To my amateur eye… it looks like this may be a farrier problem 
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Knock on wood, we haven’t had to do further diagnostics that far up. He has always blocked to the foot. If this continues I’m not opposed to going higher up.
How far are you from your old farrier? This sounds as though it is a farrier problem. Sometimes things look good to our eye, but for their feet just are not working.
Vet appointment went well! Turns out his coffin joints were very angry, so we injected. The vet is also a farrier and said he would like to see him in full pads, but since he can’t tolerate sole pressure then to just keep working on getting the heel to stand up. He was not sensitive to any palpations and was hoof tester negative so doc didn’t feel it necessary to ultrasound anything. There was a lot of fluid on the joints, so this should bring quite a bit of relief!
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Long toes, low heels. You cannot fix that with a shoe. The foot needs to be trimmed correctly before the shoe is nailed on. It’s also possible the wedge shoe is putting too much pressure on the heels causing pain as well. Wedge shoes have their place, but can also make things worse if not applied correctly in a situation where they would help. These heels are already underrun, so they are there, but they are too long. IMO the wedge is only crushing them further. When this farrier works on him, does he trim the heels at all?
I would suggest a new farrier.
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I appreciate the response. This has all been answered. 
Consult with Dr. O’Grady in Virginia, perhaps spider plates, have your shoer and vet work with O’Grady.
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