How to Know if Your Toe Is Broken

Examining the Toe

Assess your pain level. If your toe is fractured, it's going to hurt when you put your weight on it, or when it’s pressed on. You will probably still be able to walk, but moving around or putting weight on the toe might make the pain worse. The presence of pain does not necessarily mean that the toe is broken, but persistent pain can be an indication of a fracture or break. If putting weight on your toe is excruciatingly painful, you might have a bad break. In this case, you should see a doctor right away. Minor fractures aren't as painful, and may not need medical treatment. Tingling in addition to pain could indicate a fracture. See a doctor right away.

Examine the size of your toe. Is it swollen? This is a common indication that you might have a fracture. If you merely stub your toe badly, it will throb for a while and then the pain will go away without swelling occurring, while a fractured toe is very likely to swell and have severe pain. Place the injured toe near the corresponding healthy toe on your other foot. If the injured toe looks much bigger than the healthy toe, you might have a fracture.

Look at the shape of your toe. When you compare your hurt toe to the corresponding toe on your other foot, does it look misshapen or out of joint? If so, you likely have a severe break and need to see your doctor right away. A minor fracture may not change the shape of a toe.

Check for discoloration. Fractured toes, unlike stubbed toes, usually end up with bruising and discoloration. This discoloration may go down to other parts of your foot as well. If you can see that the toe bone has broken through the skin, it's definitely broken, and you should see the doctor immediately.

Touch the toe. If you can feel pain when you touch the bone, then it is likely that the toe is broken.

Know when to see a doctor. If the pain, discoloration, and swelling persist for more than a couple of days, you should go to the doctor. You will likely need an X-Ray to verify the break. In many cases, the doctor will tell you to stay off your toe and just let it heal. However, some severe breaks may require further medical intervention. If the pain is so severe that you can't walk on the toe, see your doctor right away. If the toe looks like it's pointing in the wrong direction or is otherwise badly misshapen, see your doctor right away. Seek emergency services if the toe is cold or tingling, or it turns blue due to lack of oxygen.

Caring for a Broken Toe

Care for your toe until your doctor's appointment. Fill a plastic food storage bag with ice cubes, wrap it in a dishcloth, and place it on the injured toe. Do this in 20-minute increments, pausing for 40 minutes before applying ice again. Do this until you can get to the doctor. The ice will help reduce swelling and stabilize the toe. Keep your foot elevated as much as possible, and don't attempt to walk far on it. Don't leave the ice in place for more than 20 minutes, as it may damage your skin if you leave it there too long. You can take an NSAID like ibuprofen or aspirin to ease the pain.

Follow your doctor's orders. During your doctor's visit, the doctor will take an x-ray and then give you instructions on how to care for your toe. In some cases, the doctor will realign the bone. In severe cases, surgery may be needed to help with the healing process.

Rest the broken toe. Don't do the activity that caused the injury in the first place and avoid other activities that place pressure on your toe. Light walking, swimming, or biking may be fine, but avoid running or playing contact sports for several weeks. Continue resting the toe for the amount of time prescribed by your doctor. When you're at home, keep your foot elevated to help with swelling. After several weeks of healing, gradually begin using your toe again, but don't overdo it. If you feel pain or stress, take a step back and rest your foot.

Change your bandages if necessary. Most toe fractures and breaks do not require a cast; instead, the doctor will show you how to "buddy tape" your broken toe to the toe next to it with medical tape and cotton wads. This keeps it from wandering out of place and getting reinjured. Ask your doctor or a nurse to show you how to properly change the tape and cotton every day to keep the area clean. If you lose feeling in the taped toes or they change in color, the tape is probably too tight. Remove it immediately. Ask your doctor for guidance in reapplying the tape. Talk to your doctor for more specific treatment instructions if you have diabetes.

Care for severe breaks according to your doctor's guidance. If your break is severe enough to require a cast, brace, or special walking shoes, you'll probably have to rest it completely for 6 to 8 weeks. Breaks that require surgery may have even longer healing periods. You may need to have several doctor's visits in the meantime to make sure it's healing properly. Be sure to follow the doctor's orders when caring for a severe injury. Ignoring your doctor’s orders can cause an injury to take much longer to heal than necessary.