Broken Toe

Topic Overview

What causes a toe to break (fracture), and what are the symptoms?

You may break one of your toes by stubbing it, dropping something on it, or bending it. A hairline crack (stress fracture) may occur after a sudden increase in activity, such as increased running or walking.

Symptoms of a broken toe may include:

• A snap or pop at the time of the injury.
• Pain that is worse when the toe is moved or touched.
• Swelling and bruising.
• Possible deformity (not just swelling), such as a toe pointing in the wrong direction or that is twisted out of normal position. A dislocated toe can also look deformed.
• Decreased movement or movement that causes pain.

How is a broken toe diagnosed?

A broken toe is diagnosed through a physical examination. Your health professional will look for swelling, purple or black and blue spots, and tenderness. An X-ray may be needed to determine whether the toe is broken or dislocated.

How is it treated?

Home care after breaking a toe includes applying ice, elevating the foot, and rest. Medical treatment for a broken toe depends on which toe is broken, where in the toe the break is, and the severity of the break. In many cases, your doctor may recommend that a broken toe be "buddy-taped " to the uninjured toe next to it with padding in between the toes. The injured toe may need to be buddy-taped for 2 to 4 weeks to heal. A stiff-soled shoe may be helpful in protecting the injured toe.

In rare cases, other treatment may be needed, including:

• Protecting the toe from additional injury. This may include using splints to stabilize the toe, a short leg cast, or a brace.
• Surgery, if the break is severe.

Medical treatment is needed more often for a broken big toe than for the other toes. An untreated fracture may cause long-term pain, limited movement, and deformity.

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Author:	Susan Van Houten, RN, BSN, MBA	Last Updated February 8, 2007
Medical Review:	Martin Gabica, MD - Family Medicine William M. Green, MD - Emergency Medicine Gavin W.G. Chalmers, DPM - Podiatry and Podiatric Surgery
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