Anyone who has ever broken a toe knows how much pain and inconvenience such a “little” injury can cause. But how do you know it’s broken and not just bruised and sore from stubbing it hard? If it’s indeed broken, will surgery be needed? Will a cast be necessary? In the majority of cases referred to me, most don’t require any treatment beyond rest, ice, compression, and elevation (R.I.C.E.). Notice I said “most cases.” Treatment for a toe fracture depends on the location of the injury and type of fracture.