Becca, it might be a choice between wearing a type of biking shoe, even if MTB, that won't cause long term pain for you and you will be encouraged to keep on cycling lots for a long time in life.
Or sticking to SPDs and making yourself slowly disabled later on in life.
I have worn orthotics for past 20 yrs., in hard soled, slim shaped mtb cycling shoes. But I don't go clipless so it's not a big deal to me.
I've accepted the fact that I cannot wear certain types of dress shoes that have no support. In most cases my dress shoes are in styles where I don't ahve to wear my orthotics. When I walk to work, I wear runners with my skirt, etc. Or a sensible low heeled dress shoes. I cannot wear ballet slipper like shoes because they're just too flat. So after a few years I had to give up wearing my silver ballet slipper shoes. I loved them!
I cannot wear stiletto high heels at all. Never could anyway.
I also have x-country skied in my orthotics and I must snowshoe in my orthotics. Or else I will be in pain within 1 hr.



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