TOE INJURY

 

Symptoms | When to call | Homecare Advice

 

HOME CARE ADVICE FOR MINOR INJURIES OF TOE

  1. Treatment of Cuts, Scratches and Scrapes (abrasions):
    • Apply direct pressure for 10 minutes to stop any bleeding.
    • Wash the wound with soap and water for 5 minutes.
    • Scrub out any dirt gently with a washcloth.
    • Cut off any pieces of dead loose skin using a fine scissors (cleaned with rubbing alcohol).
    • Apply an antibiotic ointment, covered by a Band-Aid or dressing.  Change daily.
  2. Treatment of Bruised Toe: Soak the toe in cold water for 20 minutes.
  3. Treatment of Jammed Toe:
    • Caution - Be certain that there is no deformity (the toe lines up normally with the other toes).
    • Soak the toe in cold water for 20 minutes.
    • If the pain is more than mild, protect it by "buddy-taping" it to the next toe.
  4. Treatment of Smashed or Crushed Toe:
    • Apply an ice bag to the area for 20 minutes.
    • Wash the toe with soap and water for 5 minutes.
    • Trim any small pieces of torn dead skin with a scissors cleaned with rubbing alcohol.
    • Cover any cuts with an antibiotic ointment and Band-Aid. Change daily.
  5. Treatment of Subungual Hematoma (blood present under toenail): Apply an ice bag to the area for 20 minutes.
  6. Torn Nail (from catching it on something):
    • For a cracked nail without rough edges, leave it alone.
    • For a large flap of nail that's almost torn through, use a sterile scissors to cut it off along the line of the tear  (Reason: pieces of nail will catch on objects and tear further)
    • Apply an antibiotic ointment and cover with a Band-Aid. Change daily.
    • After about 7 days, the nail bed should be covered by new skin and no longer hurt. It takes about 6-12 weeks for a toenail to grow back completely.
  7. Pain Medication: For pain relief, take acetaminophen every 4-6 hours (e.g. Tylenol; adult dosage 650 mg) OR ibuprofen every 6-8 hours (e.g. Advil, Motrin; adult dosage 400 mg).
    • Do not take ibuprofen if you have stomach problems, kidney disease, are pregnant, or have been told by your doctor to avoid this type of anti-inflammatory drug. Do not take ibuprofen for more than 7 days without consulting your doctor.
    • Do not take acetaminophen if you have liver disease.
    • Read the package instructions thoroughly on all medications that you take.
  8. Call Your Doctor If:
    • Cut or scrape looks infected (redness, red streak or pus)
    • Pain becomes severe
    • Pain does not improve after 3 days
    • Pain or swelling lasts more than 2 weeks
    • You become worse or develop any of the "Call Your Doctor" symptoms.

Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.

Adult SelfCareNavigator. Copyright © 2000-2004 David Thompson, M.D. FACEP

Reviewed 8/2004

Revised 8/2004

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