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Cleat Position - Foot Separation Width (Q-Factor) - GreshFit Bike Fitting

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GreshFit Performance Bike Fitting

If you need more foot separation than what your cleats allow, here's your best bet for longer pedal axles:

Speedplay
Shimano Ultegra with +4mm
SQLab
"Knee Saver" adapter

The risk of pedaling "knees out" is lateral knee pain, typically ITB issues.

posted by unglogzf