I also have spurs on my big toes under the nail. From years of standing at work. I have spurs on my heels too, which at one time were very painful, but they have healed up for now.
I buy wide shoes now, a little larger, and put in those gel inserts.
I cannot wear fancy women's things anymore however. My only dress shoe is the black Arcopedicos.

The podiatrist I have says that when the bones that are broken are removed, the joint then becomes lax, and bunions then form.
So if I can live with it, I should do so. I don't like surgery anyway!

So I live conservatively, don't walk on the rocks anymore on vacation, choose shoes properly, etc. My heel spurs did quiet down, and it did take a couple of years but they did, and surgery was not necessary for them.

I have had one steroid shot in my left foot in the ball there, when I was having a major flare. And I use Salonpas patches if they seem bad in the night. And I have retired from my stressful job.

It is not unusual for me to buy Men's shoes, because the toe box is wider than a women's wide. I can try on many styles to get what I need some days.

These new memory foam slip ons from Dr. Scholl's have been really good to the sesamoids!