Broken Toes

The structure of your foot is complex, consisting of bones, muscles, tendons, and other soft tissues. Of the 26 bones in your foot, 19 are toe bones (phalanges) and metatarsal bones (the long bones in the midfoot). Fractures of the toe and metatarsal bones (broken toes) are common and require evaluation by a specialist.

A fracture is a break in the bone. Fractures can be divided into two categories.

Category 1 of fractures is traumatic fractures, also called acute fractures. Traumatic fractures are caused by a direct blow or impact, like seriously stubbing your toe. These types of fractures can be displaced or non-displaced. If the fracture is displaced, the bone is broken in such a way that it has changed in position (dislocated). Treatment of a traumatic fracture depends on the location and extent of the break and whether it is displaced. Surgery is sometimes required. Signs and symptoms of a traumatic fracture may include a popping sound, pin-point pain, deviation (mis-shapen or abnormal appearance of the toe) or brusing and swelling to the affected area.

Category 2 of fractures is stress fractures. Stress fractures are tiny, hairline breaks that are usually caused by repetitive stress. Stress fractures often afflict athletes who, for example, too rapidly increase their running mileage. Or they may be caused by an abnormal foot structure, deformities, osteoporosis or improper footwear. Symptoms of stress fractures include pain with or after normal activity, pin point pain, swelling, but no bruising and pain that goes away when resting and then returns when standing or during activity.

Fractures of the toe bones are almost always traumatic fractures. Treatment for traumatic fractures depends on the break itself and may include these options: Rest, rigid or stiff-soled shoe and splinting or "buddy" taping the affected toe. If the break is badly displaced or if the joint is affected, surgery may be necessary. Surgery often involves the use of fixation devices, such as pins or screws.

Treatment of metatarsal fractures depends on the type and extent of the fracture, and may include rest, immobilization (casting or rigid shoe) and avoidance of offending activity. If the break is badly displaced or if the joint is affected, surgery may be necessary. Surgery often involves the use of fixation devices, such as pins or screws.

It is not true that if you can walk on it, it is not broken. Evaluation by a physician is recommended, therefore please call our office to schedule an appointment, 440-946-5858.