Treating scalp psoriasis

Hello my name is Karina and I’m a
dermatology nurse at St John’s Institute of Dermatology. In this short video I’m
going to talk about scalp psoriasis and some of the techniques you can use to
maximise the effectiveness of your prescribed treatments. Psoriasis is a
common condition that causes inflammation, scaling and thickening of the skin. It can
be harder to treat on the scalp because the hair hides it. The most commonly
prescribed treatments for psoriasis are designed to reduce the inflammation in
the skin and the overproduction of skin cells. These treatments include topical
steroids, coal tar formulations and vitamin D derivatives and these come in
different formulations designed to use on the scalp. Always wash and dry your
hands thoroughly before applying any treatments, apply treatment to the scalp
section by section and gently massage the treatment into the affected areas. If
you have long hair it may be helpful to part the hair to facilitate this and if
you have someone at home to help that might make it easier. Be careful not to
let the treatment run off the scalp onto the forehead or neck and remember to
always wash your hands thoroughly afterwards. These treatments are normally
used once a day but follow the instructions of your doctor or nurse. If your psoriasis has thick scale on top
it can be helpful to soften this to gently remove it before using your
prescribed treatments. One way is to apply emulsifying ointment or oil and
leave under a shower cap for a few hours or overnight if possible. The emulsifying
ointment should be washed out with a medicated shampoo and a flat comb can be
used to help manually remove any loose scale avoid picking though as this can
make the psoriasis worse. This procedure can be undertaken before applying your
prescribed treatment and as frequently as is required. We hope you found this
video useful, if you’d like further information please click on the link
below for our downloadable leaflet. Thank you.

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