A history of scalp treatment can be as important as what is visible today. In this Baldcast chapter, John describes months of injections and medications, followed by a long period in which he stopped seeking care after feeling that nothing was improving.
Looking Back at Earlier Treatment
When Dr. Sanusi Umar asked what treatments he remembered receiving before they met, John began with a steroid injection given directly into a scalp bump after it started getting bigger. He also recalled being placed on different medications, although he could no longer remember their names.
John’s recollection was straightforward: “None of them did anything.” The point in this chapter is not to generalize from one person’s experience, but to understand the treatment history behind bumps on the back of the head and why that history matters when a patient is evaluated again.
Monthly Injections, With No Positive Outcome
Dr. Umar asked whether there had been a series of injections. John remembered returning about once a month. Over time, he said, “it just felt like it either got worse or nothing changed.” When Dr. Umar summarized that there had been no positive outcome, John agreed.
After about four months, he stopped going. His account shows why previous care cannot be reduced to a list of medications or procedures. How a person experienced that care, what changed, and what did not change can influence what happens next.
When Frustration Leads to a Long Gap in Care
The break that followed was even longer. John estimated that he went about two years without seeing a doctor. “I just gave up basically on finding a cure for it,” he said. Dr. Umar responded by acknowledging how frustrating that experience must have been.
For people seeking evaluation for scalp bumps, including concerns described with terms such as acne keloidalis nuchae or bumps that won’t heal, this chapter highlights a practical point: the history of what was tried before is part of the story. The next chapter continues that conversation without assuming what later care or results may have been.
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Medical Disclaimer
This article is for educational purposes only and does not replace an individual medical evaluation, diagnosis, or treatment plan. Individual experiences and treatment responses vary.
Further Reading
- https://dru.com/acne-keloidalis-nuchae-piilif-cvg-scalp-folds/
- Umar S, Lullo JJ, Carter MJ, Shitabata PK, Lee DJ. Acne Keloidalis Nuchae is Associated with Cutis Verticis Gyrata. Clin Cosmet Investig Dermatol. 2022 Jul 26;15:1421-1427. doi: 10.2147/CCID.S369243. Erratum in: Clin Cosmet Investig Dermatol. 2022 Aug 18;15:1673-1674. doi: 10.2147/CCID.S385560. PMID: 35924256; PMCID: PMC9342927.
https://www.dovepress.com/acne-keloidalis-nuchae-is-associated-with-cutis-verticis-gyrata-peer-reviewed-fulltext-article-CCID
