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Lake make some decent looking shoes IMO. The CX403 looks great and is an incredibly well constructed shoe, too, but very expensive. I ordered some MX 177s just this morning and they look as decent as any other shoe out there. But I'm not into a lot of the newer shoes out there so maybe that's why! But really the best thing about Lake is how many different lasts they offer for different foot types.
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Second for lake. I’ve got really narrow feet but struggled with empires pinching pinky toe knuckle, causing similar symptoms to yours. Pair of 237s allowed feet to spread out. Really comfy. Icebug insoles fit well with them, but some bar tape would prob work fine for a metatarsal pad and arch support
And here's a comparison I took between a wide Lake CX238 and a Rapha GT Shoe or whatever its called. These are both 44.5. Wide shoes man. Life changing. Okay I'm done.