your PT should be able to put medial wedges in all your street shoes and in your Sidis, too. If the free wedges (red self-stick things) your PT uses cramp your Sidis too much, you can get very cool forefoot wedges (solid white plastic non-stick things) made by Specialized that will wedge you in any bike shoe by 1.5 degrees. If your PT decides you need more than 1.5 degrees, you can double up on the Specialized wedges without losing much space in the Sidis.