Non-Pharmacological Treatment for Mild Psoriasis
For mild psoriasis, moisturizers and emollients should be applied in conjunction with any other treatment regimen for 4-8 weeks to reduce itching, scaling, and body surface area involvement. 1
Moisturizers and Emollients as Primary Non-Medication Therapy
Moisturizers are recommended as a valuable first-line treatment for mild psoriasis, particularly when dry skin is present, as they significantly improve skin conditions and quality of life. 2
Emollients work by retaining moisture in the stratum corneum and can reduce desquamation and itching when used consistently. 3
The American Academy of Dermatology specifically recommends applying emollients after any topical medications (such as calcipotriene/corticosteroid combinations) to avoid washing off active medication. 1
Emollients are safe during pregnancy and lactation, making them an excellent option for women of childbearing age with mild psoriasis. 1
The risk of adverse effects is minimal—only contact dermatitis may occur in patients with hypersensitivity to specific ingredients. 3, 1
Phototherapy as Non-Pharmacological Treatment
While the question asks specifically about non-medication treatments, it's important to note that phototherapy (narrowband UVB) is a second-line non-oral treatment option for patients who don't respond adequately to topical approaches, though this typically requires medical supervision and equipment. 4
Adjunctive Mind-Body Interventions
Meditation and mindfulness can improve psoriasis severity in some patients and should be discussed as adjunctive therapy for mild disease. 1
Biofeedback and progressive relaxation techniques may benefit patients with mild psoriasis who are interested in stress-reduction approaches. 1
Hypnosis can be incorporated for highly hypnotizable patients with mild to moderate psoriasis. 1
Skin Care Practices
Gentle skin cleansing and careful skin hydration through regular moisturizer use are essential components of psoriasis management. 2
Identification and avoidance of Koebner phenomenon triggers (excoriation, maceration) and infectious foci should be emphasized. 2
Important Caveats
While moisturizers alone may provide symptomatic relief, they are most effective when used as adjuncts to other therapies rather than as monotherapy for achieving disease clearance. 3, 5
If body surface area involvement exceeds 10% (approximately the size of 10 palms), contact a physician as this indicates the need for escalation beyond simple moisturizer therapy. 1
Emollients have no known contraindications unless hypersensitivity to ingredients exists, making them universally safe for most patients. 3