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Treating your broken toe within the first 24 hours of the injury is crucial to ensuring it does not get infected or become too swollen. Take off any constricting items on your toes, such as socks or shoes. Once your toe is exposed, examine it to ensure no bones have broken through your skin. You should look closely to make sure your toe is still pointing in the right direction, despite the break, and does not appear blueish or feel numb to the touch. These are all indications that it is safe to treat the toe at home. Sit down on a comfortable, stable surface. Place your foot on a stack of pillows or on a chair. Raise the leg to above your waist to reduce the swelling on your pinky toe.  Raising the affected leg will also help to reduce the pain of the broken pinky toe. You should try to keep your foot elevated as much as possible, even after the first 24 hours. Rest and elevation will help your pinky toe to heal. If your feet get cold, use a light blanket over your feet like a tent so there is very little pressure on your broken toe. For the first 24 hours of the injury, you should ice your toe to reduce swelling and pain. Wrap an ice pack in a towel and apply it to the toe for 20 minutes once an hour.  You can also wrap a bag of frozen peas or corn in a towel and use it as an ice pack. Do not leave the ice pack on for longer than 20 minutes at a time and never apply ice directly to your skin as this can lead to further injury. Take ibuprofen (Advil, Motrin), acetaminophen (Tylenol) or naproxen (Aleve, Naprosyn) for pain relief. Follow the dosage instructions on the label.  Children under the age of 18 should not be given aspirin. Do not take pain medication if you have high blood pressure, diabetes, or any bleeding disorders, such as ulcers.
Remove your shoes and socks, if necessary. Raise the affected leg above your waist. Ice the toe for 10 – 20 minutes. Take pain medication.