Ok here are some more specifics. I wear custom orthotic insoles in my shoes because the orthopedic surgeon recommended them. They were about $500 to order. I only have one pair that I wear in my work shoes, hiking boots, athletic shoes, and rubber hunting boots. However, they DO NOT fit into my cycling shoes because they are too stiff and thick. I have plantar fasciitis and big heel spurs in both feet. I wore corrective insoles as a kid to correct my flat feet. That being said, I have had trouble with hot spots resulting from a hard deposit in the middle of the ball of my foot. I have tried the red and blue Specialized BG insoles and the blue ones were an improvement. I have changed to a wider bike shoe since the specialized shoes I had were too stiff (according to the orthopedic) and too narrow. I am currently trying the Superfeet Yellow insoles made for cycling. They fit just fine in my shoes but I have only ridden with them once for a 30 mile ride and I am not sure if they are helping or not. One of the guys suggested that I try a heat moldable insole because he said he has the same "hard spot" on the ball of his foot and the moldable insole formed around that spot and reduced the direct pressure and he hasn't had any trouble with hot foot after that. I was asking to see if anyone had experience with the two I listed. I currently ride with Look Keo 2 pedals and have been really happy with the wider platform. Everything I have changed so far has helped but not enough for me to stay in the larger chain ring very long because of the pain caused by the hot spots and on the hard spot on my feet. I want to do metric centuries and eventually a full century. Going without an orthotic is NOT an option in my street shoes because I want to avoid the possibility of breaking off the tip of the heel spurs which would cause the need for surgery.