I'm no bike fit expert, but I have dialed in my own fit very well including the use of wedges.

If your knee is kicking to the outside at the top of the pedal stroke, a wedge will help. You need to get rid of, or at least lessen that lateral knee movement. The wedges are pretty easy to use, start with one and see how it goes.

First step is take a ride and see if your knee is moving laterally at the top of the stroke.

If you need more than one wedge (I have two), you will probably need longer screws on the thick side of your cleats.

Once I drastically lessened that lateral movement, my knee pain went away immediately.