Hallux valgus is a progressive condition that, over time, can lead to osteoarthritis, pain in the surrounding toes and changes in gait. Orthopedist Sergey Krasilnikov explained which measures may help slow its progression and, in mild cases, avoid surgery.
«It is possible to live your entire life with a bunion without having surgery. But there is one important condition: you have to be willing to accept the limitations it imposes,» the doctor said.
According to Krasilnikov, many older people live with severe deformities without experiencing significant pain. They may choose wider shoes, walk shorter distances and adapt their daily routines accordingly.
However, the orthopedist stressed that the absence of pain does not necessarily mean the condition is stable.
«Hallux valgus is a progressive condition. Even without pain, it can slowly worsen over the years,» he noted.
What can help
According to the orthopedist, conservative treatment can help manage symptoms and slow the progression of the condition.
«Orthotics, appropriate footwear, exercise and physical therapy can reduce pain and slow the progression of the deformity,» he said.
For mild to moderate cases, with deformity angles of up to 30 degrees, doctors may recommend these conservative approaches. Many patients experience symptom relief and manage the condition without surgery.
«Living with a bunion without surgery is possible. However, it may require some compromises, such as wearing roomier shoes, limiting long walks and managing occasional discomfort,» Krasilnikov said.
What can happen if the condition progresses
The doctor warned that without proper management, the deformity may continue to worsen. The angle of deviation can increase, potentially causing pain in nearby toes and contributing to the development of osteoarthritis.
Changes in the foot may also affect a person’s gait and alter how weight is distributed while walking. Over time, this can place additional strain on other parts of the musculoskeletal system. For this reason, Krasilnikov recommends regularly monitoring the condition even if surgery is not currently being considered.
