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BlesUp-
Could probably do with arch support if you have high arch, you can easily buy insoles that fill in the gap of your arch.
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I would also suggest trying some insoles as well. My bike fitter said the specialized ones were rubbish, but I've never tried them. I had mine made after self referring to the podiatrist.
Too much pressure on the outside of the foot could be also indicate your legs aren't moving up and down straight line, this can be fixed with cleat wedges.
edscoble
root
Most bike fitters will do a cleat fitting. Is there a particular part of you foot that is hurting?