Swollen and painful toe joints should first be identified as the cause of the problem and treated with physical therapy, medication, or surgery. The causes of painful and swollen toe joints include shoe discomfort, trauma, and onychomycosis, etc. It is recommended to identify the cause of the disease before treatment, and then carry out targeted treatment. 1. Shoe discomfort: If the patient’s shoes are not suitable, it is easy to wear the toes again and again, and thus the joints are swollen, you can choose loose and comfortable shoes, and can be relieved after sufficient rest. 2. Trauma: If the patient’s toes have been traumatized, resulting in muscle and ligament damage and other soft tissues, it is easy to appear inflammatory reaction, which in turn causes redness, swelling and pain in the joints, acute injury can be iced, and if there is an open wound, it is necessary to carry out debridement, but also to take ibuprofen, diclofenac and other medications for anti-inflammatory and pain relief. 3. Inguinitis: patients with inguinitis can also cause joint swelling and pain in the toes, you can use tincture of iodine and other drugs for anti-infection treatment, you can also apply ichthyolite ointment to control inflammation, if necessary, you can carry out incision and drainage of the nail groove. There are many reasons for the swelling and pain in the toe joints, and they may be related to gout and bunion. If the symptoms persist, it is recommended that you go to the hospital in time to find out the cause of the problem, and have your doctor provide you with targeted treatment. The use of the above medications should be in accordance with medical advice.