History/exam first: Bruised or broken pinkie toe is managed same...No casting needed--buddy taping may help. If you had significant trauma, then chance of frracture. If you can move the toe without intense pain, then likely not a fracture. Some pain is expected from the trauma/bruising! so xray is often not needed, but often requested by patient. So, if is badly sore/bruised, consult doc..Motrin may help! good luck..
Answered 3/28/2013
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