From the Research
Treatment for a distal toe fracture typically involves conservative management with buddy taping and a rigid-sole shoe for four to six weeks. This approach is supported by the American Family Physician study 1, which recommends buddy taping and a rigid-sole shoe as an effective treatment for lesser toe fractures. The study highlights the importance of proper management to prevent complications and promote healing.
Key Considerations
- Buddy taping the injured toe to an adjacent toe provides adequate stabilization and support
- A rigid-sole shoe is recommended for comfort and protection during the healing process
- Weight-bearing can usually continue as tolerated
- Pain management with acetaminophen or ibuprofen is typically sufficient
- Ice and elevation can help reduce swelling during the first 48-72 hours
Treatment Details
- Buddy taping should be done for 3-4 weeks, changing the tape regularly to maintain cleanliness
- A stiff-soled shoe or walking boot may be recommended for additional support and protection
- Follow-up with a healthcare provider is recommended if pain persists beyond 2-3 weeks, if there is significant deformity, or if symptoms worsen despite treatment
- Surgery is rarely needed unless the fracture is severely displaced, involves the joint surface, or has broken through the skin, as noted in the study 1.