Decoration varied widely. 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 helped prevent the boot from filling with mud and water. While mounted, the shaft protected the leg from saddle rubbing, brush and thorns. While an extremely pointed toe is a modern stylization appearing in the 1940s, the toe of the original boots retained the more rounded shape of other boots. The altered forces at the knee caused by walking in high heels, may predispose to degenerative changes in the knee joint. 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.

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