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. Shoes with uppers made high to cover the ankles are also available; a shoe with the upper rising above the ankle is usually considered a boot but certain styles may be referred to as high-topped shoes or high-tops. In England, the balmoral is known as the Oxford. The word "Oxford" is used by American clothing companies to market shoes that are not Oxfords, such as rubber-sole bluchers. outsoles made of natural rubber or a synthetic imitation. Each manufacturer has developed its own proprietary lasts for producing boots, which are considered trade secrets and are highly guarded. The Richland facility was named the Richland Shoe Company and began production of cowboy boots and work.

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