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A smiling woman in a bright space is wearing a large sun hat with a ribbon blowing in the wind as psoriasis flakes rest on her shoulder

Mastering Scalp Psoriasis: Effective Treatments and Comfy Cover-Up Tips

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By JoniK

3 min read

Living with psoriasis for 25 years has been a challenging yet educational journey. One particularly difficult aspect of this journey that many of us with psoriasis face is the presence of scalp psoriasis. The struggle with red, itchy, and flaky scalp can be distressing, affecting not just our physical appearance but also our emotional well-being. Through the years, I’ve gained insights and experience to share to help manage and cover up scalp psoriasis with comfort and confidence.

Where exactly is scalp psoriasis?

Scalp psoriasis is a common manifestation of psoriasis, characterized by red patches, silvery scales, and itching. Like the name states, it is on your scalp, but it can also extend beyond the hairline, affecting the forehead, neck, and even the ears.

Treatment strategies

Over the years, I've tried various treatment options, and finding what works best for you might involve some trial and error. There are prescription treatments options like biologics, topicals, or oral medications that can treat overall psoriasis, including scalp psoriasis.

Here are some treatment strategies that have provided quick relief for my scalp psoriasis:

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  1. Medicated shampoos. I have incorporated medicated shampoos containing coal tar, salicylic acid, or ketoconazole into my routine. These can help reduce inflammation and control scaling. I use them consistently for optimal results. Consult with your dermatologist to determine the most suitable option for your specific diagnosis.
  2. Moisturizing. Keeping my scalp moisturized helps alleviate dryness and itching. Non-greasy, fragrance-free moisturizers can provide relief without making your hair appear oily. Scalp oils containing tea tree oil or rosemary can help ease itching and lessen flakes.
    • Pro Tip! Reminder not to apply essential oils directly to your skin, ensure they are mixed with a carrier oil.
  3. I combine equal parts apple cider vinegar and water in a spray bottle and apply to my scalp, but you can also try layering on a scalp oil or coconut oil for extra hydration. I leave in for 20 minutes to 2 hours, then wash out the mixture.
    • Pro Tip! If you have open wounds or bloody plaques, do not apply this mixture because it will burn!

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There are other lifestyle ideas and changes that you can make that can help reduce symptoms and balance psoriasis flares.

  1. Avoid triggers. Identify and avoid the triggers that exacerbate your scalp psoriasis. Stress, certain foods, and environmental factors can play a role in flare-ups, and you can track what helps and makes things worse. It can be as simple as a note on your phone, or just with pen and paper. Establishing a healthy lifestyle and stress-management routine can contribute to long-term management.
  2. Choose sulfate-free and fragrance-free products to minimize irritation. On your scalp, practice mindful hair care by being gentle and using a wide tooth comb to detangle.

Covering up my psoriasis comfortably

While effective treatment is crucial for comfort, sometimes covering up or hiding my scalp psoriasis is equally important for boosting confidence and maintaining a positive self-image. Here are some tips for concealing scalp psoriasis comfortably:

  1. Stylish headwear. Wear stylish hats, scarves, headbands, or head wraps that complement your wardrobe. These accessories not only add a fashionable touch but also provide coverage and protection from the elements. Consider materials that aren’t too heavy or itchy, and the placement of where seams and edges fall to ensure that friction of the headwear doesn’t further irritate a flare.
  2. Strategic hairstyles. Work with your hairstylist to find a haircut that minimizes the visibility of psoriasis patches. Longer hair or styles that allow for layering can help conceal affected areas. If you’re comfortable with a bolder move, cutting your hair or shaving your head can make it easier to treat scalp plaques.
  3. Wear lighter colored tops. Flakes will fall from your scalp onto shoulders and is more noticeable against darker colors. Or consider scarves or vests to cover just shoulders to avoid the appearance of flakes.
  4. Own your style. Embrace your unique style and don't let scalp psoriasis define you. When you feel good about yourself, others will notice your self-assured demeanor.

Living with scalp psoriasis for 25 years has taught me that managing this condition is acontinuous journey of self-discovery and adaptation. Through effective treatment strategies and comfortable coverage techniques, it's possible to navigate life with confidence and in comfort. Remember, you are not alone in this journey, and there is a supportive psoriasis community ready to share experiences and insights!

This article represents the opinions, thoughts, and experiences of the author; none of this content has been paid for by any advertiser. The PlaquePsoriasis.com team does not recommend or endorse any products or treatments discussed herein. Learn more about how we maintain editorial integrity here.

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