The bone spur I probably had pre-surgery but my toe is now in different position with hardware that is at midfoot, so I think that changed how it affects me and now pinches on the nerve, when I stand flat feet my foot pronates in adding more pressure on the bone spur. Lucky genetics for me both parents have severe arthritis starting in their 40's they mid 60's now with knee and hip replacements so I know that is in my future.

I am 39 with young child, so I worry I could disrupt the rest of my life. Again surgeons thoughts are hardware irritation at incision site, nerve is probably lying right next to it causing irritation and/or surgerical team might have pulled too hard in opening foot to cause nerve issues even though EMG was negative. He also things nerve could be wrapped in scar issue which would not show in EMG I was told by Dr. So with procedure he wants to do 3 things, remove hardware (screw and staple best he can with ultimate goal all of both), free up nerve from scar tissue) then separate small incision in big toe to scrap off bone spur ensure nerve is free.

Honestly big toe is what bothers me at most which not site of surgery, this is where my hypersensitivity is although mild.

Foot is sore in arch where screw was inserted.

Again no color change became normal after I was weight bearing ~ 8 weeks post surgery. Swelling reduced 12-16 weeks post surgery. I never noticed the cold to touch but did notice when I stepped on the tile bathroom floor once I was weight bearing it felt colder that lasted a few weeks so was probably 8-12 weeks post surgery no pains at this point.

I am wondering if the "zapping" is in my head from nerves and anxiety. I had the same thing before EMG for about 2 weeks, had EMG and I was all normal. I was so fearful EMG would send me in a "tissy" but I had no discomfort, so all that worrying for nothing.

I will talk to doc about the pre-surgery protocol. Neither Surgeon or Pain Doc think I need pre-treatment based on their physical exam. They are both prepared to be aggressive Monday after surgery if needed but they both said they didn't think it would be.

So there I go again talking myself in and out of it..

My family doesn't want to advise me on what to do either as of course they aren't in my body or head. I need a crystal ball..

Thanks for all the support. I am a worrier by nature another think I can thank blame my genetics for.

I am thinking of trying to make another appt with Pain Doc to ask more questions but havent picked up the phone yet. I don't see surgeon until Monday before the Friday surgery.