Hair Care for Psoriasis

Scalp psoriasis can create raised, red areas covered by silvery scale. It may feel dry or itchy, and scratching or forcefully lifting scale can irritate the skin and loosen hairs. The condition itself is not the same as permanent follicle loss, but inflammation, rubbing, and tight styles can increase breakage or temporary shedding. Learn more about [Psoriasis](/conditions/psoriasis/), including related concerns such as [Itchy Skin](/symptoms/itchy-skin/) and [Scaly Skin](/symptoms/skin-scaling/).

Use fingertips rather than nails to massage shampoo into the scalp. If your clinician recommends a scale-softening product, leave it on for the advised time and rinse without scraping. Choose fragrance-free products when the scalp is sensitive, and avoid picking, harsh dyes, tight braids, and high heat during a flare. Condition the lengths rather than heavily coating an irritated scalp. Keep nails short and use a cool compress for itch. Dry Skin, Skin Redness, or Peeling Skin can signal active irritation that deserves attention.

Book a review if scale remains thick despite the prescribed routine, plaques spread beyond the hairline, or itching disrupts sleep. Contact a clinician promptly for painful cracking, bleeding, pus, marked swelling, or rapidly enlarging areas of hair loss. Cracked Skin and a worsening Skin Rash may need a change in treatment. Do not use a medicated scalp product intended for another person or apply it near a child without professional guidance.

Is the scalp change consistent with psoriasis, or could another condition be present? How should I soften and remove scale? Which products, hair colouring methods, and hairstyles are safest during a flare? What should I do if treatment stings or the skin cracks?