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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.
To help decrease pain and swelling in a broken toe, elevate the foot, ice the injury, and stay off the foot. Depending on the severity of the fracture, the toe may need to be put back into place (reduced), and some compound toe fractures may require surgery. Pain from a broken toe can usually be controlled with over-the-counter pain medication.