Scalp psoriasis can be incredibly stubborn, and it's frustrating when it feels like nothing is working — even when doing everything right. Since biologics and topicals aren't giving enough relief, there are a few other avenues worth exploring with a dermatologist. Some options that may not have been tried yet include:
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Scalp psoriasis can be incredibly stubborn, and it's frustrating when it feels like nothing is working — even when doing everything right. Since biologics and topicals aren't giving enough relief, there are a few other avenues worth exploring with a dermatologist. Some options that may not have been tried yet include:
- Phototherapy — A dermatologist can prescribe light therapy, including handheld excimer laser devices specifically for the scalp
- Corticosteroid injections — Injected directly into the scalp for more targeted relief
- Clobetasol prescription shampoo — A powerful topical steroid specifically designed for psoriasis, used short-term or maintenance doses long-term
- Fluocinolone topical oil — Recommended by some dermatologists as it can treat the entire scalp more effectively than creams Some MyPsoriasisTeam members have also found relief with gentler approaches alongside medical treatment, like applying extra-virgin olive oil overnight under a shower cap to soften thick plaques, or mixing neem oil into conditioner to reduce redness and flaking.
Stress management is also worth considering — as one MyPsoriasisTeam member noted, stress tends to make scalp psoriasis noticeably worse.
It's really worth going back to a dermatologist to discuss these options, especially phototherapy or adjusted prescriptions.
May 21
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