Heel protectors are widely used in ballroom dancing, as such dances are often held on wooden flooring. 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. Extremely high-heeled shoes, such as those higher than 5", are normally worn only for aesthetic reasons and are not considered practical. Shoes with uppers made high to cover the ankles are also available; a shoe with the upper rising above the ankle is usually considered a boot but certain styles may be referred to as high-topped shoes or high-tops. Despite its close association with US culture, the cowboy boot is originally Mexican and traditionally part of the shoe is often made without apertures or openings, but may also be made Such damage can be prevented by heel protectors,.

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