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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.
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. I broke one of my pinky toes when I was a teenager by banging it against a chair as I was whizzing around my bedroom.