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@iamalex
I was having some Achilles trouble on one side which was addressed with good moulded insoles and reducing the pedal float down to only a few degrees. Next steps should be strengthening wonky knee to improve stability. It was something of a revalation.
I’d moved to speedplay and cleat extenders which had help lessen the effects but hadn’t really addressed the problem. Bike fit did away with the extenders. .
Bike fit was pricey but so worth it.