From the Research
Treatment for a hallux (big toe) fracture typically involves a short leg walking boot or cast with toe plate for two to three weeks, then a rigid-sole shoe for an additional three to four weeks, as recommended by the most recent and highest quality study 1. The goal of treatment is to reduce pain, promote healing, and prevent complications.
- Rest, ice, compression, and elevation (RICE) can help manage pain and swelling.
- For pain management, over-the-counter medications like acetaminophen (Tylenol) at 325-650 mg every 4-6 hours or ibuprofen (Advil, Motrin) at 400-600 mg every 6-8 hours can be used, not exceeding maximum daily doses, as supported by studies 2, 3, 4.
- Buddy taping the injured toe to an adjacent toe provides stability and protection; use gauze between toes to prevent skin irritation.
- Weight-bearing is usually allowed as tolerated, but activities that stress the toe should be avoided until healing is complete.
- Severe or displaced fractures may require surgical intervention with pins, screws, or plates to realign the bones. It's essential to seek immediate medical attention if you experience severe pain, significant swelling, open wounds, or deformity, as these may indicate a more serious fracture requiring professional evaluation. Recent studies have also investigated the use of intravenous acetaminophen for pain management in hip fracture patients, showing potential benefits in reducing opioid use and hospital stay 5. However, the primary treatment approach for a hallux fracture remains conservative management with a focus on immobilization and pain control.