A painful bruised and swollen smashed toe can be caused by a subcutaneous soft tissue injury or it can be due to a fracture. Relief methods include physical therapy, medication and surgery. 1. Subcutaneous soft tissue injury: the soft tissue under the skin of the toe is relatively thin, which is easy to cause local congestion and edema. First of all, the affected limb needs to be braked, ice and other treatments, while elevating the affected limb to avoid further swelling; after 72 hours, foot soaking, foot massage, magnetic therapy and other ways to accelerate blood circulation, rapid swelling and promote the absorption of bruises. 2. Fracture: patients with relatively minor injuries can be manipulated to reset, plaster or brace fixation and other treatments, you can also use ibuprofen, sodium heptaphyllum saponin and other drugs to relieve pain and swelling; patients with more serious injuries need to undergo surgical treatment, and give bone melon extracts, bone melon polypeptide and other drugs to promote bone healing. If the patient’s symptoms are serious after the toe is smashed, or if the symptoms continue to be unimproved, the patient should go to the hospital in time for treatment. All of the above medications should be used under the guidance of a doctor, avoid self-medication.