It's worth asking if you are in the center of the float for the grey cleats.

Imagine your regular foot position...you want to have freedom to move BOTH directions with your heel from there. If your cleat is twisted too much to one side, perhaps you are "bumping up against" one side and could use more movement to that side.

There is also the school of thought that says you may not have enough forefoot support. Thus your knee would be following the "collapse" of your forefoot each pedal stroke. This perhaps causes the IT band to "strum" over the lateral femoral condyle causing inflammation.
Google "Cleat Wedges"

Either way you will have to heal up from the current inflammation before you will be able to tell if any of the above are helping. I'm a fan of a little ibupr and a lot of ice. But your PT would be the best source of information here.


Hope this helps a bit.