Why cold sores appear and how to shorten the healing time

HSV-1 is among the most common viral infections globally, and many people first encounter it in childhood.

According to the Danish health magazine iForm, dermatologist Flemming Andersen explained in an interview that the virus settles in nerve pathways after the initial infection.

Most of the time it stays quiet, but when the immune system is strained, it can resurface on the lips as a painful outbreak.

Outbreaks also matter beyond discomfort. Many patients report that cold sores affect social interactions, work routines, and confidence, particularly when symptoms appear suddenly.

Also read: Expert breaks down how many push-ups people typically manage at different ages

Why the virus reactivates

iForm notes that routine factors, from abrupt weather shifts to hormonal changes or a bout of illness, often set the stage for reactivation.

Flemming Andersen said that people frequently misread the earliest sensations, such as tingling or tightness, only realizing later that a lesion is forming.

Simple habits can help reduce spread. Handwashing after touching a sore lowers the chance of transferring the virus to other skin areas, and sun protection can reduce stress on the affected regions.

What shortens recovery

Treatment works best before a blister fully forms.

Also read: These people are more likely to believe in conspiracy theories

Research published in JAMA has documented that Aciclovir can shorten from 16 to 10 days, particularly when used at the first signs of an outbreak.

Topical creams are typically recommended early, while tablets may be prescribed for recurrent or severe episodes.

Protective patches can shield the area once a sore is visible, reducing irritation and lowering transmission risk.

Medical evaluation is advised if healing stalls or signs of bacterial infection emerge.

Also read: Study links reproductive diseases to higher depression rates

Sources: iForm.dk, and JAMA.

Also read: Subtle kidney stone symptoms many people miss in the beginning

This article is made and published by Ida-Marie Palm Varbæk, who may have used AI in the preparation.