Dealing with psoriasis under the nail bed can be really frustrating, but there are several treatment options worth exploring with a dermatologist.
Here's a breakdown of what's available:
Topical Treatments
- Corticosteroids applied directly to the nail can help reduce buildup and inflammation
- Calcipotriol (a vitamin Show Full Answer
Dealing with psoriasis under the nail bed can be really frustrating, but there are several treatment options worth exploring with a dermatologist.
Here's a breakdown of what's available:
Topical Treatments
- Corticosteroids applied directly to the nail can help reduce buildup and inflammation
- Calcipotriol (a vitamin D-based treatment) can also ease symptoms
- Prescription nail polishes or medicated treatments may improve appearance
Corticosteroid Injections
- These can be injected near or directly into the nail matrix (the tissue where new nail cells grow)
- They can help with buildup, ridges, thickening, and nail separation
- A follow-up injection may be needed if the first doesn't fully work
Phototherapy
- A type called PUVA involves soaking nails in a medication called psoralen, then directing UVA light at the affected nails
Systemic Treatments
- For more severe cases, biologics or oral medications may be recommended
- These work throughout the whole body to reduce inflammation One important thing to keep in mind — patience is key. Nails grow slowly, so it can take six months or more to see noticeable improvement, even with effective treatment.
In the meantime, some helpful daily habits include:
- Keeping nails short and moisturized
- Wearing gloves when cleaning or doing dishes
- Avoiding picking or biting nails and cuticles
- Using a thick, oil-based cream or ointment regularly
A MyPsoriasisTeam member swears by raw, unscented shea butter on cuticles and affected areas, saying it helps a lot. Always check with a dermatologist to find the best plan for your specific situation.
June 14
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