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Home > Resources > Great Toe Fracture

Great Toe Fracture

Audience: General public, Patients and visitors

Type: Patient Information leaflet

Topic: Orthopaedics

Introduction


This information leaflet should provide you with most of the information you need about the fracture of the bones in one of your toes. Most people can go home safely without needing further Fracture Clinic visits. If you have concerns or need another appointment, call the fracture clinic using the contact numbers at the end of the leaflet.


What is it?


A toe fracture refers to a break in one of the bones of your big toe or the lesser toes in your foot. This can occur due to direct trauma, such as stubbing your toe or dropping a heavy object on your foot. You may experience pain, swelling and bruising immediately after the injury that can persist for weeks.

An X-ray of a great toe ankle

How is it treated?


Treatment depends on the type and severity of the fracture.


Non-displaced fractures, where the bone pieces are still aligned, can often be managed with rest, ice, compression, and elevation (RICE). You do not normally require a cast but a stiff soled or heel weight bearing shoe may be given to help with mobilisation. The shoe can be removed, and normal footwear can be worn once the pain has settled.


You should avoid high heeled or unsupportive footwear. Shoes with a wide toe-box are more comfortable to wear.

Do I need to take pain relief?


You can take simple analgesia (pain relief) at home such as paracetamol. If your pain is severe, then the Emergency Department may give you some stronger analgesia.


How long will it take to recover?


The fracture will normally heal in about 4 to 6 weeks but you may experience some milder pain for longer than that. In some cases there may be some associated stiffness that can be persistent.


When can I return to activity?

You should not drive until:

  • You can comfortably wear normal footwear
  • Perform an emergency stop without feeling any pain.

This usually takes around 2 to 6 weeks but can vary depending on the severity of the fracture and your rate of healing.

You may be able to return to work quickly if your job requires minimal activity such as a desk job. Those with more active or physical jobs may require a longer period off work.

Return to work is guided by your level of pain and once this reduces you can return to work safely. The same applies to sports. Once you feel more comfortable, you can gradually return to normal activities as the pain allows.

Do I need physiotherapy?


These injuries do not normally require physiotherapy. Normal activity such as walking should improve the range of movement over time. If there is a fracture involving the joint this can sometimes lead to a degree of permanent stiffness.


Do I need follow-up?


For minor fractures of the toes you do not normally need follow-up. Fractures that have significant displacement may require further follow-up.


After your initial treatment if you have persistent pain, swelling or if your toe is not improving as expected, please contact the fracture clinic. You may be given a Patient Initiated Follow-Up (PIFU) appointment to allow you to access the clinic later should you have any concerns.


Please see the contact details below:

Contact

If you have any queries or concerns then please contact the hospital for further advice.

Between the hours of 9:00am and 4:30pm contact the fracture clinic on:

Scunthorpe: 03033 302164
Grimsby: 03033 306127
Goole: 03033 304036

Out of hours – then please contact the Emergency Department via switchboard:

Scunthorpe/Goole: 01724 282282
Grimsby: 01472 874111

Any comments, compliments, concerns or complaints

If you have any other concerns please talk to your nurse, therapist or doctor. Our Patient Advice and Liaison Service (PALS) is available on 03033 306518 (Grimsby, Scunthorpe and Goole). You can also contact [email protected]


As a Trust we value equality of access to our information and services, therefore alternative formats are available on request at [email protected]

NHS Website

NHS website is a health information service. The aim is to support the public to become active consumers of healthcare rather than passive recipients, and to help individuals, their family or carers to make more informed choices: https://www.nhs.uk/

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Review information

Date of Issue: December 2025

Review period: December 2027

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Page published: 12 Feb 2026 Page last updated: 12 Feb 2026
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