*EDIT* - This was mostly "answered" by this forum thread: http://forums.roadbikereview.com/com...ne-213649.html
It more or less confirmed the Q-factor "issue," short term, find a crank with a more narrow Qfactor. Long term: Possibly swap to Speedplays? They have greater adjustability than my current pedals.
Wide bottom bracket - Imgur
My fixed gear has always felt great and I love to ride it, but towing trailers, etc I've been wanting some gears (I'm in San Francisco also... and yes, my fixed gear has brakes, two even!). I've set my road bike up again, but it's destroying my knees. I got down to measuring and as you can see, this external BB and crank set are way wider than my fixie. Is this a number that I can look up before ordering BBs? I've found an article on "Q Factor," but that's about it. I'd assume non-external BB will help, but honestly if I could get it more narrow that would be great.
Bridgestone Bicycle Catalogue 1991-13
I would love to hear about clipless shoes with lateral float also, my googling hasn't yielded much on that front. As you can see my shoes are as "narrow" as they can be.
imgur: the simple image sharer
Will some shoes allow further lateral adjustment? I have 4 pairs of shimano mb pedals, so it would be sad to have to switch.