Some designs of dress shoes can be worn by either gender. Shoes fall into one of the following categories: dress, casual, work, snow, athletic, comfort and boots. They have a high heel, rounded to pointed toe, high shaft, and no lacing. While mounted, the shaft protected the leg from saddle rubbing, brush and thorns. 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 feet in contour-supportive "flat" shoes (such as exercise sandals), or well-cushioned "sneaker-type" shoes, saving high heels for special occasions. Despite its close association with US culture, the cowboy boot is originally Mexican and traditionally part of the shoe is often made without apertures.

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