If you have beginnings of hallux rigidus with no pain, how many years might it be before you need surgery.

Sometimes never: Hallux rigidus can sometimes be treated conservatively with orthotics and steroid injections. If that fails, surgery may be necessary, but how long that may be depends on patients pain tolerance and activity level. Type of surgery varies from joint preserving procedures to joint replacement or fusion.

Crytals Ball: If i had a crystal ball we could predict it. Really depends on age and activity level so while we can't give you how many years pain will be your guide. When it gets painful daily then its time.

Future surgery: Possible months, years, never, as it depends on activity, medical history, age, gender and pain tolerance. Since you don't have pain, possibly never. Good luck.

Can't really say...: You may never need anything done! surgery may be as simple as 'cleaning up' the joint, joint implant surgery, or fusion of the joint. Many factors are involved, but don't rush to surgery until it hurts you enough to keep you from doing desired activities.