From the Research
Management of a fractured toe typically involves conservative treatment at home with a recovery period of 4-6 weeks, as outlined in the most recent and highest quality study 1.
Overview of Treatment
For pain control, take acetaminophen (Tylenol) 650mg every 6 hours or ibuprofen (Advil, Motrin) 400-600mg every 6-8 hours as needed for the first few days.
- Rest the affected foot,
- Elevate it above heart level when sitting or lying down,
- Apply ice for 15-20 minutes every 2-3 hours during the first 48-72 hours to reduce swelling.
Buddy-Taping and Mobility
Buddy-taping (taping the injured toe to an adjacent healthy toe) provides stability and protection;
- Place gauze between the toes to prevent skin irritation
- Change the tape every 1-2 days or when soiled. You may walk as tolerated, but wear stiff-soled, supportive shoes to minimize toe movement.
Follow-Up and Healing
Most patients can gradually return to normal activities within 2-4 weeks, though complete healing takes 4-6 weeks.
- Contact your healthcare provider if you experience increased pain, swelling, redness, numbness, or if the toe appears deformed. Most toe fractures heal well with these measures because the neighboring toes act as natural splints, and the bones in toes have good blood supply which promotes healing, as noted in 2.
Severe Fractures
For severe fractures with significant displacement or those involving the big toe, medical evaluation is necessary as these may occasionally require surgical intervention, as discussed in 1.