Hi, Thanks for your query, Bumps on the scalp have to be treated by a dermatologist. There are different options of treatment and it largely depends on the cause. Let us first discuss the treatment for ringworm infection. As it is a fungal infection, antifungal shampoos has to be applied on the scalp to get rid of the infection. Along with that, oral antifungal medicines are given to cure it from within. Then comes scalp folliculitis which happens to be a bacterial skin infection and requires oral antibiotic medicines to eliminate the bacteria. Contact dermatitis is treated externally only. Regular use of medicated shampoo and topical application of medicated ointments can reduce the skin irritation and inflammation. The treatment for epidermal cysts involves use of steroid injections to bring down the inflammation. However, if it does not work, then doctors drain out the fluid from it by surgical means. In some cases where the cyst is bothering the patient quite a lot, they may remove the cyst completely with surgery. Scalp psoriasis treatment is the most difficult and has to be continued for a long time. Topical treatments with coal tar shampoos and salicylic acid are highly effective for this purpose. Other patients may require steroid creams and oral medicines as well.

When you have painful bumps on the scalp, comb and brush your hair carefully so that you do not get hurt. Even if it causes a lot of itching, do not scratch the scalp skin. Too much of scratching can lead to secondary skin infection which is going to be more bothersome. You should not tie your hair too tightly as it can aggravate the pain. Most importantly, do not use any of those hair care products that have strong chemicals in them. Regards, Dr.Sharmila