What are the symptoms of a broken toe. Broken Toe: Symptoms, Treatment, and Self-Care Guide
What are the symptoms of a broken toe. How can you treat a broken toe at home. When should you seek medical attention for a broken toe. What are the dos and don’ts of caring for a broken toe. How long does it take for a broken toe to heal.
Understanding Broken Toes: Causes and Anatomy
Broken toes are a common injury that can occur due to various reasons. The toes are composed of small, delicate bones that are susceptible to fractures. Each toe typically consists of two or three small bones, known as phalanges. These bones can break when subjected to sudden force or impact.
Common causes of broken toes include:
- Stubbing the toe against a hard surface
- Dropping a heavy object on the foot
- Sports-related injuries
- Falls or accidents
The fragility of toe bones makes them prone to fractures, even from seemingly minor incidents. Understanding the anatomy and causes of broken toes can help in prevention and proper care.
Recognizing the Symptoms of a Broken Toe
Identifying a broken toe is crucial for proper treatment. While the symptoms can vary depending on the severity of the fracture, there are several common signs to look out for:
- Pain: Often intense and immediate following the injury
- Swelling: The affected toe and surrounding area may become swollen
- Bruising: Discoloration around the injured toe, which can last up to two weeks
- Stiffness: Difficulty moving the toe
- Deformity: In severe cases, the toe may appear crooked or misaligned
- Difficulty walking: Pain when putting weight on the affected foot
Is it possible to distinguish between a broken toe and a bruised one? In many cases, the symptoms of a broken toe and a severely bruised toe can be similar. If you’re unsure, it’s best to treat the injury as a potential fracture and seek medical advice if symptoms persist or worsen.
Home Care for a Broken Toe: Do’s and Don’ts
Many broken toes can be treated effectively at home. Here are some essential do’s and don’ts for caring for a broken toe:
Do’s:
- Rest your foot and keep it elevated to reduce swelling
- Apply an ice pack wrapped in a towel for up to 20 minutes every few hours
- Take over-the-counter pain relievers like ibuprofen or paracetamol
- Wear wide, comfortable shoes with a low heel
- Buddy tape the injured toe to the adjacent toe for support
Don’ts:
- Don’t walk or stand for long periods
- Avoid wearing tight, pointy shoes
- Don’t play sports or engage in high-impact activities for at least 6 weeks
- Never apply ice directly to the skin
- Don’t attempt to “pop” or realign a crooked toe yourself
How should you buddy tape a broken toe? To buddy tape a broken toe, place a small piece of cotton wool or gauze between the injured toe and the adjacent toe. Then, use medical tape to wrap around both toes, securing them together. This provides support and helps keep the broken toe in proper alignment.
When to Seek Medical Attention for a Broken Toe
While many broken toes can be treated at home, certain situations require professional medical care. You should seek immediate medical attention if:
- The injury involves the big toe
- The toe is pointing at an odd angle
- There’s an open wound or the bone is protruding
- You heard a snap, grinding, or popping noise during the injury
- You experience numbness or tingling in the toe or foot
- The pain is severe and doesn’t improve with home care
- You have diabetes, as foot injuries can be more serious
In these cases, visit an urgent care center, emergency room, or consult with your healthcare provider promptly. They may recommend further treatment such as X-rays, casting, or in rare cases, surgery.
Healing Time and Recovery Process for Broken Toes
The healing time for a broken toe can vary depending on the severity of the fracture and the specific toe affected. Generally, broken toes heal within 4 to 6 weeks, but complete recovery can sometimes take several months.
Factors influencing healing time include:
- Age and overall health of the patient
- Severity of the fracture
- Which toe is affected (big toes may take longer to heal)
- Adherence to treatment and self-care instructions
During the healing process, it’s important to gradually increase activity as pain subsides. However, avoid returning to high-impact activities or sports until cleared by a healthcare professional.
How can you tell if your broken toe is healing properly? Signs of proper healing include reduced pain and swelling, improved mobility, and the ability to bear weight without significant discomfort. If you experience persistent pain or difficulty walking after 6 weeks, consult your healthcare provider for a follow-up assessment.
Complications and Long-Term Effects of Broken Toes
While most broken toes heal without complications, some cases may lead to long-term issues. Potential complications include:
- Chronic pain or stiffness in the affected toe
- Arthritis in the injured joint
- Deformity if the toe heals in an improper position
- Nonunion, where the bone fails to heal completely
These complications are more likely to occur in severe fractures or cases where proper treatment was delayed or inadequate. Regular follow-ups with your healthcare provider can help identify and address any potential long-term effects.
Can a broken toe lead to problems in other parts of the foot or leg? In some cases, a broken toe can alter your gait or walking pattern, which may lead to secondary issues in the foot, ankle, or even the knee. If you notice ongoing discomfort or changes in your walking pattern after a toe injury, consult with a podiatrist or orthopedic specialist for a comprehensive evaluation.
Prevention Strategies for Toe Injuries
While accidents can happen, there are several steps you can take to reduce the risk of toe injuries:
- Wear proper footwear: Choose shoes that fit well and provide adequate protection for your activities.
- Keep living spaces clutter-free: Reduce the risk of stubbing your toe by maintaining clear walkways in your home.
- Use caution when moving heavy objects: Wear protective footwear and use proper lifting techniques.
- Strengthen foot and toe muscles: Regular foot exercises can improve stability and reduce injury risk.
- Be mindful of uneven surfaces: Take care when walking on irregular terrain or in unfamiliar environments.
What types of shoes are best for preventing toe injuries? Shoes with a wide toe box, sturdy soles, and good arch support can help prevent toe injuries. For sports or high-impact activities, choose footwear designed specifically for that activity, ensuring proper fit and protection.
Special Considerations for Athletes and Active Individuals
Athletes and highly active individuals may be at increased risk for toe injuries due to the nature of their activities. Special considerations for this group include:
- Proper warm-up and stretching routines to improve foot flexibility
- Regular inspection and replacement of athletic footwear
- Use of protective gear such as toe caps or reinforced shoes for high-risk sports
- Gradual progression in training intensity to allow for proper adaptation
- Prompt attention to minor foot discomfort to prevent more serious injuries
How can athletes safely return to their sport after a toe injury? Returning to sport after a toe injury should be a gradual process guided by a healthcare professional or sports medicine specialist. This typically involves a phased approach, starting with low-impact activities and progressively increasing intensity as strength and mobility improve. It’s crucial to ensure full healing and regain proper foot mechanics before returning to high-impact or competitive activities.
In conclusion, understanding the causes, symptoms, and proper care for broken toes is essential for effective management and recovery. While many cases can be treated at home, it’s important to recognize when professional medical attention is necessary. By following proper care guidelines and taking preventive measures, you can minimize the impact of toe injuries and maintain optimal foot health.
Broken toe – NHS
A broken toe can be painful, but you do not usually need to go to hospital. There are things you can do to treat it at home.
Check if you have a broken toe
You may have broken your toe if it’s:
- red or bruised
- painful and swollen
- difficult to walk on
Information:
Do not worry if you’re not sure if it’s broken or just bruised, treatment is usually the same for both.
Urgent advice: Get help from NHS 111 if:
- you have a bad cut or wound after injuring your toe
- you have severe toe pain
- your child has hurt or broken their toe
You may need further treatment in hospital, such as a boot, cast or surgery.
You can call 111 or get help from 111 online.
You could also go to your nearest urgent treatment centre.
What we mean by severe pain
- Severe pain:
- always there and so bad it’s hard to think or talk
- you cannot sleep
- it’s very hard to move, get out of bed, go to the bathroom, wash or dress
- Moderate pain:
- always there
- makes it hard to concentrate or sleep
- you can manage to get up, wash or dress
- Mild pain:
- comes and goes
- is annoying but does not stop you doing daily activities
Immediate action required: Go to A&E if:
- you think you have broken your big toe
- your toe is pointing out at an odd angle
- the bone is sticking out of your toe
- there was a snap, grinding or popping noise at the time of injury
- you feel tingling in your toe or foot or it feels numb
If you cannot get to A&E by yourself, call 999 for an ambulace.
What you can do about a broken toe
Doctors will usually suggest you treat a broken toe at home first if:
- it’s not your big toe
- the bone is not sticking out of your foot
- your toe is not pointing at an odd angle
- there’s no wound on your toe
Broken toes usually heal within 4 to 6 weeks, but it can sometimes take several months.
Do
take ibuprofen or paracetamol for the pain and swelling
rest your foot and keep it raised
hold an ice pack (or a bag of frozen peas) wrapped in a towel on your toe for up to 20 minutes every few hours
wear wide, comfortable shoes with a low heel
avoid walking around as much as possible
strap up your broken toe – put a small piece of cotton wool or gauze between your sore toe and the toe next to it, then tape them together to support the sore toe
Don’t
do not strap up your toe if it’s pointing out at an odd angle or you have hurt your big toe – get medical advice
do not put ice directly on your skin
do not walk or stand for long periods
do not wear tight, pointy shoes
do not play any sports like football, rugby or hockey for 6 weeks or until the pain eases
do not try to treat your child’s toe – take them to an urgent treatment centre or A&E
A pharmacist can help with a broken toe
You can ask a pharmacist about:
- the best painkiller to take
- what you need to strap up your toe
- if you need to see a GP
Non-urgent advice: See a GP if:
- pain and swelling has not started to ease 2 to 3 days after you injured your toe
- it still hurts to walk 6 weeks after injuring your toe
- you have diabetes and have injured your toe – foot problems can be more serious if you have diabetes
They may send you for an X-ray to see if you need any further treatment.
Page last reviewed: 06 May 2022
Next review due: 06 May 2025
Broken toe – self-care: MedlinePlus Medical Encyclopedia
Each toe is made up of 2 or 3 small bones. These bones are small and fragile. They can break after you stub your toe or drop something heavy on it.
Broken toes are a common injury. The fracture is most often treated without surgery and can be taken care of at home.
Severe injuries include:
- Breaks that cause the toe to be crooked
- Breaks that cause an open wound
- Injuries that involve the big toe
If you have a severe injury, you should seek medical help.
Injuries that involve the big toe may need a cast or splint to heal. In rare cases, tiny pieces of bone can break off and keep the bone from healing properly. In this case, you may need surgery.
Symptoms of a broken toe include:
- Pain
- Swelling
- Bruising that can last up to 2 weeks
- Stiffness
If your toe is crooked after the injury, the bone may be out of place and may need to be straightened in order to heal properly. This may be done either with or without surgery.
Most broken toes will heal on their own with proper care at home. It can take 4 to 6 weeks for complete healing. Most pain and swelling will go away within a few days to a week.
If something was dropped on the toe, the area under the toenail can bruise. This will go away in time with nail growth. If there is substantial blood under the nail, it may be removed to reduce pain and potentially prevent the loss of the nail.
For the first few days after your injury:
- Rest. Stop doing any physical activity that causes pain, and keep your foot immobile whenever possible.
- For the first 24 hours, ice your toe for 20 minutes every hour you are awake, then 2 to 3 times a day. Do not apply ice directly to the skin.
- Keep your foot raised to help keep swelling down.
- Take pain medicine if necessary.
For pain, you can use ibuprofen (Advil, Motrin) or naproxen (Aleve, Naprosyn).
- If you have heart disease, high blood pressure, kidney disease, or have had stomach ulcers or bleeding, talk with your health care provider.
- Do not give aspirin to children.
You may also take acetaminophen (such as Tylenol) for pain relief. If you have liver disease, talk with your provider before using this medicine.
Do not take more than the amount recommended on the medicine bottle or by your provider.
Your provider may prescribe a stronger medicine if needed.
To take care of your injury at home:
- Buddy taping. Wrap tape around the injured toe and the toe next to it. This helps keep your toe stable. Place a small wad of cotton between your toes to prevent tissues from becoming too moist. Change the cotton daily.
- Footwear. It may be painful to wear a regular shoe. In this case, your doctor can provide a stiff-bottomed shoe. This will protect your toe and make room for swelling. Once swelling has gone down, wear a solid, stable shoe to protect your toe.
Slowly increase the amount of walking you do each day. You can return to normal activity once the swelling has gone down, and you can wear a stable and protective shoe.
There may be some soreness and stiffness when you walk. This will go away once the muscles in your toe begin to stretch and strengthen.
Ice your toe after activity if there is any pain.
More severe injuries that require casting, reduction, or surgery will take time to heal, possibly 6 to 8 weeks.
Follow up with your provider 1 to 2 weeks after your injury. If the injury is severe, your provider may want to see you more than once. X-rays may be taken.
Call your provider if you have any of the following:
- Sudden numbness or tingling
- A sudden increase in pain or swelling
- An open wound or bleeding
- Fever or chills
- Healing that is slower than expected
- Red streaks on the toe or foot
- Toes that appear more crooked or bent
Fractured toe – self-care; Broken bone – toe – self-care; Fracture – toe – self-care; Fracture phalanx – toe
Alkhamisi A. Toe fractures. In: Eiff MP, Hatch RL, Higgins MK, eds. Fracture Management for Primary Care and Emergency Medicine. 4th ed. Philadelphia, PA: Elsevier; 2020:chap 16.
Rose NGW, Green TJ. Ankle and foot. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 49.
Updated by: Jesse Borke, MD, CPE, FAAEM, FACEP, Attending Physician at Kaiser Permanente, Orange County, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Browse the Encyclopedia
What to do if you break your toe? – useful articles from specialists
Any fracture can have unpleasant consequences, even if we are talking about a broken toe. Knowing what to do when you break your toe can help you navigate a difficult situation. Read our first aid tips – and you will have a clear idea of how to diagnose a fracture (let’s talk about its characteristic signs and symptoms), how it can be cured.
A broken toe requires immediate medical attention. Its treatment is long and complex. If you want to avoid a number of inconveniences (for example, difficulty in movement due to improperly fused bone), you need to learn how to determine the presence of a fracture in a timely manner. Improper treatment can cause loss of the former shape and flexibility of the limb. Therefore, at the first suspicion of a fracture, it makes sense to consult a doctor.
Broken toe: causes and symptoms
Most often, the phalanges of the fingers are injured when an object that is too heavy falls, due to a strong blow or accidental twisting of the leg. In some cases, fractures occur due to diseases such as osteomyelitis (bone infection), diabetes, cancer, osteoporosis.
Most fractures are stressful: a microcrack occurs that does not cause a rupture of the skin or displacement of the bones. Less commonly, comminuted fractures occur: the bone breaks in several places. Diagnosing an open fracture is easy: you will see the bones sticking out. Proper assessment of the severity of the injury allows the appropriate treatment to be determined.
The main symptoms of a broken toe include:
- visible swelling;
- unbearable pain;
- deformity of the phalanx;
- bruising, bruising;
- crunching when trying to move the leg;
- tingling, cooling, numbness;
- open wound with bleeding.
Having broken the thumb, a person cannot fully walk, because it is this finger that accounts for most of the body weight. A broken little finger does not make a person unable to walk. But in both cases, the pain will be palpable.
What complications are possible after a broken toe?
Do not think that a finger phalanx injury is a trifle. A number of problems arise after an injury. In the presence of a hematoma, removal of the nail is possible. In case of improper tissue fusion, surgical intervention is required: an osteotomy is performed to eliminate the deformation of the joints and bones.
In addition, there is a risk of infection if there is inflamed skin near a broken finger. The presence of redness, swelling, pus, as well as the softness of the tissues and fever are evidence of infection. In this case, antibiotics are indispensable.
In order to avoid the consequences of a fracture, you need to seek medical help from qualified specialists. Diagnosis and treatment of injured limbs is carried out not only by chiropractors and orthopedists, but also by osteopaths and physiotherapists. Specialists make diagnoses after examination and examination of x-rays. In some cases, computed tomography, MRI, ultrasound, bone scans are required.
Features of the treatment of broken toes
If we are talking about a stress fracture, then the first thing you will need to do is stop any activity, apply an ice compress to the damaged area (it will reduce inflammation and stop internal bleeding). Ice should be applied for 10-12 minutes every hour. Experts recommend keeping the injured limb elevated, it can be put on a roller from a blanket or pillow. Be sure to bandage the broken finger, connecting it to the adjacent one. For this, a regular medical waterproof bandage is suitable. The family doctor will recommend anti-inflammatory drugs. The next 5-6 days you will have to walk in shoes with a free toe.
With an open fracture, the help of an orthopedic surgeon is required. He will reduce the broken finger and apply a splint. You will need to use crutches for about 2 weeks. For walks, you will need to purchase special orthopedic shoes. Anyone who wants to quickly recover from a fracture should eat foods that are rich in vitamins, minerals, magnesium, calcium, and boron.
Important point! Doctors almost always recommend a tetanus shot if you have an open wound.
Practice shows that the healing of broken fingers takes about 1.5 months. If during this period the problem is not solved, the doctor will take new x-rays and adjust the treatment. Only an expert can qualitatively assess the degree of bone healing.
Despite the fact that the fractures in question heal easily, the consequences should not be forgotten. You don’t want to get arthritis, do you? Do you want to be disabled? At the slightest injury, immediately consult a doctor.
Fracture of the big toe – how to determine the main symptoms and first aid
Fracture of the big toe is a fairly common injury that a person can get while playing sports, at work, walking and even at home. Pain sensations differ from the severity of the injury and its size. For example, if we are talking about a fracture of only one nail phalanx, then it is quite easy to overlook it or even confuse it with an ordinary bruise. And precisely because of the latter, a slight fracture can lead to quite serious consequences and improper fusion. We strongly recommend that, after a strong blow or injury, you can contact a medical center to rule out a fracture or start its immediate treatment.
Signs of a broken toe
Depending on the location and severity of the fracture, symptoms can vary greatly. With a crack in the phalanx, pain is practically not felt, and the victim may not even be aware of the problem, very often the bone grows without plaster and fixation. When the first phalanx of the finger is fractured, severe, aching pain is felt.
When the toes are fractured, the general symptoms are as follows:\
- a hematoma forms at the fracture site;
- possible hemorrhage;
- the skin turns dark blue, the skin swells around the damaged bone;
- severe and sharp pain on any attempt to touch or move a finger;
- unnatural mobility of the injured finger;
- inability to lean on the affected leg;
- immobility or partially limited movement of the finger;
- fever and redness at the site of localization;
- with a fragmental fracture, shortening of the finger is possible;
- with an open fracture, a wound with bone fragments;
- marked twitching or throbbing of the finger.
On physical examination, crunching of bone fragments is observed if a short time has passed since the injury. The crunch is the result of broken bones rubbing against each other. Finger fractures are combined with damage to the ligamentous apparatus, sprain and dislocation of the phalangeal joints.
How to distinguish a possible bruise from a fracture
A bruise or a fracture can be determined by several parameters:
- Pain syndrome features.
- Finger movement.
- Skin color at the site of swelling (contusion).
- Presence of hemorrhage.
- Phalanx shape.
The clinical picture of a finger injury is as follows:
- The victim has a sharp pain, which begins to subside with time. The nature of the pain is “aching”. Using a cold compress can speed up the process of relieving pain symptoms.
- When bruised, the finger is not deformed. Immediately after the bruise, all movements are accompanied by sharp pain (pulsation is possible), as the pain subsides, the motor activity of the finger is gradually restored.
- Depending on the nature of the bruise, the color of the skin at the site of injury may be dark red, pink, pale pink. Puffiness may appear immediately, after a day or not at all. The blood at the site of the bruise spreads diffusely (scattered), a bruise may appear.
How to diagnose a finger fracture
- On palpation, the pain increases sharply and does not go away for a long time (an hour or two).
- With a fracture, there is a sharp pain that can radiate to the nearest parts of the foot. Deformation of the phalanx, unnatural position of the finger. Bloating and strong (acute) throbbing at the fracture site.
- With a fracture, the victim cannot move the injured finger. At any attempt to stand on a sore leg, the patient experiences acute pain. To relieve pain symptoms, the affected finger is fixed in one position.
- Hemorrhages form under the nail, hematoma and edema appear, the skin becomes cyanotic.
First aid for a broken finger
If you have symptoms that indicate a possible fracture, there is no need to panic in the first place. First of all, you should call an emergency ambulance. Prior to the arrival of a physician, all the efforts of the victim should be aimed at stopping the bleeding (with an open fracture), fixing the limb and anesthesia of the injury site. To prevent negative consequences, the following rules must be observed:
- even in the absence of severe symptoms, you should not refuse to consult your doctor;
- limb fixation is one of the main stages of effective treatment;
- a broken finger must not touch foreign objects;
- fractures without displacement may not be fixed until the ambulance arrives;
- pain syndrome can be removed with the help of nimesil, analgin and ibuprofen;
- cold compress is another effective way to relieve pain.
It is important to note that when applying an ice pack, keep the compress for no more than 10 minutes to prevent possible frostbite. Repeated procedure is possible after a 3-4 minute break. Even if a fracture is suspected, experts recommend immediately contacting a specialized medical institution for qualified help.
Treatments for broken fingers
Name | Description |
Closed reduction | This method is used for a closed fracture and no displacement. Antiseptic agents are applied to the injured finger, after which the doctor returns the finger to its normal position by mechanical action (pulling). A significant disadvantage of this method is the need to repeat this procedure. |
Skeletal traction | This method is used for a displaced fracture. This procedure requires a metal wire, which is passed through the finger with a small load, which allows the bones to be in a normal position. At the end of the procedure, the doctor performs immobilization. |
Open methods | The surgeon performs osteosynthesis. Fixes bone fragments with special metal elements. |