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When you follow protocols, there is no 'luck', and results are reliable. Yes, there are those times where you've tried everything and the rider still has an issue. 99% of issues can be resolved, and become 'obvious' to you with experience; but that 1% may require some ingenuity (hey...let me glue an extra bit of foam there, or hey...this shoe is ten years old...).
If there is a 'philosophy', then it is to: listen to the rider, analyse the foot/shoe and pedal/cleat, and aligning or supporting the structure of the foot as a force lever.
FIST/SICI/FIST DOWN DEEP
Good rule of thumb with shims, is to use a computrainer, or something that displays torque angles, to guage improvement. I always do the opposite of what I think is correct, just to be sure. Should be as "bad" as the corrective is "good".
Grasky Endurance: World Championship Triathlon Coaching; Professional Training Camps
RETUL fitter, Biomechanist, USAT Level 3 Coach, USAC Level 2 Coach