Softness and Pain After a Non-Displaced Toe Fracture - Orthopedics

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Non-displaced fracture of the left fifth toe?


I accidentally kicked something while moving and fractured my fourth toe (no surgery needed; the cast was removed after two days, and we were instructed to buddy tape the fourth toe to the middle toe).
After a little over a month, the doctor said I could walk (no need for a walking boot).
Today, after walking, I noticed a slight pain when I touched the fourth toe, but it feels soft and empty to the touch.
Is this a normal phenomenon? Thank you very much.

Eugene, 30~39 year old female. Ask Date: 2019/02/02

Dr. Li Yongheng reply Orthopedics


Hello, based on the symptoms you described, it seems to be a normal occurrence.
If you are still concerned, you may return for an X-ray examination.
Wishing you a speedy recovery.

Reply Date: 2019/02/02

More Info


After experiencing a non-displaced toe fracture, it is not uncommon to have lingering symptoms such as softness and mild pain in the affected toe, especially after resuming normal activities. Here’s a detailed explanation of what you might be experiencing and some insights into the healing process.


Understanding the Healing Process
When you suffer a toe fracture, even if it is non-displaced (meaning the bone has not moved out of alignment), the surrounding tissues, including ligaments, tendons, and muscles, can also be affected. The initial treatment often involves immobilization, which helps to stabilize the fracture and allows the bone to heal. In your case, the use of a splint to bind the ring toe to the middle toe is a common practice to provide support and prevent excessive movement during the healing phase.


Softness and Pain
1. Softness: The "softness" you are feeling in your toe could be attributed to several factors:
- Swelling: Even after the cast is removed, some residual swelling may persist, leading to a feeling of softness or instability in the toe.

- Muscle Atrophy: When a limb is immobilized, the muscles surrounding the area can weaken due to disuse. This atrophy can contribute to a feeling of softness or lack of strength in the toe.

- Cartilage and Tissue Healing: The soft tissues, including cartilage, may take longer to heal than the bone itself. This can lead to a sensation of softness as the tissues are still recovering.

2. Mild Pain: A little pain when touching the toe is also a normal part of the healing process. Here are some reasons why you might still experience pain:
- Nerve Sensitivity: After an injury, the nerves in the area can become more sensitive, leading to discomfort when pressure is applied.

- Residual Inflammation: Even after the fracture has healed, inflammation can persist in the surrounding tissues, causing pain.

- Healing Process: As the bone and soft tissues heal, it is common to experience discomfort, especially when resuming normal activities.


Recommendations for Recovery
- Gradual Return to Activity: It’s essential to gradually increase your activity level. If you experience pain while walking, consider taking breaks or reducing the intensity of your activities.

- Physical Therapy: If the softness and pain persist, you might benefit from physical therapy. A physical therapist can provide exercises to strengthen the muscles around the toe and improve stability.

- Ice and Elevation: If you notice swelling or increased pain after activity, applying ice and elevating your foot can help reduce inflammation.

- Footwear: Ensure that you are wearing supportive footwear that accommodates your healing toe. Avoid tight or restrictive shoes that could exacerbate discomfort.


When to Seek Medical Attention
While some discomfort is expected, you should consult your healthcare provider if:
- The pain worsens significantly or becomes unbearable.

- You notice increased swelling or redness around the toe.

- There is a change in the appearance of the toe, such as deformity or inability to move it.

In summary, the sensations of softness and mild pain in your toe after a non-displaced fracture are generally normal as the area continues to heal. However, listening to your body and taking appropriate steps to support your recovery is crucial. If you have any concerns or if symptoms persist, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.

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