Swelling and pain in the toes are mainly caused by the following reasons: first, trauma, such as a heavy object or a broken toe, which causes swelling and pain. The second type of pain may be caused by damage to ligaments or ligament rupture. The third type of pain may be due to diabetes, peripheral vascular disease, which may cause swelling and pain or localized fever. The fourth type of pain may be due to gouty arthritis, which causes swelling and pain. After the swelling and pain of the toe, it is recommended that the patient go to the hospital for a timely examination to see what the cause is and give targeted treatment.