Yes, I did have to get them adjusted from the original. They were made by a quite adorable (but I digress) sports podiatrist who is himself a runner, among other things. He did the adjustment in his office, ground down the places that needed it. I don't know what he used to do it, but he did it right there--watched me walk in them on camera on the treadmill; marked the places that needed adjustment, and ground/scraped those areas down.

I have one more tiny bump I will be asking him to take off when I go back next week, and then I think they will be right. Any podiatrist should be willing to adjust orthotics till they really fit! They cost enough so that they should get them right.

PTs often know a lot about orthotics too. The sports PT place I go to does custom orthotics.