Interactive Severity Assessment

Where exactly has
your bone drifted?

Adjust the slider to match the angle you see when you look down at your foot. The illustration updates in real time.

OVERHEAD VIEW — RIGHT FOOT
10°Bunion
Normal alignmentSevere deformity
MildModerateSevere
Moderate Severity

Hallux Valgus Angle 15–22° / Semi-Rigid Deformity

15–22°HV angle

The metatarsal head has shifted enough that padding and orthotics provide partial relief only. A surgical consultation is appropriate to evaluate timing before the joint stiffens further.

What this means for you

Conservative

Likely effective

Surgery timing

Evaluate now

Recurrence risk

~10%

Your severity feeds directly into the treatment comparison below.

See your personalized comparison

7 questions · 3 minutes · Personalized result

Treatment Pathways

Non-surgical vs. surgical — the honest comparison

Based on your severity assessment, the highlighted column shows your likely recommended path.

Based on your current slider position (Mild severity), the Minimally Invasive Surgery column is highlighted for you. Adjust the slider above to see how the recommendation shifts.

Metric

Non-Surgical

Orthotics, padding, wider shoes

Minimally Invasive

Percutaneous bunionectomy

★ Your Path

Traditional Surgery

Open osteotomy

Corrects bone deformity

✗ No
✓ Yes — permanent realignment
✓ Yes — permanent realignment

Pain relief (avg.)

40–60% reduction
85–95% reduction
80–92% reduction

Return to regular shoes

Immediately (wider shoes)
4–6 weeks
8–12 weeks

Full activity resumption

No interruption
~3 months
3–4 months

Incision length

None
3–12 mm (2–3 small cuts)
5–15 cm (one long cut)

Recurrence rate (lifetime)

Most recurrences are mild and well-tolerated

Progression continues
~15–18%
~20–25% (severe cases)

Hospital stay

None
Outpatient — same day home
Outpatient or 1 night

Anesthesia

None
Local / regional block
General or spinal

Swelling duration

Varies
3–5 months
6–9 months

Best suited for severity

Mild (0–25°)
Mild to moderate-severe
Severe (> 35°) or complex

Insurance coverage

Usually covered
Often covered if medically necessary
Usually covered

Data sourced from peer-reviewed literature and clinical outcome registries. Individual results vary. Consultation required.

Anatomical Detail

What is actually happening
inside your foot

🦴

What the bone is actually doing

The first metatarsal rotates inward (pronation) while the big toe drifts laterally. The metatarsophalangeal joint becomes subluxated — the sesamoid bones underneath drift out of their groove, reinforcing the deformity with every step.

Why it progresses

The pull of the flexor hallucis longus tendon is no longer centered. Each step loads the joint at an angle, stretching the medial capsule further.

Accelerators

Pointed-toe footwear, hypermobile first ray, family history (autosomal dominant), rheumatoid arthritis, flat arches.

📐

Hallux Valgus Angle

< 15°

Normal

15–20°

Mild

20–40°

Moderate

> 40°

Severe

🛡️

What slows it down

Roomy toe-box footwear reduces transverse load. Custom orthotics correct first-ray hypermobility. Night splints maintain stretch but do not realign bone. Early surgical intervention before joint arthritis develops preserves range of motion and simplifies correction.

Both conditions are progressive — they do not stabilize on their own

In the early stages, bunions may feel like a minor annoyance. But the underlying mechanics — the misaligned sesamoids, the stretched capsule, the altered tendon pull — continue operating with every step. The window for minimally invasive correction is open longest before the joint becomes arthritic. Most patients who wait regret the delay.

Patient Outcomes

What resolution actually looks like

These are specific outcomes from specific procedures — not averages, not projections.

5 wksBack in regular shoes
"I had ignored it for six years because I assumed recovery meant months off my feet. The actual timeline was nothing like I feared. I wish I had come in earlier."

Margaret H., 54

High school principal, Chicago IL

ConditionBilateral bunions, moderate-severe
ProcedureMinimally invasive bunionectomy, right foot
OutcomeBack in regular shoes at 5 weeks. Returned to 3-mile daily walks at 10 weeks.
14 wksBack to trail running
"My second toe was crossing over my big toe like a drawbridge stuck halfway. The surgeon showed me exactly what the tendon was doing — it made the whole procedure make sense before I agreed to it."

Daniel R., 41

Weekend runner, Portland OR

ConditionHammertoe 2nd toe left foot, crossing over hallux
ProcedureFlexor-to-extensor tendon transfer
OutcomeToe fully straight at 8 weeks. Resumed trail running at 14 weeks.
4 yrsOf pain finally resolved
"I was falling on uneven pavement. My balance had quietly deteriorated and I had attributed it to aging. Turns out it was geometry — my foot was no longer giving me a stable base."

Constance O., 67

Retired teacher, Austin TX

ConditionSevere bunion with associated hammertoe, balance compromise
ProcedureOpen corrective osteotomy with hammertoe fusion
OutcomeEliminated balance incidents. Walking without discomfort for the first time in 4 years.

10,000+

Procedures performed

85–95%

Pain relief rate (surgical)

4–6 wks

Avg. return to shoes (MIS)

< 3mm

MIS incision size

The next step is a conversation

You have been describing this ache
to the wrong people.

A standing X-ray and a 45-minute consultation with a specialist who has corrected ten thousand deformities will tell you more than years of searching online.

10,000+ procedures performed
Standing X-ray same day
Quiz answers pre-fill intake form