After about 9 mos of riding I finally decided to use the bike shoes I got back when I bought the bike (road bike) The shoes are Lake MX331 with the SPD cleats. I went with Lake because they were one of the few shoes I could find in widths online. These are 42.5 wides. My feet are wide with a high instep and high arch.

So I started out with cleats in the middle under the ball of the foot. This worked well for the right foot, but I had to do some moving around of the cleat for the left. The left is better now but after 5-10 miles I start to feel a lot of pressure on the outside edge from about the ball of the pinky toe to the heel. It's not numb or tingling. Just pressure, but it gets uncomfortable.

I assume that means that my pedal stroke is pushing the left foot outwards? I tried sliding the cleat to the inside - to move the shoe out - but there wasn't much extra sliding room. Maybe 1/8"-1/4" . It didn't help the problem any.

So I am working under the assumption the left foot needs to somehow move further out. I am already using pedal extensions (9/16" I think). Maybe the left needs a slightly longer one?

Any other thoughts?