How to Treat Plaque Psoriasis on the Scalp Effectively

Introduction

Plaque psoriasis is a long-lasting condition that causes thick, raised, and scaly patches on the skin, including the scalp. When this happens, it can lead to redness, itching, flaking, and discomfort. In severe cases, these patches might spread to areas like the forehead, neck, and ears. Treating psoriasis on the scalp can be tricky because the scalp is sensitive, and using harsh products or scratching can worsen the irritation.

To manage plaque psoriasis effectively, it’s important to use gentle treatments that reduce inflammation without causing further irritation. Treatments should also help to moisturize the scalp and prevent flaking.

Understanding Scalp Plaque Psoriasis

Scalp plaque psoriasis is a long-term autoimmune condition where the immune system mistakenly speeds up the production of skin cells. This results in thick, red patches covered with silvery-white scales on the scalp. Common symptoms include red, scaly areas, persistent itching, flaky skin that looks like dandruff but is thicker, a dry or tender scalp, and in some cases, temporary hair loss from scratching or inflammation. Because the scalp is delicate and has hair, treating these patches can be particularly challenging.

The exact cause of scalp plaque psoriasis isn’t fully understood, but it’s believed to involve a mix of genetic, immune, and environmental factors. These can include having a family history of psoriasis, an immune system that triggers inflammation, and various triggers like stress, cold weather, infections, or certain medications. Treating scalp psoriasis can be tricky due to persistent inflammation that makes hair care uncomfortable, the urge to scratch leading to more irritation, and hair preventing topical treatments from being effective. This condition can also affect a person’s self-esteem and daily life, as managing symptoms and dealing with flaking can lead to stress in social situations. 

Ayurvedic Approach to Scalp Psoriasis

Ayurveda views scalp psoriasis as a result of imbalances in the body’s doshas, especially Pitta and Vata. When Pitta is out of balance, it leads to excess heat and inflammation, resulting in symptoms like redness, burning sensations, and sensitivity to the scalp. This imbalance can be triggered by stress, spicy foods, too much sun exposure, and environmental toxins. On the other hand, an aggravated Vata causes dryness, itching, and flaking, making the condition worse, somewhat like severe dandruff. Factors like cold weather, irregular eating habits, and emotional issues such as anxiety can trigger Vata imbalances. Together, these dosha disturbances create the symptoms of psoriasis, requiring a tailored approach for effective management.

At Dheemahi Ayurveda, the treatment for scalp psoriasis starts with a detailed consultation that focuses on Ayurvedic principles. The practitioners evaluate the patient’s dosha imbalances, lifestyle, and overall health to tailor a personalized treatment plan aimed at restoring balance and promoting healing.

One of the key therapies used is Panchakarma, which helps detoxify and rejuvenate the body. This traditional Ayurvedic process includes cleansing treatments that remove toxins, enhance digestion, and restore balance among the doshas—Vata, Pitta, and Kapha. These benefits can significantly aid in managing scalp psoriasis, particularly by addressing inflammation and reducing stress.

• Panchakarma treatment: This therapy is effective for detoxifying the body.
• Vamana (Emesis): This therapy involves inducing vomiting to eliminate harmful toxins, especially for kapha-predominant conditions.
• Virechana (Purgation): This therapy focuses on purging the body through the intestines, especially for pitta dosha predominant conditions.

Another effective therapy is Takradhara, where buttermilk is poured continuously over the scalp. This technique offers a cooling effect that can soothe inflammation and itching associated with scalp psoriasis while keeping the scalp moisturized. Additionally, the relaxing nature of Takradhara helps to reduce stress, which is often a trigger for worsening psoriasis symptoms.

Ayurvedic Solutions and Practices

Best Herbs for Psoriasis in Ayurveda

Neem (Azadirachta indica): Neem is known for its strong antibacterial and antifungal effects. It’s often used in Ayurveda for skin problems. Applying neem paste or oil on affected areas can help reduce scaling and itching.

Turmeric (Curcuma longa): Turmeric is a powerful herb that helps reduce swelling and redness related to psoriasis. Its active ingredient, curcumin, helps adjust the immune system, which can be helpful for autoimmune issues.

Aloe Vera: Aloe vera soothes and moisturizes the skin, helping to calm irritation and lessen redness. Regularly using aloe vera gel can improve skin hydration and speed up healing.

Guduchi: Also called Giloy, Guduchi helps reduce inflammation and boosts the body’s defences against autoimmune reactions.

Manjistha: Manjistha is good for purifying blood and is effective in treating long-term skin issues, helping to detoxify and reduce psoriasis symptoms.

Guggul: Guggul has anti-inflammatory and skin-healing benefits. It can help shrink psoriatic plaques and improve skin texture.

Bakuchi: Bakuchi is useful for skin problems and can help improve skin colour, especially discolouration caused by psoriasis.

Khadira: Khadira is used for various skin issues and works as an astringent and anti-inflammatory, making it suitable for both topical and oral treatments for psoriasis.

Detoxification and Diet Support for Psoriasis

How Diet Helps with Psoriasis

In Ayurveda, we focus on changing our diet to lower inflammation, balance our body’s energy (doshas), and help keep everything in check.

Cooling Foods to Include:

• Fresh fruits like watermelon, pomegranate, and cucumber
• Leafy greens such as spinach, kale, and coriander
• Cooling drinks like coconut water and herbal teas (chamomile or mint)

Anti-inflammatory Food:

• Turmeric and ginger (but only a little if you are more Pitta)
• Ghee, which is a good source of healthy fats that help nourish the body

Foods to Avoid:

• Spicy, oily, and processed foods that can worsen Pitta
• Alcohol, caffeine, and sour foods such as vinegar and pickles

Detox Practices:

Panchakarma Therapy: A thorough cleaning process that helps remove toxins (called ama) that can trigger psoriasis.

Recommended Ayurvedic Scalp Treatment Routine

Step 1: Scalp Massage with Medicated Oil

Scalp massages with medicated Ayurvedic oils play a crucial role in managing scalp psoriasis by soothing inflammation and hydrating dry areas. To perform a massage, warm the oil slightly and use oils like neem, coconut, or turmeric-infused oil. Gently apply the oil to the scalp with your fingertips, focusing on irritated spots, and massage in circular motions for better blood flow. Let the oil sit for at least 30 minutes or overnight for optimal absorption before washing it out thoroughly.

Step 2: Herbal Rinse or Shampoo

Cleansing the scalp while maintaining its natural oils is essential in psoriasis care. Avoid harsh shampoos that can irritate the scalp, and instead, use sulfate-free Ayurvedic options with soothing ingredients like aloe vera, shikakai, and reetha. Before washing, gently comb your hair to loosen scales and dilute the shampoo in water for gentle application. Rinse with lukewarm water to prevent aggravating inflammation, or consider a homemade herbal rinse using boiled neem leaves, hibiscus flowers, and amla.

Step 3: Weekly Ayurvedic Mask

Incorporating a weekly Ayurvedic mask can further nourish the scalp and minimize scaling. A blend of soaked fenugreek seeds, hibiscus powder, fresh aloe vera gel, and turmeric powder creates a soothing mask that hydrates and calms inflammation. Apply the mask evenly, leave it on for 20-30 minutes, and rinse it out gently with lukewarm water. Regular use of these three steps helps maintain scalp health and effectively manage psoriasis naturally.

Additional Ayurvedic Tips for Scalp Care

Stress is a major trigger for psoriasis flare-ups, especially on the scalp, as it can worsen immune system responses and disrupt dosha balances, particularly Pitta. Utilizing Ayurvedic practices for stress management can help reduce symptoms and enhance overall well-being. By addressing stress, individuals can promote a healthier scalp and better manage their psoriasis.

Effective Stress Relief Techniques:

Yoga:

•    Promotes relaxation of the body and mind.
•    Reduces inflammation and balances energy.

   Recommended Poses:

•     Shavasana (Corpse Pose): Induces deep relaxation.
•      Balasana (Child’s Pose): Relieves tension and calms the mind.
•      Adho Mukha Svanasana (Downward Dog Pose): Improves circulation.

Meditation:

•    Lowers stress hormone levels with daily practice.
•    Helps manage psoriasis triggers.

   Techniques:

•      Mindfulness Meditation: Creates a peaceful mental state.
•      Mantra Chanting: Such as saying “Om.”

Pranayama (Breathwork):

•    Calms the nervous system and manages stress.

   Recommended Techniques:

•  Nadi Shodhana (Alternate Nostril Breathing): Balances energy and calms the mind.
•  Sheetali Pranayama (Cooling Breath): Reduces heat and inflammation.

Abhyanga (Self-Massage):

•   Uses warm oils (e.g., coconut ).
•   Promotes relaxation and lowers stress levels.

Moderate sunlight exposure can be beneficial for individuals with scalp psoriasis as it enhances Vitamin D production, which is crucial for regulating skin cell growth and reducing inflammation. Many people with psoriasis have low Vitamin D levels, so getting some sun can be helpful. Sunlight also decreases the thickness of psoriasis plaques by slowing skin cell production and improves mood by boosting serotonin levels, reducing stress that may trigger flare-ups. To stay safe, limit exposure to 5 to 15 minutes during early mornings or late afternoons, targeting affected areas, and always apply a gentle, natural sunscreen.

Conclusion

Ayurveda helps manage inverse psoriasis by focusing on the whole body to balance internal energies and tackle the root causes of the condition. It includes using herbal remedies, changing your diet, and managing stress to reduce inflammation, calm irritated skin, and prevent flare-ups. By restoring balance, Ayurveda addresses not only the physical symptoms but also the emotional stress often associated with psoriasis.

If you’re looking for a natural and personalized way to manage your psoriasis, consider exploring Ayurveda. Its emphasis on individualized care and overall wellness can complement standard medical treatments and improve your skin health.

FAQs