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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.
What to Do If You Break Your Pinky Toe. Nothing. Okay, not nothing: tape your broken pinky toe to the nearest other toe, ice and elevate and take some ibuprofen or Tylenol. If you go to the doctor and they confirm it's a broken toe (by X-Ray), the doctor will tell you the same thing.