Sleeping at night with a sudden burst of pain in the toes needs to be treated according to the cause, generally common causes are cold, trauma, gouty arthritis, etc., to take the treatment includes general, medication, surgery and so on. 1. Cold: the weather may be too cold, or usually wear too little, resulting in poor local blood circulation in the toes, or the pain caused by cold nerves, you can pay attention to keep warm. 2. Trauma: Trauma can also cause a sharp pain in the toe. If it is caused by soft tissue contusion, you can take oral analgesic drugs such as celecoxib, ibuprofen, etc.; if it is caused by toe fracture, according to the severity of the conservative treatment or surgical treatment. 3. Gouty arthritis: gouty arthritis is mostly aseptic inflammation, the main clinical manifestations are redness, swelling, heat, pain, some patients may show a burst of pain in the toes, you can take colchicine, ibuprofen and other medicines, and surgery can be performed if necessary. Sudden tingling of the toes at night may have other causes, such as onychomycosis, etc. If there is no improvement in the symptoms after warmth is given, you should go to the hospital in time to find out the cause of the disease and treat the cause of the disease. The above medications should be used under the guidance of a doctor.