The altered forces at the knee caused by walking in high heels, may predispose to degenerative changes in the knee joint. Heel protectors are widely used in ballroom dancing, as such dances are often held on wooden flooring. 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. Such damage can be prevented by heel protectors, also called covers, guards, or taps, which fit over the "stiletto" tips to keep them from direct, marring contact with delicate surfaces, such as linoleum (rotogravure) or urethane-varnished wooden floors. While dismounting, the slick sole allows the boot to easily come free of the stirrup. Cowboy boots refer to a specific style of riding boot, historically worn by cowboys. Shoes with uppers made high to.

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