The common causes of swollen toes that hurt when you touch them include trauma, gout, and onychomycosis, etc. According to the different causes of the disease, the treatments are also different, and the treatments include proper rest, medication, and surgical treatments. 1. Trauma: If the toe is swollen and painful after the injury, it is mostly soft tissue injury or toe bone fracture, which requires perfect X-ray examination. Soft tissue injury requires sufficient rest, avoiding the activity of the affected side, cold compresses, oral aceclofenac extended-release tablets and other non-steroidal anti-inflammatory drugs for pain relief, and the fracture requires manipulation, plaster fixation, or surgical Kirschner’s pin internal fixation. 2. Gout: If you like animal offal, seafood, beer and other foods, redness, swelling, fever, pain and other symptoms of the toes, may be gout, you can use uric acid-lowering drugs, such as febuxostat. 3. Inguinitis: If the swelling of the toe is accompanied by fever, pain is obvious, and there has been a toe skin breakage, it may be staphylococcus aureus infection caused by inguinitis, you need to use anti-infective drugs, such as cephalosporin anti-infective, and pus needs to be incised and drained. Causes of swelling and pain in the toes are more reasons, may also be related to rheumatoid arthritis, etc. If the symptoms continue to be unrelieved, it is recommended to consult a doctor in a timely manner, to clarify the cause of the disease, and to carry out targeted treatment.