Treatment

Medications

You can usually manage pain from a broken toe with over-the-counter medications such as ibuprofen (Advil, Motrin IB, others), naproxen sodium (Aleve) or acetaminophen (Tylenol, others). Your doctor may prescribe stronger painkillers if the pain from your fracture is more severe.

Reduction

If the broken fragments of your bone don't fit snugly together, your doctor may need to manipulate the pieces back into their proper positions (reduction). Doctors can usually do this without cutting open your skin. Ice or an injected anesthetic is used to numb your toe.

Immobilization

To heal, a broken bone must be immobilized so that its ends can knit back together. Examples include:

• Buddy taping. If you have a simple fracture in any of your smaller toes, your doctor may tape the injured toe to its neighboring toe. The uninjured toe acts like a splint. Always put some gauze or felt in between toes before taping them together to prevent skin irritation.
• Wearing a stiff-bottomed shoe. Your doctor might prescribe a post-surgical shoe that has a stiff bottom and a soft top that closes with strips of fabric fastener. This can prevent your toe from flexing and provide more room to accommodate the swelling.
• Casting. If the fragments of your broken toe won't stay snugly together, you may need a walking cast.

Surgery

In some cases, a surgeon may need to use pins, plates or screws to maintain proper position of your bones during healing.