Toe Fracture

A Toe Fracture is a break in a toe bone. The bones in the toes are called the phalanges.

A toe fracture is caused by trauma to the bone. Trauma can result from:

• Dropping something on your toe
• Stubbing your toe
• Falling down
• Direct blow to the toe

A risk factor is something that increases your chance of getting a disease condition or injury.

• Advanced age
• Postmenopause
• Decreased muscle mass
• Osteoporosis
• Poor nutrition
• Participating in contact sports
• Violence
• Not wearing shoes

Symptoms include:

• Pain
• Swelling and tenderness
• Stiffness in the injured area
• Bruising in injured area
• Numbness or tingling in the toes
• Visible deformity in the toe area
• Difficulty walking (sometimes)

The doctor will ask about your symptoms, physical activity, and how the injury occurred, and will examine the injured area. Your doctor may take an x-ray of the foot, but this is not always necessary.

Treatment will depend on the severity of the injury. Treatment involves:

• Putting the pieces of the bone together, which may require anesthesia and/or surgery
• Keeping the pieces together while the bone heals itself

Realigning the Bones – In many toe fractures the bone is broken, but the two pieces are in proper position. If the bones are out of position, the doctor will put the bones back into place. This is usually done without surgery. However, if your fracture is severe, you may need pins or screws to hold the bones in place. Each of these will require surgery. Once the bones are realigned, they need to be held in place while healing. The fractured toe may be taped to the toe next to it, or you may need a walking cast with a toe plate.
Medication – Take one of the following drugs to help reduce inflammation and pain:

• Ibuprofen (Motrin, Advil)
• Naproxen (Aleve, Naprosyn)
• Acetaminophen (Tylenol)
• Aspirin

Rest – Do not participate in sports or activities until your toe is fully healed.
Ice – Apply ice or a cold pack to your toe for 15-20 minutes, 4 times a day for several days. This helps reduce pain and swelling. Wrap the ice or cold pack in a towel. Do not apply the ice directly to your skin.
Elevation – Keep the injured foot raised above the level of your heart for 48 hours (such as up on a pillow). This will help drain fluid and reduce swelling.

To help prevent a Toe Fracture:

• Always wear well-fitted, supportive athletic shoes when doing physical activity.
• Wear shoes to protect your feet.
• Eat a diet rich in calcium and vitamin D.
• Do weight-bearing exercises to build strong bones.
• Build strong muscles to prevent falls.