LICE COMB-OUT METHOD

The comb out method is a meticulous and time-tested technique employed to eradicate head lice and their eggs (nits) from the hair and scalp.

Using a fine-toothed nit comb, ideally one specifically designed for lice removal, the hair is systematically combed section by section to physically remove both adult lice and nits. The process requires wetting the hair and applying conditioner to make the combing smoother. The comb out method is especially favored for its non-toxic nature, posing no harm from chemicals that might be present in lice treatment shampoos or lotions.

For best results, the combing should be done regularly, ideally every day or every other day, for at least a week to ensure all newly hatched lice are removed before they can lay more eggs. When used in conjunction with other treatments, the comb out method can significantly increase the chances of completely eliminating a lice infestation.

boy getting checked for lice at school

Benefits of the comb-out method

The comb out method for head lice removal offers several benefits:

  • Chemical-Free: It doesn’t involve the use of pesticides or chemicals, which means no risk of chemical reactions or sensitivities for the individual being treated.
  • Cost-Effective: A nit comb is relatively inexpensive, and once purchased, it can be reused multiple times, making it a cost-effective solution in the long run.
  • Resistance is Not an Issue: With increasing reports of "super lice" that are resistant to over-the-counter and sometimes even prescription treatments, the comb out method bypasses this issue entirely, relying on physical removal rather than chemical eradication.
  • Immediate Results: With diligent combing, you can see results immediately, as lice and nits are physically removed from the hair.
  • Environmentally Friendly: Without the need for chemical shampoos or treatments, there's less environmental impact, particularly from run-off that can end up in water systems.
  • Safety: The method is safe for all age groups, including babies, pregnant women, and breastfeeding mothers who might be advised to avoid certain chemical treatments.
  • Comprehensive: Combing not only allows for the removal of adult lice but also helps in identifying and removing nits, preventing a future infestation from occurring.
  • Educative and Preventative: The hands-on nature of the comb out method can help in educating individuals and parents about the lifecycle of lice, their appearance, and habits. This knowledge can be crucial for prevention in the future.
  • Can Be Used in Conjunction: The comb out method can be integrated with other treatments to enhance their effectiveness. Even if one uses a chemical treatment, combing out dead lice and remaining nits can be beneficial.
  • Psychological Satisfaction: For many people, the act of physically removing lice and nits provides a sense of control and immediate satisfaction, knowing that the pests are being addressed directly.

However, it's essential to note that the effectiveness of the comb out method largely depends on the diligence and thoroughness of the process. Regular and careful combing is necessary to ensure that all lice and nits are removed.

How to comb out lice - Instructions for removing lice

Preparation:

  • Make sure there is good lighting in the room.
  • Gather all necessary supplies:
    • a fine-toothed nit comb (metal combs are often more effective than plastic ones)
    • a regular comb
    • white conditioner (this will make combing easier and will immobilize the lice
    • a bowl of warm water
    • paper towels or a white cloth
    • hair clips for sectioning off hair.

Wet the Hair:

  • Start by wetting the hair. This makes it easier to comb and can slow down the lice, making them easier to catch.

Apply Conditioner:

  • Generously apply white conditioner to the entire scalp and hair. This will immobilize the lice and make the combing process smoother.

Section the Hair:

  • Divide the hair into small sections using hair clips. This is crucial for managing and ensuring every part of the scalp and hair is combed through.

Begin Combing:

  • Starting at the scalp (where lice tend to stay close due to warmth), place the nit comb as close to the skin as possible.
  • Slowly pull the comb all the way to the end of the hair.
    After each pass, wipe the comb on a paper towel or white cloth to check for lice and nits. You'll see small, brownish adult lice and tiny, oval, and usually yellowish or white nits.
  • Rinse the comb in the bowl of warm water to remove any lice or nits and continue.

Work in Sections:

  • Repeat the combing process for each section, ensuring you comb through each part multiple times from different angles.

Final Rinse:

  • Once you've combed through the entire head, rinse out the conditioner. This will also wash away any loosened lice or nits.

Regular Checks and Re-combing:

  • Lice have a life cycle that includes laying eggs, so you'll want to repeat this process every day or every other day for at least a week to ensure that newly hatched lice are removed before they have a chance to lay more eggs.
  • Continue regular checks for at least two weeks after you believe all lice and nits are gone to ensure there's no re-infestation.

Clean-Up:

  • Dispose of the paper towels or wash the cloth in hot water.
  • Clean the nit comb thoroughly using hot soapy water.
  • It's also a good idea to wash all bed linens, hats, and any clothing the person has worn recently to ensure no stray lice or nits remain.

Additional Tips:

  • Keep hair tied up in buns, braids, or ponytails to reduce the risk of re-infestation, especially for kids going back to school.
  • If one family member has lice, check everyone in the household to prevent the spread.

Remember, while combing is a powerful tool in the fight against lice, it requires patience and persistence. If you're struggling with recurrent infestations, consult a healthcare professional or consider other lice treatment options.

Alternative Lice Treatment options for Lice comb-out

When a comb-out or other professional lice treatment isn't an option or is impractical due to distance, there are several alternative lice treatment options that exist. Although we always advocate for seeking professional help, below we offer a comprehensive list about treatments that may exist.

  • Over-the-Counter (OTC) Shampoos and Lotions: These typically contain chemicals such as permethrin or pyrethrin, which target and kill lice. Examples include Nix and Rid.
    • Prescription Treatments: For stubborn or resistant lice, healthcare professionals may prescribe treatments like:
    • Malathion (Ovide): A topical lotion that kills both lice and their eggs. It's flammable, so avoid heat sources after application.
    • Benzyl alcohol lotion (Ulesfia): Kills lice by suffocating them but doesn't kill nits.
    • Ivermectin lotion (Sklice): Effective at killing both lice and their eggs.
    • Spinosad (Natroba): Derived from bacteria, this lotion kills both lice and their eggs.
  • Professional Lice Clinics: There are lice clinics and salons that specialize in lice removal. They often utilize a combination of treatments, including professional-grade heat treatments and comb-outs.
  • Heat Treatment: Devices such as the AirAlle deliver controlled heated air to the scalp and hair, dehydrating lice and nits. These treatments are performed by professionals and have shown 100% effectiveness in less than 1 hour.
  • Cold Treatment: Zyma Air Therapy is the leader in cold air treatment and introduces a revolutionary approach to tackling lice infestation, offering an effective solution that eliminates the need for pesticides. This non-pesticide treatment utilizes state-of-the-art cooled air technology through a specialized device developed by the experts behind Zyma Air Therapy. This treatment has shown 100% effectiveness in less than 1 hour.
  • Oil Treatments: Applying oils like olive oil, coconut oil, or tea tree oil can suffocate lice. This method usually involves saturating the hair with oil, leaving it on under a shower cap for several hours or overnight, and then washing it out. This method is messy, and when not combined with other methods is largely ineffective. 
  • Vinegar: The acidity in vinegar is believed to help loosen the glue-like substance that nits use to cling to hair. This method is messy, and when not combined with other methods is largely ineffective. 
  • Silicone-Based Treatments: Products like Dimethicone work by coating lice and suffocating them. This treatment can be effective but does require a comb out or air based treatment as well. 
  • Enzyme Treatments: Some non-toxic enzyme-based sprays and shampoos are designed to break down the exoskeletons of lice or the substance that binds nits to hair. Examples include LiceLogic and LiceMD.
  • Essential Oils: Some people believe that certain essential oils, such as tea tree oil, eucalyptus oil, and lavender oil, repel or kill lice. This method is unreliable and often does not work. 
  • Wet Wrapping: This involves applying a lot of conditioner to wet hair and wrapping the head with cling film or a shower cap. This method typically does not yield predictable or reliable results in most cases. 

It's important to note that while many alternative treatments might sound appealing when you are looking for a solution- many are "old wives tales" and while they may remove some lice visually, they usually do not remove all of the lice, which at the end of the day offers little value as lice spread quickly. can be effective against adult lice. 

Lastly, if you're dealing with a persistent infestation, consulting with a head lice professional can provide guidance tailored to your specific situation.

Don't battle lice alone! Every parent knows that a lice infestation can be a stressful and time-consuming ordeal. But did you know that professional head lice removal specialists are trained to eradicate these pesky invaders quickly and efficiently?

These experts use proven techniques and treatments to ensure both lice and their nits are thoroughly removed, saving you countless hours of combing and worry. Plus, they offer invaluable advice on preventing future outbreaks. Why struggle in silence? Reach out to a head lice removal specialist today and reclaim peace of mind for you and your family. Your scalp—and your sanity—will thank you!

Frequently Asked Questions

Choose a Quality Comb: Use a metal lice comb with closely spaced teeth.

  • Setup: Work in a well-lit area with a white towel or cloth around the person's shoulders.
  • Prep the Hair: Detangle with a regular comb. Dampen the hair and, optionally, add conditioner to immobilize lice.
  • Section the Hair: Divide hair into four parts. Starting with one, further section it for detailed combing.
  • Comb Close to the Scalp: Lice are often close to the scalp. Comb from roots to ends.
  • Wipe & Rinse: After each pass, wipe the comb on a cloth and rinse in soapy water.
  • Repeat: Comb each section multiple times from different angles.
  • Follow-Up: Comb daily or every other day for at least a week.
  • Sanitize: Post-combing, clean the lice comb in hot water or disinfectant.
  • Stay Alert: Check hair regularly for two weeks for signs of lice or nits.

For persistent infestations, consider seeking professional help.