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. High-heels have seen significant controversy in the medical field lately, with many podiatrists seeing patients whose severe foot problems have been caused almost exclusively by high-heel wear. Some shoe manufacturers now market heels with significantly larger sizes to accommodate men. Also, the Fall 2006 Dior Homme line by Hedi Slimane features 3.5 inch heels for men. with openings or even itself consist of a series of straps, e.g. an open toe featured in women's shoes. Shoes may vary from a simple flip-flop to a complex.

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