VMO pain, bike fit issue?

Training
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that’s pretty much eyeballing it. You need a device like and Ergon to make sure the axis of the met heads is properly aligned with the cleat. I’ve had former pro cyclists/bike fitters who use the above method and were way off.`If you’re not having knee pain, they’re probably close enough; if you are having knee pain, start w/ cleat alignment. Even if you had it right to start with, dirt and grit can work into the bolts and repeated clipping in/out can cause slight misalignments. Just my opinion, but it’s based on 35 years of cycling experience and 20 years of physical therapy experience.