Early assessment does not commit a patient to surgery. It clarifies the diagnosis and may identify simple ways to reduce pressure before the problem becomes more disruptive.
After surgery, a new problem should be assessed according to its cause. Persistent joint pain, focal hardware irritation, transfer metatarsalgia, recurrent deformity and nerve pain require different management.
Pain that limits walking, work, exercise or ordinary shoes.
Rapid or progressive change in toe alignment.
A second toe that crosses, elevates or develops plantar pain.
Recurrent skin breakdown, infection, ulceration or bleeding.
Persistent swelling, numbness, burning pain or focal screw irritation.
Any urgent vascular, infection or clot warning signs described in Chapter 7.
Should I wait until the bunion is severe before seeking advice?
No. Assessment is appropriate when symptoms matter. Treatment may still be non-surgical, and understanding the deformity earlier can improve footwear and activity planning.