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Itchy bumps on scalp that are painful and white flakes/nits?

I've always dealt with dandruff in the winter, but I can't tell if the little white things in my hair are flakes or nits. I did the lice treatment, but nothing showed up when my hair was combed out. I have painful slightly itchy bumps and pimples on my scalp. I'm not insanely itchy, but I know you don't have to be super itchy to have lice. I don't know what else it would be if it's not lice, maybe the treatment didn't work. If it's not lice what is it?
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