Bunions are a common foot condition that can affect mobility and comfort over time. While not all bunions require surgical treatment, some individuals may eventually be advised to consider surgery when symptoms persist or worsen. For patients exploring bunion surgery in Singapore, understanding when surgery may be considered—and how decisions are made—can help set appropriate expectations.
Understanding Bunions and How They Progress
A bunion, also known medically as hallux valgus, is a bony prominence that forms at the base of the big toe when the joint gradually shifts out of alignment. This can cause the big toe to angle towards the second toe, sometimes leading to visible deformity, discomfort, and difficulty with footwear.
Bunions do not always progress at the same rate for every individual. Some remain relatively stable, while others may worsen over time, depending on factors such as foot structure, footwear habits, and daily activity levels.
When Non-Surgical Treatment May No Longer Be Sufficient
In many cases, bunions are initially managed using non-surgical approaches. These may include footwear modification, activity adjustment, or the use of orthotic devices. Such measures aim to reduce pressure over the affected joint and manage symptoms rather than correct the underlying deformity.
Surgery may be discussed when symptoms continue despite these measures. This can include ongoing pain, increasing difficulty with walking, or problems wearing regular footwear. The decision to move beyond non-surgical care is typically based on symptom impact rather than appearance alone.
Clinical Factors That May Lead to Consideration of Bunion Surgery
Orthopaedic surgeons consider several clinical factors when assessing whether bunion surgery may be appropriate. These may include:
- The degree of pain or discomfort during daily activities
- Functional limitation affecting walking or standing
- The severity of joint misalignment seen on clinical examination or imaging
- Associated conditions such as arthritis affecting the toe joint
In Singapore, bunion surgery is generally considered only after a thorough assessment, taking into account both clinical findings and the patient’s personal circumstances.
The Role of a Bunion Specialist in Singapore
A consultation with a bunion specialist in Singapore typically involves a detailed assessment of foot structure, gait, and joint alignment. Imaging studies, such as X-rays, may be used to better understand the extent of the deformity and guide treatment discussions.
An orthopaedic surgeon specialising in foot and ankle conditions can explain the range of treatment options available and outline whether surgery is likely to be appropriate.
What Patients Can Expect Before Deciding on Surgery
Before deciding on surgery, patients are usually guided through a shared decision-making process. This includes discussing the nature of the procedure, potential risks, expected recovery timelines, and how surgery may affect work and daily activities. Individual goals and lifestyle considerations are also part of the discussion.
Surgery is not presented as a default solution. Instead, it is one option among several, considered when symptoms significantly affect quality of life.
Seeking Medical Advice for Ongoing Bunion Symptoms
Individuals experiencing persistent bunion-related symptoms may wish to seek medical evaluation to better understand their condition. Early assessment can help clarify whether symptoms are likely to be managed conservatively or whether further intervention may eventually be discussed.
About the Treating Doctor
Dr Seng Chusheng is a Consultant Orthopaedic Surgeon with a clinical focus on foot and ankle surgery as well as knee surgery. He holds a Bachelor of Medicine and Bachelor of Surgery from the National University of Singapore, a Master of Medicine in Orthopaedic Surgery from the same institution, and is a Fellow and Member of the Royal College of Surgeons of Edinburgh.
Dr Seng has undergone subspecialty training in foot and ankle surgery in Geneva, Switzerland, and has previously served as a Consultant Orthopaedic Surgeon at Singapore General Hospital. He is currently a Visiting Consultant with SGH’s Department of Orthopaedic Surgery. His involvement in research includes publications in peer-reviewed medical journals and participation in academic fellowships and awards.
