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In certain instances, a fractured pinky toe may need additional treatment. Sometimes a complex fracture can occur, and the pieces of bone do not line up, one rotates, or there is significant separation.
Pain, swelling, or stiffness will occur in a broken toe following injury. It may be difficult to walk due to the pain, especially with a broken big toe. This is because the big toe bears much of the weight of the body during walking or pivoting. A broken little toe (pinky toe) may be painful, but usually does not limit the ability to walk.