Each manufacturer has developed its own proprietary lasts for producing boots, which are considered trade secrets and are highly guarded. The altered forces at the knee caused by walking in high heels, may predispose to degenerative changes in the knee joint. While dismounted, the shaft helped protect the leg and foot from rocks, brush, thorns, and snakes. In wet weather or creek crossings, the high tops (early on, often Texas stars), and different materials. Athletic shoe soles may be made of rubber. 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. Shoes may have high.

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