Originally Posted by Neil_B

I agree. He might need to have the cleat angled. This might mean the bottom of his cycling shoe will need to be altered in some way. When my shop tried to set me up with Speedplays they shaved off some of the tread on the mountain bike shoes I used.

The OP might want to consider extenders on the pedals as well, but he'd want to discuss that with a fitter. With my wide stance I need extenders to ride.