Quote Originally Posted by sundial View Post
This is a really interesting thread and I'm fascinated with the treatment options.

My problem with shoe inserts is.......I don't know which side to put one in. I lack joint space in my right knee, so I'm 4-5 mm shorter there, but my left side is shorter than my right according to a fitting I had recently at a bike shop.

Since I wear mtb shoes with Frog pedals, I'm not able to shim the right cleat. If I wear a shoe insert, do I wear it in both shoes, the left, or the right?
Insoles you wear one in each shoe. They come in pairs, and you should wear the entire pair even if your foot problems are only one sided. You can post/ship/lift one side to deal with asymmetry.

BTW: everyone is lopsided. You only need to shim the length difference if it is very large (like 1/2 inch or more) and/or if it is causing you pain.