Q factor could be an issue, its all track stuff I ride so quite narrow I'd have thought.
Interestingly that article does say "Also, if you are using those floppy insoles that come with most cycling shoes, throw them out and get a good insole that will support your arches better." so I think investing in some might be a good idea anyway.
put your legs up against a wall.. When I do my left foot is perfectly inline, my right tilts outwards.
I had the same hotspot pain as your describing until I put wedges between my cleats and shoe (not an insole).
How do you mean up against the wall?
Sorry if I’m being dumb.
My right foot was more tilted, inwards though.
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