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Thanks for the tips.
Also cheers @snottyotter.
Once it’s recovered going to make a few changes, particularly shorter cranks cos I prefer those anyway (and I need to replace the ones that are on there), saddle down and pedalling closer to centre of my foot.
I was actually cycling in sandals (not spds) and was positioning my foot right back cos of some low speed toeverlap manoeuvring issues I had. Shorter cranks and maybe just getting used to shifting my foot position around depending on speed should sort it :). Reckon the sandals didn’t help for ankle support? So comfy and not had any issues before :-(
It's a known thing on ultra races. Cleats right back and saddle down a bit.
You'll probably find there's a saddle height at which it suddenly stops hurting. Ideally it's above the point at which your knees start hurting!