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Warning-sign checks

Mallet toes: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Emergency care is appropriate for heavy bleeding, exposed bone, or a toe that appears to have lost its blood supply.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Request prompt medical assessment for a blister, crack, or open sore that is not improving.

    Do this sooner if you have diabetes, poor circulation, reduced sensation, or a weakened immune system.

    Seek urgent medical help if the toe or foot develops spreading redness, increasing warmth, pus, fever, or rapidly worsening swelling.

    These can be signs of infection.

    A cold, pale, blue, or black toe needs urgent assessment, particularly if the change is new or accompanied by severe pain or numbness.

    These signs may indicate severely reduced blood flow.

    A toe that becomes suddenly bent after an injury, especially with marked swelling, an open wound, or inability to bear weight, also needs prompt assessment.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment if the toe is painful, rubs in your shoes, becomes increasingly stiff, or affects walking.

    You should also seek advice if you repeatedly develop corns or calluses, or if footwear changes are not enough.

Every sign above is quoted from the sofidex article on Mallet toes. If you are not sure, err upward — it is always reasonable to be checked.