Swelling and pain of small toes become thick and red should be based on different causes of different treatments, common causes are trauma, gout, soft tissue infections, etc. Commonly used treatments include cold compresses followed by hot compresses, medications, etc. 1. Trauma: If the toe is hit by impact and other traumatic injuries, it will cause local bruising, swelling, redness, walking pain, etc. Cold compresses can be applied within 72 hours, and then hot compresses can be applied after 72 hours. If the pain is severe, you can take oral ibuprofen and other non-steroidal analgesic drugs. 2. Gout: If uric acid excretion is impaired or too much uric acid is generated, uric acid crystals are deposited in the toes, which will cause pain and swelling in the toes, and drugs such as febuxostat can be used to lower uric acid treatment. 3. Soft tissue infections: If there is a skin break in the toe area, bacteria invasion, causing pus infection in the toe, which will cause swelling and pain in the toe, you can use topical miconazole nitrate cream and other drugs for treatment. All of the above drugs should be used under the guidance of a doctor. Small toe swelling pain thickening redness may also be caused by other reasons, should go to the hospital in time to identify the cause and targeted treatment.