The two exceptions are cowboy boots, which continue to sport a taller riding heel, and a brief resurgence in higher-heeled shoes for men in the 1970s(in Saturday Night Fever, John Travolta's character wears a Cuban heel of 1½" height to a stiletto heel (or spike heel) of 4" or more. The altered forces at the knee caused by walking in high heels, may predispose to degenerative changes in the knee joint. The stiletto of certain kinds of high-heels can damage some types of floors. The tall leather shaft of the boot allowed easy insertion of the foot into the stirrup of the Western saddle. 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.

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