What you should know about a broken pinky toe

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A broken pinky toe is a fracture of the smallest toe. The term “broken toe” usually describes a traumatic fracture, which can occur due to a direct blow or impact, such as stubbing the toe or dropping something on it. The pinky toe is a commonly broken toe, and the fracture usually occurs at its base.

This article looks at the symptoms of a broken small toe, along with some other problems that can cause pain and swelling in the area. It also examines the treatment and management options for this injury.

Symptoms of a broken pinky toe

The most common symptoms of a broken pinky toe include:

• a snapping, grinding, or popping noise at the time of the break
• pain at the place of impact at the time the fracture occurs
• the toe appearing to be crooked
• redness, bruising, and swelling

If there is an open wound, a person should seek immediate medical attention to prevent infection.

Other causes of pain and swelling

Other than a broken pinky toe, there are many reasons a person might have pain or swelling in their smallest toe. People can treat most of these causes at home. However, if home remedies do not seem to be working, it is important to see a doctor, as the issue could turn out to be something more serious.

The following sections outline some other causes of pain and swelling in the pinky toe in more detail.

Stress fracture

A stress fracture, or a hairline fracture, is a small crack or severe bruising within a bone. It is slightly different from a traumatic fracture, as it usually occurs due to overuse and repetitive activity.

Symptoms

• pain during or after performing normal activities
• pain that goes away when resting but returns when standing or during activity
• painful to the touch
• swelling but no bruising

Treatment

According to the American Academy of Orthopaedic Surgeons (AAOS), the most important treatment for a stress fracture is rest.

Advising that it takes up to 8 weeks for most fractures to heal, the AAOS warn against resuming the activity that caused the stress fracture to occur too quickly. They warn that this could lead to long-term problems. As well as resting, using shoe inserts or braces can help stress fractures heal.

Sprains

A sprain occurs when there is damage to a ligament. Ligaments are the bands of tough, elastic connective tissue that connect the bones in the toes to each other.

Symptoms

• pain
• swelling
• difficulty walking
• tender to the touch

The AAOS categorize sprains into three grades:

• Grade I: This is characterized by overstretched ligaments, a minimal loss of function, and mild pain.
• Grade II: This is characterized by a partially torn ligament, moderate pain, and difficulty putting weight on the toe.
• Grade III: This is characterized by a complete tear of the ligament, severe pain, a total loss of function, and an inability to bear weight.

Treatment

Treatment depends on the severity of the sprain but could include:

• resting the toe
• icing the toe
• wearing a compression sock
• using crutches to aid walking
• taking pain relief medication
• using a walking boot, which is a stiff boot that protects the toe as it heals

Dislocation

A dislocation is a complete separation of the bones in a joint. The bones then move out of their normal position.

Symptoms

• severe pain
• deformity or displacement of the toe
• swelling and bruising
• numbness or tingling
• difficulty moving the toe

Treatment

• “buddy” taping it to an adjacent toe
• using a splint
• wearing a cast
• trying a walking boot

Bunion

A bunion is a painful, bony bump on the toe joint. A bunion on the pinky toe is called a tailor’s bunion. Historically, this name comes from the tailors who sat cross-legged all day, with the outside edge of their feet rubbing on hard surfaces.

Symptoms

• a visible bump on the outside of the pinky toe
• pain and tenderness at the site of the bump
• redness and inflammation
• a callus or corn on the bump

Treatment

• making shoe modifications, such as wearing wider-fitting footwear
• using bunionette pads
• taking nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen

In some cases, corticosteroid injections can help treat the inflamed tissue around the joint. Surgery may be necessary in severe cases.

Corns

Corns are hard, thickened areas of skin that form as a result of friction or pressure. Corns are the foot’s natural defense to help protect the skin underneath them. They are a response to bone pressure against the skin.

Corns may develop on the tops and sides of the toes and on the balls of the feet.

Symptoms

• a hardened patch of skin
• open sores between the toes
• pain when wearing shoes

Treatment

• shaving the corn, but only when a health professional carries it out
• soaking the feet and using a pumice stone on the corn
• wearing a donut shaped foam pad over the corn to reduce the pressure

It is best to visit a doctor as soon as someone suspects that there is something wrong. This is particularly important if a person hears a snapping, grinding, or popping noise at the time of the break.

If a person leaves a broken toe untreated, it can get worse and cause lasting problems.

Diagnosing a broken pinky toe

The doctor will examine the foot, gently pressing on different areas to find out where there is pain. They will also order X-rays. Additional imaging studies may be necessary if the initial X-ray does not show anything.

Treatment

It is a myth that nothing can mend broken toes. In fact, leaving them without treatment can lead to future complications. Healing of a broken toe may take 6–8 weeks.

A person may need to have their broken toe buddy taped to an adjacent one. Wearing a stiff-soled shoe can also help, as can using crutches to help keep weight off of the toe while it heals.

Rarely, a person may need to wear a cast to keep the foot immobile. Surgery may be necessary if there are multiple breaks or if nonsurgical treatment does not work.  Also, if a fracture leads to large amounts of blood underneath the nail, a person may need to take antibiotics and undergo nail removal.

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Pinky Toe Broken, Fractured, or Sprained? Symptoms and Treatment

Your pinky toe may be small — but if it gets injured it can hurt big time.

Pain in the fifth toe is actually very common and can have many causes, including a break or sprain, tight-fitting shoes, a corn, bone spur, or some other factor.

Here’s a look at the possible causes of a painful pinky toe and what you can do.

Your pinky toe is prone to injury because of its location on the outside of your foot. The metatarsal bones leading to the fifth toe are one of the most common locations for foot injuries, especially for athletes.

If your toe is swollen and painful, and home remedies don’t help, it’s a good idea to see your doctor.

Proper treatment early on can help ensure that your toe heals correctly and it doesn’t lead to any other issues.

Let’s take a closer look at some of the most common causes for a painful small toe.

If you stub your toe really hard, or if you have a direct blow to your foot from a heavy object, your toe could be broken. A break is also called a fracture.

If you experience an open fracture, which includes an open wound or tear in the skin, you should see a doctor immediately.

Symptoms

The most common symptoms of a broken pinky toe include:

• a popping sound when the injury occurs
• throbbing pain that’s immediate and may fade after a few hours
• difficulty putting weight on your foot
• pinky toe seeming out of alignment
• swelling and bruising
• burning
• a damaged toenail

Treatment

Your doctor will likely X-ray your toe to examine the type of break. They’ll look for displacement, bone fragments, stress fractures, and injury to the metatarsal bones that connect to your pinky toe.

Treatment depends on the kind of break you have:

• If the toe bones are in alignment, your doctor may have you wear a walking boot or cast to immobilize the toe bones while they heal.
• For a simple break, your doctor may splint your pinky to your fourth toe to keep it in place while it heals.
• If the break is serious, surgery may be necessary to reset the bone.
• Your doctor will likely recommend over-the-counter (OTC) pain medications, rest, and home care.

A stress fracture, also known as a hairline fracture, is a small crack or bruise that develops within the bone over time. This typically happens from repetitive activities like high-impact sports that involve running and jumping.

Symptoms

Pain is the most common symptom of a stress fracture, and it can gradually get worse over time, especially if you continue putting weight on it. The pain is typically worse during activity and eases if you rest your foot.

Other common symptoms include:

• swelling
• bruising
• tenderness

Treatment

If you think you may have a stress fracture, you can perform the RICE method until you’re able to see a doctor. This involves:

• Rest: Try to avoid putting weight on your foot or toe.
• Ice: Use a cold pack (ice or ice pack wrapped in a moist cloth or towel) on your toe for 20 minutes at a time, several times a day.
• Compression: Wrap a bandage around your toe.
• Elevation: Rest with your foot raised up higher than your chest.

Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and aspirin can help ease the pain and swelling.

Depending on the severity, stress fractures are often treated similarly to breaks.

Other fractures

Two other types of metatarsal fractures may also cause pain on the outside of your foot, including your pinky toe. This includes:

• Avulsion fracture. This happens when a tendon or ligament that’s attached to the metatarsal bone is injured and pulls a small piece of bone away with it. This tends to happen in sports, especially with sudden turns.
• Jones fracture. This is a break at the base of the fifth metatarsal bone.

With both types of fractures, the most common symptoms include:

• pain in the area of the fracture
• bruising and swelling of the foot
• pain when you try to put weight on your injured foot

When you bang your toe or stretch it too far backward, you can separate one pinky toe bone from another. This is called a dislocated toe.

Dislocation is fairly common among athletes and people over 65.

Your pinky and all the other toes, with the exception of your big toe, have 3 bones. Dislocation can occur at any of these joints.

The dislocation can be partial, which means the bones aren’t completely separated. This is known as subluxation. A full dislocation is when the bone is intact but completely out of its normal position.

It’s possible to dislocate one toe bone and also have an injury to another toe bone, such as a fracture.

Symptoms

The most common symptoms of a dislocated pinky toe include:

• pain when you move the toe
• a crooked appearance
• swelling
• bruising
• numbness or a pins-and-needles feeling

Treatment

Your doctor will examine your toe to feel for a dislocation. They may take an X-ray to confirm a diagnosis.

Sometimes other tests may be necessary to check if you have damage to your blood vessels or nerves.

In most cases, a doctor can manually put the dislocated bone back into position. This realignment is called a closed reduction. You may have a local anesthetic for this procedure so you don’t feel any pain.

Depending on how serious the dislocation is, you may need to wear an elastic bandage, splint, cast, or walking boot to keep the toe in alignment while it heals.

In some cases you may need surgery to fit the dislocated bone back into position. This is known as open reduction.

A sprained toe involves injury to a ligament, not your toe’s bone.

Ligaments are the connective tissue fibers that attach bones to each other and to joints. They’re different from tendons, which are the connective tissues that attach muscle to bones.

You can sprain your toe by bumping it hard or stretching it beyond its normal range of motion.

A sprained toe can be painful, but you’ll usually be able to walk on it.

Symptoms

The most common symptoms of a sprained pinky toe include:

• pain while moving the toe
• a throbbing sensation
• tenderness to the touch
• swelling
• bruising
• joint instability

Treatment

Treatment for a sprained pinky toe depends on the severity of the sprain. Sprains are categorized in 3 grades:

• Grade I: minimal pain and loss of function
• Grade II: moderate pain and difficulty putting weight on the toe
• Grade III: severe pain and an inability to put weight on the toe

For grade I sprains, you may only need to rest and ice your toe and possibly do buddy taping.

For grades II or III, your doctor may recommend additional measures, such as a walking boot.

A tailor’s bunion, also called a bunionette, is a bony bump on the outside of the base of your pinky. It can cause your pinky toe to become very painful.

Tailor’s bunions can be caused by an inherited abnormal structure of your foot, where the metatarsal bone moves outward while the pinky toe moves inward.

It can also be caused by shoes that are too narrow in the toe.

In both cases, the resulting bump gets irritated by shoes that rub against it.

Symptoms

The most common symptoms include:

• a bump on the toe that starts small but grows over time
• pain at the bunion site
• redness
• swelling

Treatment

Depending on the severity of your pain, your doctor may recommend:

• wearing shoes that have a wide toe box and avoiding shoes with high heels and pointy toes
• putting soft padding over the painful area
• orthotics to relieve pressure on the area
• a corticosteroid injection to reduce inflammation

In some cases, if pain interferes with your daily activities, or the bunion is more severe, your doctor may recommend surgery.

A corn consists of hardened layers of skin. It typically develops from your skin’s response to friction and pressure, like a shoe that’s too tight.

A hard corn on the outside of your pinky toe can be painful, especially if your shoe rubs against it. If the corn is deep set, it may lead to entrapment of a nerve or bursa (fluid-filled sacs around your joints).

Symptoms

The most common symptoms of a corn include:

• a tough, rough, yellowing patch of skin
• skin that’s sensitive to the touch
• pain when wearing shoes

Treatment

Your doctor may:

• shave a corn or advise you to file it after bathing
• recommend soft padding to relieve pressure on the corn
• recommend wearing wider shoes or stretching the toe box of your shoes

Several types of toe abnormalities can make your pinky toe painful, uncomfortable, or swollen.

Misshapen toes

When your posture or movement is unbalanced, it can put extra pressure on your feet that causes changes to your toes. You may develop a hammer toe or claw toe.

• A hammer toe is when your toe bends downward instead of straight ahead. It can be caused by an injury to the toe, arthritis, ill-fitting shoes, or a very high arch. Some people may be born with this condition.
• A claw toe is when your toe bends into a claw-like position. You may be born with a claw toe, or it may develop as a result of diabetes or another disease. If not treated, your toes can freeze into a claw position.

Both hammer toe and claw toe can become painful. They can also lead to the formation of corns, calluses, or blisters on the toe.

Other toes may also develop corns or calluses because of the abnormal pressure on them.

Treatment

• For both hammer toe and claw toe, your doctor may recommend a splint or taping to keep your toes in the proper position.
• For a claw toe, your doctor may recommend exercises to keep your toe flexible.
• For ongoing problems that don’t improve with conservative treatment, your doctor may recommend surgery to correct the toe.

Overlapping pinky toe

Some people are born with a pinky toe that overlaps the fourth toe. It’s thought to be inherited. In some cases, it can cause pain and discomfort. In about 20 to 30 percent of people, it occurs on both feet.

Sometimes children born with this condition self-correct as they begin walking.

It’s estimated that 50 percent of people with an overlapping fifth toe have pain, including bursitis, calluses, or problems with footwear.

Treatment

The first line of treatment is to use conservative therapies to try to reposition the pinky toe. This can include taping, splinting, and corrective shoes.

If these therapies aren’t effective and pain persists, surgery may be performed.

Depending on the cause of the pain in your little toe, taking care of the pain at home with the right self-care measures may be all you need to feel better.

If the cause of the pain is something more serious that needs medical attention, you can follow these self-care measures until you see your doctor.

To help ease the pain in your pinky toe:

• Rest your foot and toe as much as possible. Try to avoid putting weight on your toe.
• Use crutches or a cane to help you get around without putting pressure on your toe.
• Elevate your foot so that it’s higher than chest level.
• Ice your foot for 15 to 20 minutes at a time, several times a day, for the first few days after an injury. You can use ice, an ice pack, or bags of frozen vegetables wrapped in a moist towel or cloth.
• Take an OTC pain medication to help with the pain and inflammation.
• Use moleskin or padding to prevent your painful pinky from coming into direct contact with your footwear.

Your toes play an important role in keeping you balanced as you move, whether you’re barefoot or wearing shoes. Your pinky is the smallest toe, but it’s crucial in helping you to maintain your balance.

It helps to think of your foot as having a triangular base of balance. The triangle is formed by 3 points: your big toe, your pinky toe, and your heel. Damage to any part of that triangle can throw off your balance.

So, it makes sense that if your pinky toe gets hurts, it may throw off your balance and affect how you walk and move.

Be sure to get medical attention if you have intense pain or swelling in your pinky toe, are unable to put any pressure on it, or its out of alignment.

Structural abnormalities can also be remedied with medical treatment.

Less severe conditions, such as a mild sprain, can usually resolve with good home care and OTC products. Sometimes wearing good-fitting shoes with a wide toe box may correct what’s making your pinky toe painful.

symptoms, treatment, prevention at home

The Internet is full of jokes about the insidious legs of the sofa and nightstands, which dream of meeting the little toe. Many remember the pain that happens after their sharp contact. But few then rush to the doctor. A broken toe is often seen as comical. As a result, a person looks at whether the finger is moving or not, it hurts – it doesn’t hurt, and lives on calmly. Even if the finger swells the next day, many rely on “it will pass by itself.” In some cases, this is what happens. But sometimes the severity of the situation can exceed the insignificance of external symptoms, especially since not only the little finger can be broken on the leg.

– The big toe or little toe is most commonly affected by toe fractures, says traumatologist Erwin Kuzmin . “People hit furniture – these are common cases when, for example, a young mother ran after a child and got injured. Either the person was in a hurry to the TV, the children frolicked next to the pieces of furniture. In these cases, the little fingers are more often injured. In my practice, there was a treatment with a broken toe as a result of a Rottweiler jumping on the mistress – the dog made a maneuver out of the best of feelings, as a result, the woman had a fracture of her little finger. Big toes are injured mainly when playing football, participating in outdoor sports, accidentally or intentionally kicking a hard surface. You can also get a broken toe if a heavy angular object falls from above. As an example, I can cite a schoolboy whose briefcase with textbooks fell on his leg. Severe injuries, for example, resulting from an accident, are not taken into account, since there we are talking, most often, about a combined injury and saving the patient’s life, and not a broken toe.

Symptoms of a broken toe

Three main symptoms:

• pain;
• edema;
• deformation.

Pain. The first and main symptom of a broken toe is pain. The pain syndrome also occurs with bruises and dislocations, therefore, first of all, it is worth paying attention to its intensity. Constant throbbing pain in the finger, especially at night, is a sure reason to go to the emergency room.

Edema. When a toe is broken, swelling appears along with pain, in other words, swelling. As a result of injury, the integrity of body tissues, vascular permeability and water-salt balance are violated, as a result, an excess of fluid accumulates in the intercellular space, which we observe visually. Small blood vessels are also damaged, and a hematoma joins the edema, i.e. bruise. When you try to move your finger, swelling and hematoma can increase, as well as spread to neighboring tissues.

Deformation . A clear sign of a broken toe is its curvature. Most often, in such a situation, it is impossible to move them, and an attempt to touch causes a sharp pain. However, it should be borne in mind that with significant edema, the deformation may not be visible to the eye, so it is better to consult a doctor to make a diagnosis.

Treatment of a fractured toe

Fractures are different – open and closed, with and without displacement of fragments, oblique, transverse, comminuted, and so on. Treatment of a fracture depends on its type. If this is a simple fracture without displacement, then a universal remedy is the imposition of a splint for short-term immobilization of the limb. After two weeks, it will be possible to step on the leg, after three – to remove the splint.

Doctors used to recommend tight bandaging for several weeks, especially for injuries to the middle and ring fingers. It was necessary to apply a tourniquet, connecting the injured finger with the neighboring uninjured one, and tightly tie them. Bandage every 3-4 days. But, the main rule in the treatment of a broken toe is that patients should not lean on the injured leg.

– Most patients consider a broken toe a trifle and neglect the orthopedic regimen, comments Erwin Kuzmin. – As a result, the consolidation of bone fragments is delayed, the fracture becomes ununited. Treatment is delayed. Therefore, it is much more practical to temporarily walk with a splint and enjoy life. After all, other types of toe fractures require more serious intervention – surgery.

Diagnosis

The main method for diagnosing a broken toe is radiography. It will allow you to immediately differentiate the diagnosis: bruise or fracture, as well as determine the type of fracture.

The main thing in the healing process is to observe the orthopedic regimen. Photo: Pixabay

Modern Treatments

Modern medicine has advanced particularly in the treatment of complex fractures. First of all, this concerns the treatment of comminuted fractures of the toes, where fixation of bone fragments is necessary using special structures: knitting needles or plates.

Today, there are many options for plates for periosteal osteosynthesis, with which you can fix any bone. Plates vary in size, shape, functionality. If we are talking about a fracture of the toe, then it is installed for 3-4 weeks and guarantees 100% fixation. Subsequently, it can be both removed and, if indicated, left. However, there is always the risk of a suppurative process.

Kirschner wires mainly fix small bones and joints. Fixation can be carried out both externally, when the end of the pin rises above the surface, and internally, when the entire structure is under the skin. Immobilization lasts, as a rule, for 4 to 6 weeks after the operation. The operation is minimally invasive, less traumatic than the installation of plates. Subsequently, you can remove the spokes at any emergency room.

Prevention of a broken toe at home

Broken toes are usually the result of hitting something hard and immovable, or from dropping a heavy, angular object on the foot. Less often – from bending the fingers inward. Therefore, pay attention when buying furniture to its protruding parts. Do not arrange furniture so that it is in your path or aisle. It is advisable to walk around the house in slippers that can soften the blow. Be careful when lifting heavy objects. Also pay attention to the selection of shoes: wearing shoes that are narrow or smaller than necessary in size is fraught with injuries on the street, especially on ice.

Frequently Asked Questions

Why should you see a doctor if you have a broken toe when it heals on its own?

Indeed, the bone can heal itself if it is a simple fracture. Only in the absence of treatment, an incorrectly fused toe can partially lose its mobility and remain deformed. This will make wearing shoes uncomfortable, can cause pain, and in the future threatens with arthritis.

In other cases, if the fracture is complicated, such connivance is fraught with inflammation and amputation.

Do you need a cast for broken toes?

If only the toes are fractured, a splint is applied – a light circular plaster bandage. It does not cover the whole leg, it can be removed at any time for examination or hygiene procedures with the permission of a doctor.

Need a splint after finger surgery?

If a broken toe required surgery, a splint is often placed after surgery for up to two weeks. During this period, it is recommended to walk as little as possible and rest more, while in bed, keep your leg in an elevated position.

I broke my toe, do I need crutches?

Oct 09, 2010 07:18 PM

#2

Oct 09, 2010 07:30 PM

#3

9 0087 October 09, 2010 07:30 PM

#4

October 09 2010, 19:44

#5

October 09, 2010, 19:49

#6

October 9, 2010, 20:31 9 0076

#7

brown-haired

broke her little finger twice.. .the first time they didn’t even put the plaster on – they wrapped it tightly with adhesive plaster … the second time they put it on, but it lasted me for two days – the horror is quiet … I took it off and wrapped it with a plaster

October 09, 2010 20:42

#8

October 9, 2010 22:42

#9

90 127 October 09, 2010 10:42 PM

#10

October 09 2010 23:18

#11

October 10, 2010 00:02

#12

October 10, 2010 01:49

#13

October 10, 2010, 21:04

#14

Count

if the finger itself, then you can hobble without crutches, if the metatarsal bone (which goes to the finger in the foot itself) – then crutches are a must. October 10, 2010 00:50 October 23, 2010 07:21 PM

#17

January 20 2011, 20:28

#18

March 22, 2011, 16:04

#19

March 22, 2011, 22:57

#20

June 05, 2011, 13:32

#21

Kott

I also broke and they wrapped me in a plaster, very convenient. 12 June 2011

Wind forecast in three days.

In the next forum I saw that 2 weeks, if the fracture is not complex and without displacement.

June 12, 2011, 11:15 pm

#23

Sorry.

Stsylko to the medical forum

Oksana Nosachenko

Psychologist

39 answers

Oct 12, 2011 03:23 AM

#24

Nov 30, 2011 08:49 PM

#25

December 12, 2011 00:16

#26

09 January 2012, 06:54 AM

#27

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December 28, 2013 9:03 PM 7

#39

Marina

yes, the hairpins don’t shine for me now, and any model shoes too. Barely in sneakers hobble. The little finger did not grow together correctly. Looks away from others. After he was “set” it was necessary to do an x-ray again. And they are immediately in plaster. The doctor says it’s okay, the displacement is small. Of course, it’s small for Egypt, they are in shales in winter and summer …

June 14, 2014 05:26 PM

#40

June 22, 2014 07:34 AM

#41

alena

I broke my thumb, with displacement and fragmentation.