Hallux limitus in 15 year old athlete

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Hi, I have recently seen a 15 year old girl in my clinic, complaining of bi-lateral Patellofemoral joint pain. She is very keen on sport(sprint and jump athletics, netball hockey). Her feet moderatelty excessively pronate when walking and running. I feel that this might be resolved by her using orthoses, however, I have also noted that she has fairly significant Hallux Limitus to both feet due to osteophytes around the joints of the 1st MTPJ's. She commented that her sprint coach wants her to run on her toes, which is unnatural to her. She has no pain associated with the 1st MTPJ's. My concern is more related to the toe joints and the prognosis for her future sport. What are the member's views on her visiting a surgeon to clean up the joint edges to improve ROM, or might some mobilisation be of benefit? Furthermore might a kinetic wedge be of use in this case? Your views are appreciated.