I have bi-lateral hallux limitus. It appeared in my left toe about 4 years ago, presenting with a slight pain in the toe, difficulty running and walking (especially stairs and hills) and leg and hip pain due to revised gait. Xrays showed a noticeable bone spur and elevated first metatarsal but limited narrowing of the joint. Orthotics, physical therapy and NSAIDs worked and still allowed for fairly full activity – I exercise 6 days a week and do high-intensity boot camp, cross-fit and cycling. I used to run frequently, but had to limit my running to one 5-6 mile run per week. I also had to limit hiking to a few times a year, and when I do hike, I pay for it afterwards.
In the past year, the hallux limitus developed in my left toe, same symptoms and presentation, but the pain in the toe and leg/hips is much worse. The conservative treatment did not work, and I have had to really limit my physical activity. I can control the pain as long as I stay off my feet and choose exercise wisely (bike, swim, strength). Walking is difficult.
The podiatrist recommended surgery (osteotomy) to preserve the joints. She said that the condition is progressive and recommended that I do the surgery BEFORE it gets worse. She said that most patients respond very well to the surgery and can return to normal activity (walking, running).
I am not opposed to surgery if there is a good chance that I can return to a more active lifecycle. Please provide your opinion on this recommendation.

I am a 54 year old female, average weight, excellent health.