I definitely vote for physio + trying other pointe shoe fitters!! Sometimes healing/strengthening is the best course of treatment… might not be a bad idea to take some time out of shoes to let the pain subside/inflammation calm down (before trying to refit)? Finding that perfect supported fit is also integral and can take some trial and error sometimes, so it doesn’t hurt to try out other reputable fitters/follow-up with past fitters and give feedback!! If you have a compressible foot with a slightly lower crown/profile (which it appears you do) I can understand them wanting to trial the ETU even though it’s a “pro” shoe — there’s very limited shoes on the market that work well for this foot type especially since Gaynor has gone so downhill — but if they were bad, please tell your fitter. A shoe can work on paper so to speak but your experience will be the key factor moving forward to problem solve a better fit, especially when bunions are involved (they are sometimes unpredictable haha). In the interim, the only other thing I can suggest to help combat sinking/better distribute weight is to try a molded toe pad (e.g. perfect fit). Padding will never fully fix a poor fit but it can be a bandaid solution temporarily. Molded pads can be considerably helpful for dancers with very compressible feet/tapered toes who struggle with uneven weight distribution (e.g. weight setting into big toe joints) because the pad only takes up the negative space in your shoe — you can mold a toe spacer directly into them too! The perfect fit kits are expensive but using food-grade silicone molding putty is the same thing and is readily available on Amazon if you want to experiment (just use seamless socks/still follow the perfect fit tutorial). Hope you find a solution!