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Home > Skin & Beauty > Hair & Scalp > How to Treat Scalp Sores

How to Treat Scalp Sores

Updated on May 9, 2022
7 min read
By Akanksha Shah Sanghvi, MD, Clinical Dermatology

In this article:

  • Causes of Scalp Sores
  • Treatment for Scalp Sores
  • Products for Scalp Care
  • Self-Care Measures
  • Final Word

Sores on the scalp are not a common problem, and they can occur as a symptom of various scalp conditions. These sores present as bumps on the head and are often difficult to see.

scalp sores treatment

You may only realize that you have scalp sores when you brush or comb your hair and experience pain.

Scalp sores can cause itching as well. In some cases, they may be visible and become a cosmetic issue. Moreover, when not managed timely, scalp sores can cause seborrheic dermatitis and hair loss.

This article discusses the various medical treatments and self-care measures that you can take to resolve the problem.

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Causes of Scalp Sores

Scalp sores can develop as a result of various conditions, including:

  • Acne cysts
  • Dermatitis
  • Head lice
  • Folliculitis
  • Xerosis
  • Scalp ringworm
  • Psoriasis
  • Viral infections such as shingles
  • Impetigo
  • Pemphigus
  • Skin cancer
  • Environmental pollution

Treatment for Scalp Sores

treating scalp sores

The common treatment modalities for scalp sores include:

  • Acne medications: Depending on the type of the lesions, the doctor may suggest benzoyl peroxide, retinoids, salicylic acid, or resorcinol. If the condition is on the severe side, these medications may be coupled with oral antibiotics such as doxycycline.
  • Steroid lotions: Commonly used for the treatment of seborrheic dermatitis and psoriasis, steroid and corticosteroid lotions help control inflammation and improve erythema and burning symptoms.
  • Phototherapy: In severe cases of seborrheic dermatitis, the doctor may suggest phototherapy, which involves the use of ultraviolet light for treatment. (1)
  • Antibiotics: Topical or oral antibiotics such as retapamulin and mupirocin may be given for the treatment of impetigo.
  • Antifungal medications: Used in the treatment of scalp ringworm, oral antifungal medications include terbinafine and griseofulvin.
  • Treatment for lice: Also known as pediculosis capitis, scalp lice can be treated with malathion, benzyl alcohol, pyrethroids, ivermectin, lindane, permethrin, and trimethoprim-sulfamethoxazole lotions.
  • Treatment for scalp folliculitis: Scalp folliculitis can occur from infections by fungi, bacteria, or mites, each type requiring different medical approaches. Treatments may include the use of antihistamines, steroid ointments, antibiotics, and isotretinoin. Scalp sores due to cancer and autoimmune disorders can be improved by targeting the underlying cause through chemotherapy and immune-suppressive drugs, respectively.

Products for Scalp Care

While medications are needed to treat most cases of scalp sores, there are hair care products that you can use to clean your scalp and manage the symptoms. These products help control itching, inflammation, dryness, and infections.

Common products beneficial for scalp sores include:

1. Antifungal shampoos or creams

antifungal shampoos and creams for scalp care

It is recommended to buy antifungal shampoos or creams that contain one or more of the following ingredients:

  • Ketoconazole
  • Clotrimazole
  • Caprylic acid
  • Oregano essential oil (2)
  • Grapeseed extract (3)
  • Rosemary extract
  • Tea tree essential oil (4)
  • Zinc pyrithione

2. Antibacterial shampoos

Look for the following ingredients in your antibacterial shampoos for best results:

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  • Tea tree essential oil (5)
  • Lemon essential oil
  • Lemongrass essential oil (6)
  • Manuka honey
  • Neem
  • Aloe vera
  • Allium extracts (garlic and onion)
  • Beta hydroxy acids

3. Antipsoriatic shampoos and gels

Your antipsoriatic shampoo or gel must have the following beneficial ingredients:

  • Salicylic acid
  • Selenium sulfide
  • Benzalkonium chloride
  • Coal tar (in low percentage)
  • Zinc complexes

Note: If you have light hair, it is best to consult your hairstylist or dermatologist on the use of products containing coal tar as it can cause hair discoloration.

4. Oils and serums

oils and serums for optimal scalp care

It is essential to keep your scalp nourished and moisturized to improve and prevent scalp sores. Go for scalp oils and serums that contain the following ingredients:

  • Moroccan argan oil
  • Coconut oil
  • Geranium oil
  • Clove oil
  • Menthol/peppermint oil
  • Eucalyptus extract
  • Grapeseed extract
  • Sweet almond extract
  • Olive oil
  • Jojoba
  • Oatmeal (7)
  • Hyaluronic acid

5. Exfoliators

You have a high chance of developing scalp sores if your scalp is not clean and has scalp buildup, which refers to the accumulation of dirt, dead skin cells, and chemicals on the scalp and inside the hair follicles.

Scalp mists and sprays can help cleanse your scalp, and the following ingredients are highly useful in doing so:

  • Plantain enzymes
  • African black soap
  • Lemon extract
  • Willow bark extract
  • Neem extract
  • Alpha/beta hydroxy acids

Self-Care Measures

In addition to medical treatment, some self-care measures must be incorporated into your daily routine to facilitate recovery and prevent complications.

Here’s what you can do:

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1. Maintain proper scalp hygiene

Make sure to shampoo your scalp and hair 2–3 times a week and exfoliate it once a week to prevent scalp buildup and infections. Rinse your hair after a workout if excessive sweat has accumulated on the scalp.

2. Comb your hair

combing hair can help reduce chances of scalp sores

Combing your hair boosts blood circulation to the scalp and ensures even distribution of natural scalp oils to the hair shaft.

3. Avoid harsh hair products

Scalp sores often develop due to the use of products that contain irritant chemicals that can cause scalp dryness and also increase the risk of infections. It is best to steer clear of products containing parabens, sulfates, formaldehydes, and alcohol extracts.

4. Try wet combing

Spray your hair with water and conditioner, and then comb it using a fine-toothed comb to remove lice from your hair more effectively.

5. Use a warm compress

The application of a warm compress soothes the scalp, decreases pain, and boosts blood flow to the scalp. Make a warm compress by soaking a clean towel in warm water. Wring out the excess water, and wrap your head with the towel for 10–15 minutes.

6. Do not touch or scratch your sores

don't touch or scratch your scalp sores

It is common to feel the urge to scratch your sores. However, scratching only increases the risk of infection, scars, and flare-ups. Therefore, avoid touching, scratching, or picking your sores.

7. Avoid sharing personal items

Scalp sores commonly result from an infection. Thus, avoid sharing personal items such as shower caps, combs, hats, towels, and brushes with others to prevent the spread of infection. You can clean your hair tools with bleach or 2% Lysol if you suspect you have been infected.

8. Wash infected clothing

Similar to toiletries, the infection from your scalp may transfer from towels, clothing, washcloths, and sheets. Wash all your bedding and clothing with hot water to get rid of the infection-causing microbes.

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9. Refrain from going to your hairstylist

Avoid salon appointments until your sores have healed not only to prevent the spread of infection but also to avoid pain and irritation.

10. Improve your diet

consume healthy diet for optimal hair care

Consume foods rich in antioxidants and omega-3 fatty acids, which include fresh fruits and vegetables, fresh fruit juices, fish, chia seeds, flaxseeds, and nuts, to control inflammation. (8) Zinc-based foods can also help manage acne vulgaris. (9)

Limit dairy products, sugary foods, red meats, refined carbohydrates, soy products, peanut products, and high-glycemic foods in your diet. Drink plenty of water throughout the day to stay hydrated and to flush toxins out of the body.

11. Use a humidifier

You can use an indoor humidifier if you have skin dryness or scalp xerosis.

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12. Manage stress

Practice stress management techniques such as yoga and meditation as high levels of stress can trigger flare-ups and worsen the condition.

Final Word

Scalp sores can be painful, very itchy, and highly bothersome. It is best to consult your doctor for a proper diagnosis and to get appropriate medical treatment.

You can use home remedies as adjunct treatment to promote fast healing. It is also vital to take self-care measures to prevent worsening and recurrence of the condition.

References
  1. KA; CGWPSMJ. Diagnosis and treatment of seborrheic dermatitis. American family physician. https://pubmed.ncbi.nlm.nih.gov/25822272/. Published 2015.
  2. Manohar V; Ingram C; Gray J; Talpur NA; Echard BW; Bagchi D; Preuss HG; Antifungal activities of origanum oil against Candida albicans. Molecular and cellular biochemistry. https://pubmed.ncbi.nlm.nih.gov/11855736/. Published 2001.
  3. Tsutsumi-Arai C, Takakusaki K, Arai Y, et al. Grapefruit seed extract effectively inhibits the Candida albicans biofilms development on polymethyl methacrylate denture-base resin. PloS one. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6538181/. Published May 28, 2019.
  4. Mertas A, Garbusińska A, Szliszka E, Jureczko A, Kowalska M, Król W. The influence of tea tree oil (Melaleuca alternifolia) on fluconazole activity against fluconazole-resistant Candida albicans strains. BioMed research international. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4334616/. Published 2015.
  5. Carson CF, Hammer KA, Riley TV. Melaleuca alternifolia (Tea Tree) oil: a review of antimicrobial and other medicinal properties. Clinical microbiology reviews. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1360273/. Published January 2006.
  6. Orchard A, van Vuuren S. Commercial Essential Oils as Potential Antimicrobials to Treat Skin Diseases. Evidence-based complementary and alternative medicine: eCAM. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5435909/. Published 2017.
  7. A; PNYRKAF. Oatmeal in dermatology: a brief review. Indian journal of dermatology, venereology and leprology. https://pubmed.ncbi.nlm.nih.gov/22421643/. Published 2012.
  8. Gutiérrez MM; Werdin-González JO; Stefanazzi N; Bras C; Ferrero AA; The potential application of plant essential oils to control Pediculus humanus capitis (Anoplura: Pediculidae). Parasitology research. https://pubmed.ncbi.nlm.nih.gov/26462802/.
  9. Gupta M, Mahajan VK, Mehta KS, Chauhan PS. Zinc therapy in dermatology: a review. Dermatology research and practice. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4120804/. Published 2014.
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