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Psoriasis Treatments

By Cynthia Bailey MD. This page was updated on Sun, Sep 15, 2019

Heal, control and prevent psoriasis with the right hypoallergenic skin care routine.

dermatologist's skin care tips to heal psoriasis

Your skin care routine makes a big difference to controlling psoriasis. Psoriasis gets worse when your skin is dry, no matter what type of psoriasis you have.

Why is it bad to let your skin get dry when you have psoriasis?

Dry skin is a subtle form of skin injury. Skin barrier is compromised when skin is dry. Water is lost and irritants and allergens penetrate into your skin more than they should.

Psoriasis is a skin condition that exhibits the “Keobner Phenomenon”, which is a worsening of a skin problem when skin is injured.

Psoriasis will Keobnerize on dry skin! The psoriatic rash will seed along the injury and start a new problematic area. Since dry skin is injured, psoriasis will seed along the dry areas because of the Keobner Phenomenon.

It is best to use only hypoallergenic skin care products when you have psoriasis.

Allergic reactions to personal care products will cause a rash, and that rash may Koebnerize a new area of psoriasis! The most common allergens in personal care products include fragrance and certain preservatives. Use only products that are hypoallergenic to care for your skin when you have psoriasis. Contact with allergens may eventually create a lifelong skin allergy, and there is no need to take this risk. My products are hypoallergenic by dermatologic standards. 

Dermatologists agree that using a deeply hydrating skin care routine is the single most important skin care tip to heal psoriasis

Deeply hydrating skin care means not drying your skin out when you bathe and applying a rich moisturizer within the 'magic 3 minutes' after toweling skin dry after the bath or shower.

Bathe with warm, not steamy hot water; hot water dries out skin and brings blood to the skin surface (which is why your skin turns red), and that fuels psoriasis.

It is also important not to use harsh soaps and cleansers that remove a lot of oil from your skin to worsen skin dryness. Chose soaps and cleansers that are gentle and hypoallergenic such as my Naturally Best Bar Soap or Hypoallergenic Natural Shower Gel. 

dermatologist's best body lotion for psoriasis

Apply healing hypoallergenic moisturizers right after toweling skin dry after every bath or shower. Use products that have a rich amount of oils and that are fragrance free. My top choices are my Natural Lotion and my Natural Butter Cream. 

best rich body butter cream for psoriasis 

Use moisturizers with keratolytics to help heal psoriasis

Keratolytics are ingredients that help loosen dead skin cells and scale. Your psoriasis will look better with less silver scale plus any prescription medicines you may be using will penetrate the thick skin plaques better. Dead skin scale is extra thick in plaque psoriasis. Top keratolytic ingredients for psoriasis include glycolic acid, lactic acid, urea, and salicylic acid.

doctor's recommended lotion to get rid of thick psoriasis spots

My Glycolic Acid Body Lotion is a great keratolytic choice for skin suffering from psoriasis. It does not feel greasy and yet it moisturizes skin well, and it is formulated with a full 15% glycolic acid to help fight dead cell build-up. 

If you suffer from psoriasis on the palms and the soles of your feet, you know that psoriasis causes this thick skin to crack and break open to become painful and sensitive. Moisturizing often with hand creams and using gentle soaps will help the skin heal, and will also help fight the development of new areas of involvement. My hand care kit can help. Bag Balm will help heal cracks and fissures. 


best hand cream and soap for psoriasis of the palms


What is the best way to treat scalp psoriasis?

 doctor's recommended shampoo for psoriasisScalp psoriasis can respond positively to dandruff shampoos and scalp oils. Pretreating the scalp by wetting it then applying mineral oil, coconut oil, or olive oil for 30 minutes or more before shampooing can help. Use a medicated dandruff shampoo with salicylic acid or tar for the last lather and loosen scales gently with a scalp scrubber while shampooing. This will help prescription medicines penetrate better.

scalp treatment for psoriasis
Alternate this with a pyrithione zinc shampoo such as my Foaming Zinc Cleanser.  My Omega Enriched Oil can help to heal psoriasis. Apply a few drops to psoriatic plaques on your scalp skin after washing and leave it on for at least 8 hours or more. 


best natural oil to treat scalp and face psoriasis


Best tips to treat facial psoriasis?

dermatologist's top products to heal facial psoriasis and sebopsoriasis

Many people with psoriasis experience facial seborrheic dermatitis along with their psoriasis. The combination is called sebopsoriasis. My top skin care routine for facial seborrhea and sebopsoriasis can be found in my Redness Relief Kit. Add my Omega Enriched Booster Oil after the Green Tea for even better results. If you have facial redness and scale see my skin care recommendations for seborrheic dermatitis for more information to help heal your facial rash, too. Remember to use broad spectrum and non-irritating sunscreens on your sebopsoriasis facial areas, because they will be more sensitive to sun damage.