Dislocated Toe in Children: Care Instructions

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Your Care Instructions

Your child's toe can be forced out of its normal position (dislocated) if he or she jams it or bends it too far backward (hyperextends). Toe dislocations are common, especially during sports. Your child probably knew right away that something was wrong, because the toe hurt a lot, swelled, and looked crooked. The doctor put your child's toe back in its normal position. But your child will still need to be careful, because it can more easily go out of position again.

Rest and home treatment can help your child heal. Your doctor probably taped the injured toe to the one next to it or put a splint on the toe to keep it in position while it heals. Your doctor may recommend exercises to strengthen your child's toe. If your child damaged bones or muscles, he or she may need more treatment.

Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.

How can you care for your child at home?

  • If your doctor put a splint on your child's toe, make sure your child wears the splint as directed. Do not remove it until your doctor says to.
  • If your child's toes are taped together, make sure the tape is snug but not so tight that the toes get numb or tingle. You can loosen the tape if it is too tight. If you need to retape your child's toes, always put padding between the toes before putting on the new tape.
  • Make sure your child does not put weight on the foot unless the doctor says to. Your child may need crutches to walk.
  • If your child's toe is swollen, put ice or a cold pack on it for 10 to 20 minutes at a time. Try to do this every 1 to 2 hours for the next 3 days (when your child is awake) or until the swelling goes down. Put a thin cloth between the ice and your child's skin.
  • Prop up your child's foot on a pillow when icing it or anytime he or she sits or lies down during the next 3 days. Have your child try to keep it above the level of the heart. This will help reduce swelling.
  • Make sure your child rests his or her foot. Your child may need to change his or her activities to avoid movements that irritate the toe.
  • Give medicines exactly as prescribed. Call your doctor or nurse call line if you think your child is having a problem with his or her medicine.
  • If your doctor recommends it, give your child anti-inflammatory medicines such as ibuprofen (Advil, Motrin) to reduce pain and swelling. Read and follow all instructions on the label.
  • If your doctor recommends exercises, help your child do them as directed.

When should you call for help?

Call your doctor or nurse call line now or seek immediate medical care if:

  • Your child has signs that the toe may be dislocated again, including:
    • Severe pain.
    • A crooked toe that looks out of position.
    • Not being able to bend or straighten the toe.
  • Your child's toe or foot is cool or pale or changes colour.
  • Your child cannot feel or move his or her toe.

Watch closely for changes in your child's health, and be sure to contact your doctor or nurse call line if:

  • Your child does not get better as expected.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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Current as of: May 27, 2016