Chiming in a bit late here...but wanted to comment on the Northwave cycling shoes. I'm currently wearing a pair, and LOVE, LOVE, LOVE them! I too, deal with a myriad of foot issues - PF in my left foot, toe pain/numbness in my right foot, underlapping toes in BOTH feet. I needed a wider toe box, but not a wide shoe in general. Sidi's just didn't work for me...the regular Sidi is too narrow all-around, and the Mega is too wide all-around. I also tried a few styles of Specialized, but never really found that perfect fit. I had heard about the Northwave shoes having a wider toe box, but narrower heel...which is exactly what I was looking for. I ordered a pair of women's Northwave Velvet SBS, and I could not be happier! They feel like slippers compared to any other cycling shoe that I've tried. Try the Northwaves...I don't think you'll be disappointed.