Hello, The management of toe fracture depends upon the intensity on clinical grounds as well as alignment issues on x-ray plates. As a routine guideline, if the pain is of mild to moderate intensity, no open wounds over the skin surface: - Foot elevation over 2-3 pillows - Ice application - Tape splint or ortho splint involving adjecent 2nd toe - Avoidance of prolong weight bearing - Analgesic and anti inflammatory medications If the amount of pain is severe (around more than 5 over a pain scale of 10), severe soft tissue injury as crushing, active bleeding, large laceration or wounds require immediate surgical attention. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon