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Hey, can't be of much help with recommending a fit/physio but I do have a pair of Ultegra +4mm spd-sl pedals if you would like to try and see if they work for you? If they help I'm happy for you to keep them. Putting the Q factor out a few millimeters has helped me in the past with some knee pain (although has been more of a bandage than a cure). Even just to get back riding once you have recovered.
Shoot me a pm if you are interested, otherwise, I hope you're back riding soon and you get it figured out!
samrensho-
Ah that’s really kind of you, I’d definitely take you up on it as a test if I had road shoes but not to worry. I’ve bought one of those silly 20mm pedal extenders just to test the theory that it is the Q factor/stance width of that bike that caused the flare up, not intending to ride with it permanently. In a slightly less extreme way to bandage the issue I’ve bought a couple pedal washers to put on my fixie and bring the Q factor out a little more closer to what my gravel bike is (neither bike has caused me pain in the knee before, but I’m always aware of the slightly awkward way my right leg pedals on them)
Also going to test an angled cleat wedge and insole to try support my arch and stop my weight transfer going solely from the heel -> outer edge of foot -> to the middle of my toes. If anyone has any experience of a similar issue I’d love to hear how you tried to solve it - or if it’s even possible to convince your muscles/ligaments/brain to go ‘back to normal’
ojwithbits
I’m finally trying to get on top of a supinated right foot issue caused by ignoring a recurring ingrown toenail for far too long (stupid I know). It’s fine on bikes with wider Q factor as it allows me to toe out enough without hitting the frame/crank, but it has recently flared up in some medial knee pain on a new bike with the narrowest Q factor I’ve yet ridden and I’m now taking a break off riding for a few days.
I’m going to the gp soon to see what they can offer as it’s also mildly niggling day to day issue that has definitely overstretched some muscles and tightened others. I’ve been ignoring for far too long. Hopefully can getting into some proper physio to try and figure out how to walk and pedal normally again. Would Velophysio be the best place to try help along this journey? Both for a bike fit and for physio for this kinda thing?