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. Heel protectors are widely used in ballroom dancing, as such dances are often held on wooden flooring. The altered forces at the knee caused by walking in high heels, may predispose to degenerative changes in the knee joint. Modern cowboy boots are available in all colors of the rainbow and a pair has been made from just about every animal whose skin can be made into leather. Sandals are shoes that use a system of straps to secure the sole to the foot, leaving much of the foot exposed to air. Usually, a high-topped shoe is secured by laces or zippers, although some styles have elastic inserts to ease slipping the shoe.
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