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Hi i have sebo-psoriasis...i have to confess i do pick at it, but not constantly. I do though, get pronounced raised patches/lumps on my scalp, where the condition worsens. When i even attempt to dislodge them with a comb ect. it now mainly cause me; very significant pain: on those areas, which is really severe and feels like nerve pain! Please can you advise...as i find this really scary and my GP and Dermatologist have not taken this seriously at all, which makes me feel low. I have to add that even brushing my hair now, causes very bad pain each day in those areas, which i never used to experience.

Thankyou for your question.

I’m sorry to hear your predicament. Psoriasis is a very vascular condition which means that often picking at lesions and scales will result in bleeding and pain.

Sometimes however picking can become a habit. The first step wound of course be to try and control the psoriasis better and maybe consider oral treatments -these can be discussed with your dermatologist.

I would also strongly suggest that you are seen by a specialist psychologist who can often help in dealing with the psychological impact of the psoriasis and also help with the picking aspect. Psychology is often seen as a taboo subject and patients feel they will not benefit but in my experience it works very well.

Medications such as amytryptilline can help with the pain. Discuss with dermatologist.

I hope that helps.