There are two sesamoid bones in the ball of the foot.
I don't know what sepia is. never heard that term before.Sepia is a color/dye.
here is a quote on sesamoids:
Quote:
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Special situations may require unique approaches to solve a specific mechanical problem that may contribute to poor wound healing. In the forefoot, a refractory ulcer under the first metatarsal sesamoid bones may require sesamoidectomy (partial or complete), first metatarsal dorsiflexion osteotomy, or first metatarsophalangeal joint arthrodesis.1 If both sesamoids are excised, a first metatarsophalangeal joint arthrodesis may prevent a cock-up toe deformity. Ulcers under the lesser metatarsal heads may be managed with extensor tenotomy, metatarsophalangeal joint capsulotomy, and Duvries metatarsal condylectomy, which preserves weight bearing function of the metatarsal head,1 or metatarsal head resection with claw toe correction (PIP Duvries condylectomy). For recurrent or multiple forefoot ulcers, options include a Hoffman procedure (excision of all lesser metatarsal heads), ray amputation, or transmetatarsal amputation.1 Forefoot debridement is done either through the ulcer if exposure is adequate, or through a separate incision on the dorsal, medial, or lateral aspects of the foot, leaving the ulcer open to heal secondarily.
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from
http://www.coa-aco.org/library/clini...and_ankle.html
One thing you need to clear up with foot doctor. Alan's problems are NOT diabetic. Diabetic's would be high risk for foot surgery...but he is not.
Some doctors (and podiatrists are fringy doctors at that) equate in their minds neuropathy=diabetes.
I think you need an MD here like I suggested before.
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Weezie looking at petunias 8.25.2017
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