I got hot spots from spd pedals but not speedplay frogs. My fitter also gave me a high quality replacement shoe insole helped to disritubute the pressure, eliminating hot foot (I think it was superfeet brand).

If there is pain in your hands, there is too much weight on them. When this happened to me, my fitter pushed my saddle further back. It pushes your weight further back on the bike, so you are not resting on your hands as much. But, if you do that and the reach is too long, you may also need a shorter stem. You also want to check the rotation of your bars, to be sure you are not bending your wrists too much to contact them.

Seems like you really need a pro here, as saddle for-aft should be set mostly in order to get the axis of rotation of your knee over the axis of rotation of the pedal, but there is a range. You also want the saddle level, to not push too much onto your hands. Its about achieving balance on the bike, and adjusting the bike to your body. Saddle height, stem length, stem height are also parameters an eperienced fitter will play with.

I know riding an ill fit bike is no fun, and in fact you shouldn't ride or you just get injured making it hard to find your true position.

Good luck, but you can work with out!