Managing scalp psoriasis requires not only following an effective treatment plan but also making daily lifestyle adjustments to avoid triggers that can worsen the condition. Psoriasis is a chronic autoimmune disease, and while flare-ups can vary from person to person, certain habits, products, and environmental factors are common triggers. In this guide, we’ll explore what scalp psoriasis patients should avoid to help reduce symptoms and improve quality of life.
1. Avoid Scratching
Why:
One of the most challenging aspects of scalp psoriasis is the persistent itching. However, scratching can irritate the skin, leading to infections, bleeding, and even temporary hair loss. Scratching can also worsen the plaques on your scalp, leading to flare-ups. What to Do Instead:
Keep your nails trimmed and consider wearing gloves at night if itching tends to bother you while sleeping. Use a cold compress or an anti-itch topical treatment recommended by your dermatologist to reduce irritation.
2. Avoid Harsh Hair Products
Why:
Many commercial shampoos, conditioners, and styling products contain harsh chemicals like alcohol, fragrances, or sulfates that can dry out the scalp and exacerbate psoriasis symptoms. These ingredients strip the scalp of its natural oils, making it more prone to flaking and irritation. What to Do Instead:
Use gentle, fragrance-free or medicated shampoos specifically designed for sensitive scalps or scalp psoriasis. Look for shampoos containing coal tar, salicylic acid, or zinc pyrithione, which can help manage scaling and inflammation.
3. Avoid Hot Water
Why:
Hot water can strip the scalp of its natural oils and dry out the skin, leading to increased itching and irritation. This dryness can cause more flaking and make psoriasis plaques worse. What to Do Instead:
Wash your hair with lukewarm water to minimize irritation. Follow up with a moisturizing conditioner or scalp treatment to lock in hydration.
4. Avoid Excessive Hair Treatments
Why:
Hair treatments like coloring, perming, or chemical straightening can irritate the sensitive scalp of psoriasis patients. The chemicals used in these processes can lead to scalp inflammation and trigger flare-ups. What to Do Instead:
If you must use hair treatments, consult with your dermatologist first. Always patch-test products before using them and consider using gentler, natural hair treatments.
5. Avoid Stress
Why:
Stress is one of the most common triggers for psoriasis flare-ups, including scalp psoriasis. When the body is under stress, it releases chemicals that can worsen the autoimmune response, leading to more inflammation and irritation. What to Do Instead:
Incorporate stress-management techniques such as meditation, yoga, or deep breathing exercises into your daily routine. Maintaining a balanced lifestyle and setting aside time for relaxation can help prevent flare-ups.
6. Avoid Dry Air
Why:
Cold weather and indoor heating can lead to dry air, which can aggravate the symptoms of scalp psoriasis by drying out the scalp and causing increased flaking and irritation. What to Do Instead:
Use a humidifier in your home during the winter months to maintain moisture in the air. Make sure to keep your scalp well-hydrated by using scalp oils or moisturizing treatments recommended by your dermatologist.
7. Avoid Smoking
Why:
Smoking can worsen psoriasis symptoms and increase the frequency of flare-ups. The toxins in cigarettes can affect the immune system, leading to increased inflammation in the body, which can trigger or exacerbate psoriasis. What to Do Instead:
Quitting smoking can significantly improve psoriasis symptoms and overall skin health. Speak to your healthcare provider about resources to help you quit.
8. Avoid Alcohol
Why:
Excessive alcohol consumption is associated with more severe psoriasis symptoms. Alcohol can interfere with medications used to treat psoriasis and can also increase inflammation in the body. What to Do Instead:
Limit alcohol intake or avoid it altogether to help keep psoriasis under control. Opt for healthier alternatives such as water, herbal teas, or non-alcoholic beverages.
9. Avoid Tight Hairstyles
Why:
Wearing tight hairstyles such as ponytails, buns, or braids can put pressure on the scalp and irritate psoriasis plaques. This constant tension can lead to more inflammation and discomfort. What to Do Instead:
Opt for looser hairstyles that don’t put unnecessary strain on the scalp. Let your hair down or use gentle, soft accessories that won’t cause irritation.
10. Avoid Skin Injuries
Why:
Even minor injuries to the scalp, such as cuts, burns, or scratches, can trigger the Koebner phenomenon, where psoriasis develops at the site of trauma. This can lead to new plaques forming in previously unaffected areas. What to Do Instead:
Be gentle when brushing, combing, or styling your hair to avoid damaging the scalp. Use a soft-bristle brush and avoid aggressive grooming techniques.
11. Avoid Certain Medications
Why:
Certain medications, like beta-blockers, lithium, or antimalarial drugs, can worsen psoriasis or trigger flare-ups. Always be cautious when starting new medications. What to Do Instead:
Consult with your healthcare provider about the potential side effects of any new medications and explore alternative options if needed. Make sure your dermatologist is aware of all the medications you’re taking.
12. Avoid Excessive Shampooing
Why:
While keeping your scalp clean is important, excessive shampooing can strip the scalp of its natural oils, leading to dryness and worsening psoriasis symptoms. What to Do Instead:
Find a balance in your hair-washing routine. Typically, shampooing 2-3 times a week with a medicated shampoo is ideal for managing scalp psoriasis.
13. Avoid Tight Hats and Helmets
Why:
Wearing tight hats, helmets, or headbands can cause friction and pressure on the scalp, irritating psoriasis plaques and causing discomfort. What to Do Instead:
Opt for looser-fitting hats made from soft, breathable materials like cotton, which won’t irritate the skin.
14. Avoid Excessive Sun Exposure
Why:
While moderate sun exposure can help improve psoriasis symptoms, too much sun can lead to sunburn, which may trigger a flare-up or cause further damage to the scalp. What to Do Instead:
Limit your sun exposure to 10-15 minutes a day, and always wear sunscreen on areas of your scalp exposed to the sun. Choose sunscreens designed for sensitive skin to avoid irritation.
15. Avoid Scented Hair Products
Why:
Fragrances in hair products can irritate the scalp and lead to an increase in psoriasis symptoms. Many scented products contain chemicals that can trigger allergic reactions or inflammation. What to Do Instead:
Choose fragrance-free or hypoallergenic hair products specifically designed for sensitive scalps or psoriasis patients.
Conclusion
Managing scalp psoriasis requires attention to detail in daily life, avoiding habits and products that can trigger flare-ups or worsen symptoms. By steering clear of harsh chemicals, tight hairstyles, stress, and other irritants, you can help keep your scalp healthier and reduce the impact of psoriasis on your life. Always consult with a dermatologist to develop a personalized treatment plan and get guidance on what to avoid based on your specific condition.
For more tips and resources on managing scalp psoriasis, visit reputable sources like the National Psoriasis Foundation or the American Academy of Dermatology.