatments may not have strong scientific evidence to support their effectiveness, some people find them beneficial in managing their symptoms.

  • Natural remedies like aloe vera, tea tree oil, and apple cider vinegar are often used topically to soothe the scalp and reduce inflammation. 
  • Dead Sea salt baths, which involve bathing in water enriched with minerals from the Dead Sea, may also provide relief for some individuals.
  • Dietary modifications and supplements are sometimes recommended as adjunctive treatments for scalp psoriasis. Consuming a balanced diet rich in anti-inflammatory foods, such as fruits, vegetables, and omega-3 fatty acids, may help support overall skin health.
  • Acupuncture and acupressure, traditional Chinese medicine practices, have been explored as potential treatments for scalp psoriasis. While the evidence is limited, some individuals report improvements in their symptoms and overall well-being after receiving these treatments.
  • Stress reduction techniques like meditation, yoga, and mindfulness may help manage stress and improve scalp psoriasis symptoms. Stress reduction is important because stress can trigger or worsen flare-ups.

Lifestyle Modifications for Scalp Psoriasis

Certain lifestyle modifications can help individuals manage scalp psoriasis effectively. Paying attention to scalp care is crucial for maintaining scalp health and minimizing flare-ups.

Proper hair and scalp hygiene are essential. Gently shampooing and conditioning the hair, using mild products suitable for sensitive scalps, can help remove scales and reduce itchiness. Avoiding harsh chemicals and irritants, such as hair dyes and styling products containing alcohol, is also recommended.

Identifying and avoiding triggers exacerbating scalp psoriasis is another important aspect of scalp care. Common triggers include stress, certain medications, cold weather, and infections. Individuals can help prevent or reduce flare-ups by minimizing exposure to these triggers.

Managing stress and promoting relaxation is vital for overall well-being and scalp health. Engaging in activities that help reduce stress, such as exercise, meditation, or hobbies, can positively impact scalp psoriasis symptoms.

Preventing Recurrence and Maintaining Remission

Consistency in scalp psoriasis treatment and follow-up visits with a healthcare professional are crucial. Adhering to the prescribed treatment plan and attending appointments allow ongoing monitoring and adjustments if needed.

  1. Identifying and managing triggers leading to flare-ups is an important part of long-term management. By recognizing individual triggers, such as stress, infections, or specific environmental factors, individuals can take proactive steps to minimize their impact.
  2. Regular monitoring of the scalp and overall skin condition is important to catch any potential flare-ups early. Being aware of changes in symptoms or new patches allows for prompt intervention and prevents the condition from worsening.
  3. Relapse prevention techniques, such as stress management, lifestyle modifications, and consistent scalp care, are essential to remission. By incorporating these techniques into daily life, individuals can reduce the frequency and severity of flare-ups.

Can Psoriasis Cause Hair Loss?

Hair loss can be a distressing aspect of scalp psoriasis. However, it’s important to note that hair loss associated with scalp psoriasis is usually temporary, and regrowth can occur with effective treatment.

In managing hair loss, gentle hair care practices are key. Using mild shampoos and conditioners, avoiding excessive heat styling or harsh treatments, and being gentle while combing or brushing the hair can help prevent further damage or hair loss.

Choosing suitable hairstyles and techniques to conceal psoriasis patches can also give individuals confidence and comfort. Consultation with a hairstylist experienced in working with individuals with scalp conditions can guide styles that best suit individual needs and preferences.

Why Choose Cosalic Shampoo For Scalp Psoriasis Treatment?

Cosalic Shampoo by Salve is made by combining two ingredients, coal tar and salicylic acid. Coal Tar treats dandruff, dry scales, itchiness, and patchy skin. And Salicylic acid works wonder to reduce irritation and itching.

Coal Tar and Salicylic acid have been used for years to treat scalp psoriasis. Thus, by combining them, Cosalic may give an effective diagnosis of psoriasis. It gently cleanses the scalp and reduces dryness. Regularly using it can lower itchiness and irritation on the scalp.

Washing your hair with Cosalic Shampoo treats stubborn dandruff and scaly patches and improves the moisture content to avoid chances of recurrences. It promotes the shedding of dull and dry skin on the scalp by minimizing the abnormal build-up of skin cells.

Cosalic Shampoo is chemical-free, cruelty-free, Non-GMO, and alcohol-free. Thus, it will not damage your hair or scalp. If you are looking for an over-the-counter scalp psoriasis treatment, Cosalic can be your answer to it.

The Bottom Line

Scalp psoriasis is a chronic condition that can significantly impact an individual’s quality of life. While finding an effective treatment for scalp psoriasis can present challenges, various treatment options are available, ranging from topical medications to systemic therapies. Individuals with scalp psoriasis need medical advice for an accurate diagnosis and appropriate treatment plan.

In addition to conventional treatments, emerging approaches, such as targeted therapies, show promise in effectively managing scalp psoriasis. Alternative and complementary treatments, lifestyle modifications, and stress reduction techniques can complement conventional treatments and support overall well-being.

Managing flare-ups, addressing the emotional impact, preventing recurrence, and coping with hair loss are important aspects of scalp psoriasis management. Regular check-ups, ongoing monitoring, and open communication with healthcare professionals are key in maintaining control over the condition and preventing complications.

While scalp psoriasis can be challenging, individuals should remain hopeful and empowered to explore various treatment options. With the right treatment approach and support, finding an effective scalp psoriasis treatment that provides relief and improves the quality of life is possible.