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Toe Injury

Injury to the toe
Injury to a bone, muscle, joint, or ligament
Excluded: muscle pain caused by too much exercise or work (overuse). Covered in Toe Pain care guide.

Fractures are broken bones. Toe fractures can occur if the toes are stubbed against a hard object, such as a bed leg or rock. They can also happen if a heavy object is dropped onto the toes. The little toe can break by catching it on something when walking in bare feet. Fractures of the big toe can be very painful. They make it hard to walk, since the big toe bears a lot of weight when walking.
Dislocations happen when a bone is pulled out of its a joint socket. Dislocation of the small toe joints can occur with toe injuries.
Sprains are stretches and tears of ligaments. These often occur in sports injuries. Ligaments in the foot can pull away from the bone they are attached to.
Strains are stretches and tears of muscles.
Bruising can occur from a direct blow.
Skin Injury examples are a cut, scratch, scrape or bruise.
Nail injuries. These can occur from a direct blow which causes a bruise under the nail. They also happen from a nail being partly or fully torn from its nail bed. Pain may be severe.

Mild: you feel some pain. But, the pain does not keep you from your normal activities. Work, activities and sleep are not changed.
Moderate: the pain keeps you from doing some normal activities. It may wake you up from sleep.
Severe: the pain is very bad. It keeps you from doing all normal activities.

When to Call for Toe Injury
Call Doctor or Seek Care Now Nail is torn or torn off Base of nail has popped out from under the skin fold Loss of feeling in any part of the toes Toe or toes are pale (could be from lack of blood flow) Skin is cut and No past tetanus shots Toe looks crooked or deformed (like a dislocated joint or bad fracture) Severe pain You think you need to be seen, and the problem is urgent	Contact Doctor Within 24 Hours Blood under the nail is causing more than mild pain Wound looks infected (spreading redness, red streaks) Increasing pain, redness or swelling around the wound Weak immune system. Examples are: diabetes, sickle cell disease, HIV, cancer, organ transplant, taking oral steroids, kidney problems. Very large bruise or swelling Dirty cut or hard to clean and no tetanus shot for more than 5 years Clean cut and no tetanus shot for more than 10 years Sudden increase in pain and/or swelling a few days after the injury You think you need to be seen, but the problem is not urgent Contact Doctor During Office Hours Injury limits work, sports or other activities Pain lasts more than 2 weeks You have other questions or concerns	Self Care at Home Bruised toes from direct blow Minor toe injury

Blood under the nail is causing more than mild pain
Wound looks infected (spreading redness, red streaks)
Increasing pain, redness or swelling around the wound
Weak immune system. Examples are: diabetes, sickle cell disease, HIV, cancer, organ transplant, taking oral steroids, kidney problems.
Very large bruise or swelling
Dirty cut or hard to clean and no tetanus shot for more than 5 years
Clean cut and no tetanus shot for more than 10 years
Sudden increase in pain and/or swelling a few days after the injury
You think you need to be seen, but the problem is not urgent

During activities and sports, toes can get injured. They get stepped on, stubbed, caught on something or have objects dropped on them.
You can also sprain the ligaments in your feet and toes walking on uneven ground. You are more likely to injure your toes if they are not protected, such as going barefoot or wearing open-toed shoes or flip flops.
Muscles and ligaments get stretched.
Toenails can get partly or fully torn from the nail bed. The nail bed can also get bruised, causing a black painful nail.
Here is some care advice that should help.

To help with the pain, take an acetaminophen product (such as Tylenol).
Another choice is an ibuprofen product (such as Advil). Ibuprofen works well for this type of pain.
Use as needed, but do not take more than the maximum recommended dosage as stated on the package.
If you are not sure what to take, ask a pharmacist.

Use direct pressure to stop any bleeding. Do this for 10 minutes or until bleeding stops.
Wash the wound with soap and water for 5 minutes. Try to rinse the cut under running water, if possible.
Gently scrub out any dirt with a washcloth.
Use an antibiotic ointment (such as Polysporin). No prescription is needed. Then, cover it with a bandage. Change daily.
Caution: never tie anything tight around your toe. It could cut off the blood flow.

For pain or swelling, use a cold pack. You can also use ice wrapped in a wet cloth.
Put it on the toes for 20 minutes.
Repeat 4 times on the first day, then as needed.
Reason: helps the pain and helps stop any bleeding.
Caution: avoid frostbite by wrapping the ice pack. Do not put ice directly onto the skin.

Remove any jewelry from the toes (toe rings), shoes, or other objects that could become too tight if the toe(s) swell.

If pain lasts more than 2 days, put heat on the toes.
Use a heat pack, heating pad or warm wet washcloth.
Do this for 10 minutes, then as needed.
Reason: increases blood flow and improves healing.
Caution: avoid burns by wrapping the heat pack. Do not put it directly onto the skin.

Rest the injured toes as much as possible for 48 hours. Keep the other toes moving gently if you can.
Keep the leg raised on a pillow above the level of your heart to help limit pain and swelling.

Pain and swelling most often peak on day 2 or 3.
Swelling should be gone by 7 days.
Pain may take 2 weeks to fully go away.
It may be hard to wear your usual footwear due to pain or swelling. Avoid footwear that is too tight or does not support the foot well. Do not wear shoes that cause your feet to sweat if you have a wound on your toes.

Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.