While mounted, the tall heel prevented the foot from sliding forward through the stirrup, which could be life threatening if it happened and the rider were to be unseated. If it is not possible to avoid high heels altogether, some doctors suggest that the wearer wear high-heels no more often than twelve hours a day, and that they are spending at least a third of the time on their feet in contour-supportive "flat" shoes (such as exercise sandals), or well-cushioned "sneaker-type" shoes, saving high heels for special occasions. The original factory location was an area shoe company that has other facilities in the Reading area and had no future needs for the plant in Richland. The more that the feet are forced into this position, the more it may cause the Achilles tendon to shorten. Shoes may have high or low.

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