There are a number of effective integrative treatments such as tea tree oil, neem, castellani paint and gentian violet are available as well. Topical indigo can be used for psoriatic nails along with various agents that help soften the nail plates.

Traditional treatments include topical antifungal and steroid creams (for nail psoriasis)ointments, or gels. Prescription nail lacquers can penetrate the nail plate better and may be used. Oral prescription medications are also available for treating nail fungus. If nail psoriasis coeexists with joint pain then oral treatments for psoriasis such as Otezla are recommended to prevent damage to the joints of the fingers.