How to Identify a Broken Toe From Sports or Trauma | Experienced Idaho Podiatrist

Everyone experiences the agony of stubbing their toe at some point. In most cases, the pain from catching your foot on a table leg or tripping over a tree root is short-lived. However, persistent or unbearable pain could signify that you’ve broken your toe.

Symptoms of a Broken Toe

Many of the symptoms of a fractured toe could also be applied to a sprained toe. Both involve the immediate onset of pain that continues for several days. Even a podiatrist may be unsure of the exact nature of the injury without performing an imaging test.

Common signs of a broken toe include:

• Inability to bend the toe
• Tingling or numbness
• Inability to walk or put any weight on the affected foot
• Swelling
• Throbbing pain
• Bruising on the skin and under the toenail
• Inability to touch the toe without pain
• A crooked appearance or marked difference from the same toe on the opposite foot

Fortunately, the immediate treatment for both conditions is to stay off the injured toe and elevate the affected foot. If you are still unable to run, walk, or stand the next day—or if the pain seems to be getting worse instead of better—you should see a podiatrist for the most effective care.

Diagnosing and Treating a Toe Fracture

You never want to wait too long before getting a medical opinion on foot pain. A toe injury may seem minor, but delayed treatment can put you at risk of additional injuries and make your recovery more complicated.

In our podiatry offices, we use various diagnostic tools to determine the underlying cause and severity of your condition. Once we have a complete picture of the problem, our staff will devise a treatment plan that may include:

• Conservative treatment. If you have a simple, non-displaced fracture, you may only need to immobilize the toe while it heals naturally. This can include splinting or buddy-taping the affected digit, wearing a walking boot, or wearing a stiff-soled shoe to prevent the ball of your foot from flexing when you walk.
• Rest. You should put as little weight as possible on your foot while it heals. You may need to elevate your foot when sitting and apply ice to the broken digit to decrease inflammation and encourage healing. If you try to get back on your feet too soon, you may risk re-injury that needs more invasive treatment.
• Surgery. If the bones in the toe are displaced or have been broken into several pieces, you may need a surgical procedure to remove bone fragments and realign the damaged bones.

Long-Term Complications of a Broken Toe

You should never try to treat a suspected toe fracture at home, especially if your injury involves the big toe. All toes are necessary for proper mobility, but the big toe bears a great deal of weight and is responsible for jumping, quick movements, and other daily activities.

If not treated properly, a fractured toe could cause long-lasting problems such as:

• Deformities. Bones that do not heal properly may form bumps or cause the toe to bend at a different angle.
• Arthritis. A break near a joint puts you at risk of developing osteoarthritis that causes chronic pain years after the injury has healed.
• Infections. You may need antibiotics to prevent deep-tissue infection if you suffer a displaced fracture or a bone breaks through the skin.
• Balance problems. A poorly-mended toe affects your overall balance and stability, potentially causing you to miss out on the activities you love.

Let Us Advise You on the Best Course of Action

Don’t take your toes for granted! If you cannot bear weight on your foot, our Idaho podiatry team can diagnose the cause of the problem and start effective treatment immediately. Simply request an appointment online or speak with our team in Twin Falls or Burley by calling (208) 731-6321.

Toe Fracture | Orthopedic Medical Center

A toe fracture, though very painful, is not usually a serious injury. Nonetheless, it must be appropriately treated to ensure proper healing. In most cases, a toe fracture, particularly of one of the small toes, can be treated nonsurgically, frequently by home remedies. At times, however, if the fracture is more severe, greater immobilization or surgery maybe required to prevent permanent damage.

Causes of a Toe Fracture

There are many possible causes of a toe fracture. The injury may be caused be stubbing the toe, dropping something on it, or bending it out of position. A stress fracture, also known as a hairline fracture, may be the result of a sudden increase in the intensity of simple exercise, like walking or running.

Symptoms of a Toe Fracture

There are several symptoms that may indicate a toe has been fractured, including one or more of the following:

• Severe pain increased by touch or movement
• Inability to move the toe
• Swelling
• Dark bruising
• Deformity (abnormal positioning)

Sometimes when a toe, or any bone, is fractured, a popping sound is heard at the moment of impact.

Diagnosis of a Toe Fracture

In order to diagnose a toe fracture, after a physical examination, the foot is X-rayed to assess the damage. During the physical examination, the doctor looks for swelling, dark bruising, the location of the worst pain, and any abnormality in positioning. The X-ray shows whether there is actually a fracture, as well as its precise location and severity.

Treatment of a Toe Fracture

Usually, in the case of a minor toe fracture of one of the small toes, home remedies are all that is necessary. These include rest, application of ice, and elevation of the affected foot. In many cases, the injured toe is simply taped to an adjacent toe to protect it from further injury and promote healing. This is known as “buddy taping.” When a toe is buddy-taped, soft padding is placed between the toes to prevent chafing. There are situations in which buddy taping is not possible, such as if the patient has diabetes or peripheral arterial disease, either of which impair circulation, or if the procedure increases the patient’s pain level.

When buddy taping is administered, it is generally left in position for 2 to 4 weeks. The fractured toe usually heals within 4 to 6 weeks.

In rare instances, when the fracture is severe, the toe may require full immobilization to protect it from further injury. This may take the form of a splint, brace, or short leg cast. Surgery is sometimes necessary, most often when the big toe is the one fractured. Without treatment of a severe fracture, there may be serious consequences, such as limited mobility, deformity of the toe in question, and long-term pain.

Additional Resources

• MedlinePlus
• National Institutes of Health
• Centers for Disease Control and Prevention
• Eunice Kennedy Shriver National Institute of Child Health and Human Development
• U.S. Department of Health & Human Services
• U.S. National Library of Medicine
• WebMD

Surgery for hallux rigidus (Hallux rigidus)

What is Hallux Rigidus © Viewmedica

Osteoarthritis of the metatarsophalangeal joint of the big toe (Hallux rigidus) leads to pain in the joint, loss of its mobility and difficulty in walking. As a result, this disease can lead to complete immobility of the metatarsophalangeal joint of the big toe. Often there is an incorrect load on the outer side of the foot, which increases the complaints of patients.

Causes of Hallux Rigidus

In many cases, the cause of Hallux rigidus is unknown. Possible causes may be genetic factors, microtrauma, improper loading or overload of the foot.

What are the symptoms of Hallux rigidus?

© orthoped-kinik.com

• Pain in the phalanx of the big toe
• Stiffness of thumb when walking, especially when rolling
• Swelling and redness of the metatarsophalangeal joint of the thumb
• Increased complaints in cold weather
• Subsequent complaints in the knee and hip joints as a result of improper loading.

What are the treatments for hallux rigidus?

Recently, metatarsophalangeal joint arthroplasty has proven to be excellent both in terms of functionality and durability. © orthoped-kinik.com

Depending on the extent and stage of the disease, treatment begins with conservative measures such as stretching, anti-inflammatory drugs – including joint injections, physical therapy, and orthopedic insoles. With inflammatory irritations of the thumb, orthokine procedures often help.

Operative treatment is divided into interventions related to the preservation of the joint, such as the removal of bone deposits (Cheilektomie) or changes in the structure of the joint, and conversion operations, such as resection arthroplasty according to Brand or arthrodesis (immobilization of the metatarsophalangeal joint of the big toe (.

Due to good long-term results in young, active patients, thumb metatarsophalangeal arthrodesis is still preferred

Arthrodesis of the metatarsophalangeal joint.

The goal of metatarsophalangeal arthrodesis is to unite both bones of the phalanx of the finger and the metatarsal in a specific position to achieve bony fusion. To do this, the damaged cartilage of the joint is completely removed, the adjacent bone tissue is refreshed and fixed with bolts, if necessary, with a plate. They carry the load until all the bones grow together. After that, the main load falls on the bones.

How is the operation with Lapidus-Arthrodese

In case of very large displacements and instability of the metatarsophalangeal joint, often in combination with arthrosis, we recommend using the so-called Lapidus arthrodesis (surgical immobilization of the joint between the metatarsal bone and the foot). In this case, the joint is completely immobilized. This method is often performed using offset plates. The latest results speak for stabilization with plates on the side.

The incision is made in the center of the joint on the sole side. The joint is first cleaned, then the ends of the metatarsal head bone and the base of the large phalanx are sparingly removed. After that, the correct position is chosen and both fragments are fixed with two screws or with a fixed angle plate, the so-called Lapidus-Platte (TMT 1 arthrodesis).
After the operation, the leg should be elevated for several days.

Postoperative period

After arthrodesis of the metatarsophalangeal joint of the finger, weights on the finger are prohibited for 6-8 weeks. To do this, the patient wears a special orthosis that relieves the load on the joint.

Weight bearing on the heel is allowed just a few days after the operation. Cooling, the position of the leg at a height, taking antiphlogistics and lymphatic drainage contribute to the speedy recovery.

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Toe taping: how to apply kinesio tape on joints

Toe taping provides effective recovery from injuries and is a good prevention of new injuries. The toes are an active component of the musculoskeletal system, performing many movements, without which a full life is impossible. Finger bruising, fracture, dislocation of the joint, sprain or rupture of ligaments, tendons are quite common problems, which they often try to solve with the help of splints, plaster bandages. However, after this kind of fixing dressings, a person needs rehabilitation. The kinesio taping technique, which involves the application of special fixing patches, allows you to gently fix the damaged limbs, while maintaining their functionality, and speeds up recovery as much as possible.

Causes of pain in the metatarsophalangeal joints

The feet experience increased stress every day, so it is not surprising that injuries and limb defects are widespread.

The most common causes of pain in the metatarsophalangeal joints of the legs are: 016

Kinesio taping is actively used for the treatment and prevention of injuries in professional sports – among those who play football, are fond of skiing.

Effectiveness of toe treatment with tapes

Severe bruises, dislocations, fractures and other serious injuries of the legs are accompanied by severe pain, swelling, changes in the anatomical position of the fingers, and limitation of movement. Taping provides the effect of applying a plaster splint or tight bandage, allows you to maintain the phalanx of the finger in the correct position. In most cases, people remain active, athletes do not stop the training process.

The effectiveness of taping is as follows:

• blood circulation and lymph outflow are improved – the nutrition of damaged tissues is normalized, swelling is removed,
• inflammatory processes are eliminated,
• spasms and convulsions are relieved,
• quick and natural recovery from injuries and increased loads,
• prevent injuries during training and extreme loads,
• eliminate acute and chronic pain of various etiologies.

Fixation of movable joints eliminates the risk of displacement of structures under the influence of increased loads in case of hallux valgus deformity. Provides accelerated rehabilitation of damaged tissues. Taping the big toe contributes to the optimal redistribution of body weight, reducing pressure on the metatarsophalangeal joint. Immobilization of the extremities eliminates the risk of friction of structures and getting microtraumas of the articular capsule, which result in acute pain and inflammation. The application of tapes for a bruised thumb makes it possible to exclude a provoking factor without drugs.

Taping of the joint and bone of the big toe

The taping technique allows you to fight the cause of the protruding bone of the big toe (valgus deformity of the big toe, hallux valgus). With the help of elastic patches, the joint is immobilized in a physiologically correct position without pain and discomfort. The bandage allows the joint to rest from constant stress and displacement. After a certain time of wearing tapes with a flat-valgus foot, a new way of distributing body weight on a limb becomes familiar. After the provoking factor is eliminated, the clinical symptoms disappear without the use of medications. When wearing tapes, the mobility of a person with a hammer toe is not limited, the stability of the arch of the foot does not deteriorate.

Depending on the degree of joint deformity, elastic kinesio tapes are used or static-dynamic taping is performed using hard/semi-rigid sports kinesio tapes.

Selection of toe tapes

When choosing toe tapes, it is important to pay attention to the following parameters:

• Country of origin. Japanese and Korean products have an impeccable reputation and are in great demand. The popularity of teips produced in Europe and the USA is growing. In order to avoid unpleasant surprises, it is recommended to choose original certified products;
• Size. The choice of tape width is made depending on the degree of damage to the toes. If the deformation is insignificant, a tape 2.5 cm wide is enough (you can cut the tape 5 cm wide into two tapes). In case of severe deformity, hard or semi-rigid tapes are used to ensure strong fixation (for example, in case of a joint injury);
• Colour. The color of the product does not affect its properties in any way and is selected based on personal preferences.

For toe taping, in most cases, standard tapes are used, made of hypoallergenic cotton fabric and containing safe acrylic glue. Such patches are highly elastic, allow air and moisture to pass through, are securely fixed and do not peel off throughout the entire period of wearing the bandage. In special cases, with severe damage, it is recommended to use non-standard tapes made of synthetic materials with reinforced glue.

Indications and contraindications

Taping of the joints of the toes is recommended in the following cases:

• arthrosis of the foot, 0016
• placental fasciitis,
• foot edema,
• contusions,
• dislocations,
• rehabilitation after finger fractures, torn ligaments.

Despite its high efficiency, taping, like any other technique, has certain limitations and contraindications.

Do not apply elastic bands if:

• allergic reactions,
• deep vein thrombosis,
• idiosyncrasy of band components,
• oncological diseases,
• damage to the skin at the site of taping – wounds, inflammations, ulcers, etc.