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Been wondering about cleat position a bit lately, brought on by a bit of knee pain. I’ve always read that a good start point in terms of fore/aft is to set cleats so that the axle is under the ball of your foot, so I’d usually concentrate on my dominant side, get the axle under the ball of my foot, and match the other side. Upon taking a closer look recently, having both axles under the ball of each foot means having my left cleat considerably further back on the shoe than my right. I’ve done a 26km TT and a ramp test with them set like this and they feel fine, but I’m curious to know what the best practice is. I never noticed a major anatomical difference in my feet before now!
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Because it's only one leg though, I'd double check things like cleat position - make sure it's the same as the other leg using the lines on the shoes or whatever. Also check that your saddle is level and you don't have a bent rail - that one caught me out touring on an MTB years ago.