If you’re struggling with nail psoriasis and searching for effective remedies, look no further. This article will provide you with valuable information and strategies to tackle this condition head-on. From understanding the causes of nail psoriasis to exploring various treatment options, we’ve got you covered. Say goodbye to pesky nail symptoms and hello to healthier, happier nails!
Topical Treatments
Corticosteroids
Corticosteroids are commonly used in the treatment of nail psoriasis. These medications work by reducing inflammation and suppressing the immune system’s response, which helps to alleviate the symptoms of psoriasis. Corticosteroids can be applied directly to the affected nails in the form of creams, ointments, or lotions. They are generally well-tolerated and are available over-the-counter or by prescription, depending on the strength of the medication.
Coal Tar
Coal tar is another topical treatment option for nail psoriasis. It has been used for centuries to treat psoriasis due to its anti-inflammatory and anti-proliferative properties. Coal tar can help to slow down the excessive growth of skin cells and reduce inflammation, thereby improving the appearance and condition of the nails. Coal tar can be found in various forms, such as shampoos, creams, ointments, and soaps. It is important to note that coal tar can stain clothing and bedding, so it is advisable to use it with caution.
Vitamin D Analogs
Vitamin D analogs are synthetic forms of vitamin D that can be used topically to treat nail psoriasis. These medications work by controlling the overactive immune response that leads to psoriasis symptoms. Vitamin D analogs help to normalize the growth and development of skin cells, resulting in a reduction in the severity of psoriasis symptoms. These topical treatments are often available in the form of creams, ointments, or solutions.
Retinoids
Retinoids are derived from vitamin A and can be used topically to treat nail psoriasis. They help to reduce inflammation and slow down the growth of skin cells, which can alleviate the symptoms associated with psoriasis. Retinoids are available in the form of creams, gels, or lotions and may require a prescription from a healthcare professional.
Calcineurin Inhibitors
Calcineurin inhibitors are a newer class of topical medications that can be effective in the treatment of nail psoriasis. These medications work by suppressing the immune system’s response and reducing inflammation. Calcineurin inhibitors can be used on sensitive areas, such as the face and genitals, and are available in the form of creams or ointments.
Salicylic Acid
Salicylic acid is a keratolytic agent that can be used topically to treat nail psoriasis. It helps to soften and remove the thickened skin, scales, and plaques that are characteristic of psoriasis. Salicylic acid is available as an ingredient in many over-the-counter products, such as shampoos, soaps, creams, and ointments.
Systemic Medications
Methotrexate
Methotrexate is a systemic medication that can be prescribed by a healthcare professional to treat nail psoriasis. It works by suppressing the immune system’s response, reducing inflammation, and slowing down the growth of skin cells. Methotrexate is typically taken in the form of tablets or injections and may require regular monitoring to ensure its safety and efficacy.
Cyclosporine
Cyclosporine is another systemic medication that can be used to treat nail psoriasis. It works by suppressing the immune system’s response and reducing inflammation. Cyclosporine is typically prescribed in the form of capsules or oral solution and requires regular monitoring to manage potential side effects and ensure its effectiveness.
Biologics
Biologics are a newer class of systemic medications that can be highly effective in the treatment of moderate to severe nail psoriasis. These medications work by targeting specific components of the immune system that are involved in the development of psoriasis. Biologics are usually administered by injection or infusion and require close monitoring by a healthcare professional.
Home Remedies
Warm Salt Water Soaks
Warm salt water soaks can provide temporary relief for nail psoriasis symptoms. Soaking the affected nails in warm water mixed with salt can help to soothe inflammation, soften the skin, and make it easier to remove any excess scales or debris. This simple home remedy can be done by filling a basin with warm water and adding a tablespoon of salt. Soak the nails for 10-15 minutes and gently pat them dry afterwards.
Tea Tree Oil
Tea tree oil is known for its natural antiseptic and anti-inflammatory properties and can be used as a home remedy for nail psoriasis. It can help to reduce inflammation and prevent secondary infections. Tea tree oil can be applied directly to the affected nails using a cotton swab or diluted with a carrier oil, such as coconut oil, before application.
Coconut Oil
Coconut oil is a versatile home remedy that can be used for various skin conditions, including nail psoriasis. It acts as a moisturizer and can help to soften the skin and alleviate dryness and itchiness associated with psoriasis. Coconut oil can be applied directly to the nails and surrounding skin or used as a carrier oil for other topical treatments, such as tea tree oil or essential oils.
Aloe Vera
Aloe vera is well-known for its soothing and healing properties and can be used as a home remedy for nail psoriasis. It can help to reduce inflammation, relieve itching, and promote skin healing. Aloe vera gel can be extracted from the plant and applied directly to the affected nails or used in combination with other ingredients, such as coconut oil or tea tree oil.
Apple Cider Vinegar Soaks
Apple cider vinegar can be used as a natural remedy for nail psoriasis due to its antifungal and antibacterial properties. It can help to prevent secondary infections and improve the overall condition of the nails. To use apple cider vinegar as a soak, mix equal parts vinegar and water in a basin and soak the affected nails for 10-15 minutes. Gently pat dry afterwards.
Dietary Changes
Anti-inflammatory Foods
Incorporating anti-inflammatory foods into your diet can be beneficial for managing nail psoriasis symptoms. Foods high in antioxidants, such as fruits and vegetables, can help to reduce inflammation and promote overall skin health. Include foods like berries, leafy greens, fatty fish, nuts, and seeds in your diet to support a healthy immune response and alleviate psoriasis symptoms.
Gluten-Free Diet
Some individuals with psoriasis may find relief from their symptoms by following a gluten-free diet. Gluten is a protein found in wheat, barley, and rye, and can trigger an immune response in some people, leading to inflammation and worsening of psoriasis symptoms. If you suspect that gluten may be a trigger for your nail psoriasis, consider consulting with a healthcare professional or registered dietitian to determine if a gluten-free diet is appropriate for you.
Protective Measures
Nail Care
Proper nail care is essential for managing nail psoriasis and preventing further damage. Keep your nails trimmed short and filed smooth to minimize the risk of snagging or tearing, which can lead to secondary infections. Avoid biting or picking at the nails, as this can exacerbate the condition. Regularly moisturize the nails and surrounding skin to prevent dryness and cracking.
Nail Hygiene
Maintaining good nail hygiene is crucial for individuals with nail psoriasis. Cleanse the nails gently using a mild soap or cleanser and a soft brush. Avoid harsh chemicals or nail products that may irritate the skin and nails. When applying nail polish, choose brands that are free from harmful chemicals, such as formaldehyde and toluene. Removing nail polish gently and avoid using acetone-based removers, as they can further dry out the nails.
Avoid Trauma
Try to avoid trauma or injury to the nails, as this can worsen nail psoriasis and lead to complications. Protect your nails by wearing gloves when engaging in activities that may cause injury or damage, such as gardening or household chores. Be cautious when trimming or pushing back cuticles, as excessive force can damage the nail bed and promote the development of psoriasis symptoms.
Use Gloves
When working with chemicals or harsh substances, it is important to protect your nails by wearing gloves. Chemicals can irritate the skin and exacerbate nail psoriasis symptoms. Wearing gloves will help to minimize direct contact with irritants and reduce the risk of further damage to the nails and surrounding skin.
Stress Management
Meditation
Managing stress is crucial for individuals with nail psoriasis, as stress can trigger or exacerbate flare-ups. Practicing meditation can help to calm the mind, reduce stress levels, and promote relaxation. Find a quiet and comfortable space, close your eyes, and focus on your breath. Allow yourself to let go of any racing thoughts or worries, and embrace a sense of peace and tranquility.
Exercise
Engaging in regular physical activity can be beneficial for managing nail psoriasis symptoms and reducing stress. Exercise helps to release endorphins, which are natural mood boosters, and promotes a sense of well-being. Choose activities that you enjoy, such as walking, swimming, yoga, or dancing, and aim for at least 30 minutes of moderate-intensity exercise most days of the week.
Journaling
Writing in a journal can be a therapeutic way to express your thoughts and emotions, especially during times of stress or when dealing with nail psoriasis symptoms. Take a few moments each day to write down your feelings, concerns, or any triggers that may have affected your nails. Journaling can help you gain insights into your emotions and identify patterns or triggers that can be addressed and managed effectively.
Alternative Therapies
Acupuncture
Acupuncture is an ancient Chinese practice that involves the insertion of thin needles into specific points on the body. Some individuals with nail psoriasis have reported relief from symptoms after undergoing acupuncture treatment. Acupuncture is believed to stimulate the body’s natural healing response and promote balance in the body’s energy flow. Consult with a qualified acupuncturist to determine if acupuncture is a suitable option for you.
Aromatherapy
Aromatherapy involves the use of essential oils derived from plants to promote physical and emotional well-being. Some essential oils, such as lavender, chamomile, and frankincense, have anti-inflammatory and soothing properties that can be beneficial for managing nail psoriasis symptoms. Dilute essential oils with a carrier oil, such as coconut oil, and apply them topically to the affected nails or use them in a diffuser to create a relaxing atmosphere.
Natural Supplements
Omega-3 Fatty Acids
Omega-3 fatty acids are essential fats found in certain foods, such as fatty fish, flaxseeds, and chia seeds. These healthy fats have anti-inflammatory properties and can help to reduce inflammation in the body, including inflammation associated with nail psoriasis. Consider incorporating omega-3 rich foods into your diet or talk to a healthcare professional about omega-3 supplements.
Vitamin D
Vitamin D plays a crucial role in immune function and skin health. Some individuals with nail psoriasis may have low levels of vitamin D, and supplementation can help to improve symptoms. Talk to a healthcare professional about getting your vitamin D levels tested and determining if vitamin D supplementation is necessary.
Probiotics
Probiotics are beneficial bacteria that can help to support a healthy immune system and promote gut health. Some studies suggest that individuals with psoriasis may have an imbalance of gut bacteria, and probiotics may help to restore balance and alleviate symptoms. Probiotics can be found in foods, such as yogurt and fermented vegetables, or taken in supplement form. Consult with a healthcare professional to determine the appropriate probiotic strain and dosage for your specific needs.
UV Phototherapy
Narrowband UVB
Narrowband UVB phototherapy is a treatment option that involves exposing the affected nails to UVB light. UVB light is a specific wavelength of ultraviolet light that has been found to be effective in treating psoriasis. The light helps to slow down the rapid growth of skin cells and reduce inflammation. Narrowband UVB treatments are typically done in a clinic setting using a specialized light box or handheld device.
UVA
UVA phototherapy is another type of light therapy that can be used to treat nail psoriasis. Unlike narrowband UVB, UVA light penetrates deeper into the skin and is often used in conjunction with a medication called psoralen, which makes the skin more responsive to UVA light. UVA treatments are generally administered in a clinic setting and require careful monitoring and protective measures to prevent potential side effects, such as sunburn.
Seeking Professional Advice
Dermatologist
If you are experiencing persistent or severe nail psoriasis symptoms, it is important to seek professional advice from a dermatologist. A dermatologist specializes in the diagnosis and treatment of skin conditions and can provide personalized treatment options based on your specific needs. They may recommend topical or systemic medications, phototherapy, or other treatments depending on the severity of your nail psoriasis.
Rheumatologist
In some cases, nail psoriasis may be associated with psoriatic arthritis, a condition that affects the joints. If you are experiencing joint pain, stiffness, or swelling along with your nail psoriasis symptoms, it may be beneficial to consult with a rheumatologist. A rheumatologist is a specialist in the diagnosis and treatment of arthritis and related conditions and can provide appropriate management strategies to address both your nail psoriasis and joint symptoms.
Psychologist
Living with nail psoriasis can have a significant impact on a person’s mental and emotional well-being. If you are struggling with feelings of stress, anxiety, or depression due to your nail psoriasis symptoms, it may be helpful to seek support from a psychologist or mental health professional. They can provide coping strategies, stress management techniques, and emotional support to help you navigate the challenges associated with nail psoriasis. Remember, you are not alone, and seeking professional help is a sign of strength.