Psoriasis Flare-Ups: Tips For Minimising Symptoms & Discomfort

Psoriasis is a chronic skin condition characterised by red, itchy, and scaly patches that often cause significant discomfort and distress. This inflammatory skin disease results from an accelerated skin cell lifecycle, where skin cells multiply up to ten times faster than normal. The excessive buildup forms thick, red patches covered with white or silver scales, which can occur on various parts of the body, including the elbows, knees, scalp, and lower back¹.

Living with psoriasis can be challenging, as flare-ups can be unpredictable and are often triggered by various factors such as stress, infections, weather changes, and certain medications. Psoriasis affects not only the physical well-being of individuals but also their emotional and psychological health. Understanding how to manage and minimise symptoms during flare-ups is crucial for improving the quality of life for those affected by this condition.

Psoriasis triggers

One of the first steps in managing psoriasis is identifying and avoiding triggers. While triggers can vary from person to person, common ones include stress, skin injuries, infections, and certain medications. Stress management techniques such as yoga, meditation², and deep breathing exercises can help reduce the frequency and severity of flare-ups. Keeping a diary to track flare-ups and potential triggers can also be helpful in identifying patterns and managing symptoms.

Effective skincare routines, topical treatments, and systemic medications

A consistent skincare routine is essential for managing psoriasis. Moisturising regularly helps keep the skin hydrated and prevents dryness and cracking, which can exacerbate symptoms. Opt for fragrance-free, gentle moisturisers and avoid products with fragrances, alcohol, or other irritants. In addition, taking lukewarm baths with colloidal oatmeal or Epsom salts can soothe inflamed skin and reduce itching.

Topical treatments are often the first line of defence against psoriasis flare-ups. Over-the-counter options such as hydrocortisone creams and ointments can provide temporary relief for mild flare-ups. For more severe cases, prescription topical treatments, including corticosteroids, vitamin D analogues, and retinoids, may be necessary. It is important to follow a dermatologist’s recommendations and apply these treatments as directed to achieve the best results.

For individuals with moderate to severe psoriasis, systemic medications may be necessary to control symptoms. These medications work throughout the entire body and include options³ such as methotrexate, cyclosporine, and biologics. Biologics, in particular, target specific parts of the immune system that contribute to psoriasis. Regular monitoring and follow-up appointments with a dermatologist are essential when taking systemic medications to manage potential side effects and ensure the treatment’s effectiveness.

Phototherapy

Phototherapy, or light therapy, involves exposing the skin to controlled amounts of natural or artificial ultraviolet light⁴. This treatment can slow down the rapid skin cell growth associated with psoriasis and reduce inflammation. Phototherapy is typically administered in a dermatology clinic under the supervision of a healthcare professional. Consistent sessions are often required to see a significant improvement, and it is crucial to adhere to the recommended treatment plan to avoid potential side effects.

Individuals with psoriasis should be vigilant about skin cancer screening, especially if they have undergone extensive phototherapy treatments. Regular check-ups with a dermatologist are essential to monitor for any suspicious changes in the skin. In Singapore, reputable dermatology clinics offer comprehensive skin cancer screening services to ensure early detection and prompt treatment of skin cancer.

Lifestyle modifications

Incorporating healthy lifestyle habits can significantly impact psoriasis management. A balanced diet rich in anti-inflammatory foods, such as fruits, vegetables, whole grains, and lean proteins, can help reduce inflammation and support overall skin health. Regular exercise also promotes general well-being and can reduce stress, a common trigger for psoriasis flare-ups. Additionally, avoiding smoking and limiting alcohol consumption⁵ can improve treatment outcomes and reduce the frequency of flare-ups.

Conclusion

Managing psoriasis flare-ups requires a multifaceted approach that includes identifying triggers, maintaining a consistent skincare routine, utilising appropriate treatments, and making healthy lifestyle choices. Regular consultations with a dermatologist are essential for personalised care and effective management of the condition. Angeline Yong Dermatology, a renowned dermatology clinic in Singapore, offers comprehensive services, including psoriasis treatment. Our team is dedicated to providing tailored solutions to help individuals manage their psoriasis and improve their overall quality of life. By seeking professional care and adopting proactive measures, those affected by psoriasis can find relief and comfort in their journey towards better skin health.

References

Psoriasis causes, triggers, and treatments: What is psoriasis?. National Psoriasis Foundation. (n.d.). https://www.psoriasis.org/about-psoriasis/

Bartholomew, E., Chung, M., Yeroushalmi, S., Hakimi, M., Bhutani, T., & Liao, W. (2022). Mindfulness and Meditation for Psoriasis: A Systematic Review. Dermatology and therapy, 12(10), 2273–2283. https://doi.org/10.1007/s13555-022-00802-1

Systemic treatments for psoriasis and psoriatic arthritis. National Psoriasis Foundation. (n.d.-b). https://www.psoriasis.org/systemics/

Psoriasis. Harvard Health. (2023, December 1). https://www.health.harvard.edu/a_to_z/psoriasis-a-to-z

Alcohol, Tobacco & Psoriasis. DermaHarmony. (n.d.). https://www.dermaharmony.com/pages/alcohol-tobacco-psoriasis

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Psoriasis Flare-Ups: Tips For Minimising Symptoms & Discomfort