There are many reasons why a twisted big toe hurts when you break it, including trauma, localized tendon tendinitis, and diabetic foot. Treatments include braking, physical therapy, medication, surgery, and so on. 1. Trauma: such as bumping, heavy objects, etc., can cause soft tissue contusion of the big toe and pain. Mild symptoms can be controlled by avoiding physical labor and resting, and generally no treatment is needed. If the symptoms are more serious, such as ligament rupture or fracture, you need to be braked and immobilized in a plaster cast, etc. Severe injuries need to be surgically stitched or repositioned. 2. Tenosynovitis of the big toe: mainly manifested as tingling when pressing or lifting, and the pain will be aggravated when walking. The symptoms can be relieved by hot compresses and physiotherapy, or oral treatment with non-steroidal anti-inflammatory drugs such as indomethacin. 3. Diabetic foot: For patients whose blood vessel obstruction is not serious or for whom there is no indication for surgery, medication can be taken, such as intravenous infusion of vasodilators such as dipyridamole and oral medication such as salvia tablets to improve blood circulation. There may also be other causes of big toe pain, such as gout, bunion, etc. It is recommended to go to the hospital in time to clarify the cause of the pain and then give targeted treatment. The above medications are recommended to be used under the guidance of a doctor to avoid self-medication.