Bunion (Hallux Valgus)


Patients will have a prominence on the inner side of their foot, often associated with redness and pain. The big toe deviates laterally. The deformity usually becomes progressively worse with time. Patients may also experience pain under the ball of the foot (transfer metatarsalgia).


Your GP should initially request these investigations:

Weight bearing foot X-ray (AP, oblique and lateral)

Your surgeon may also request the following investigations for more information or surgical planning:

No other investigations are usually required

Conservative Treatment

Initial treatment of Bunion (Hallux Valgus) could include:

Accommodative footwear with a wide toe box. Orthotics may also relieve discomfort, especially if the patient has metatarsalgia.

Surgical Treatment

Surgical treatment of Bunion (Hallux Valgus) includes:

Scarf + Akin osteotomy

Condition specific risks include:

  1. Malunion
  2. Non-union
  3. Hallux varus (over-correction)
  4. Metalwork failure

General risks of surgery include:

  1. Infection
  2. Damage to nerves/blood vessels
  3. DVT / PE (blood clots)
  4. Anaesthetic risks


Recovery from Bunion (Hallux Valgus) surgery will include:

Every patient’s recovery is individual and depends on the severity of the injury and the complexity of the surgery.