Toe bump has been very painful, there may be localized swelling or fracture dislocation, you can first rest with topical medication, such as can not be relieved may need to play a plaster or surgery. 1. Local rest: toe bump has been very painful, may be with the bump has been activities leading to increased swelling, it is recommended that more bed rest, avoid walking on the ground to increase the weight, rest can be appropriate to elevate the affected limb. 2. Topical medication: Toe bump has been very painful, you can use drugs to relieve pain, such as diclofenac sodium ointment or flurbiprofen babu ointment and other drugs. Specific medication should be guided by your doctor. 3. Plaster or surgery: the toe bump has been very painful to consider the fracture dislocation, fracture needs cast braking and functional exercise. If the toe fracture dislocation manipulation failed, need surgery. Toe bump has been very painful, it is recommended to go to the regular hospital in time.