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. 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. The altered forces at the knee caused by walking in high heels, may predispose to degenerative changes in the knee joint. 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. When considering wearing a cowboy boot from a different manufacturer, it is recommended to seek assistance from a knowledgeable merchant who specializes in cowboy boots. insoles are often added for comfort or health reasons.

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