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. Decoration varied widely. While mounted, the tall heel prevented the foot from sliding forward through the stirrup, which could be life threatening if it happened and the rider were to be unseated. most of the lower foot, but not covering the ankles. they make the wearer appear taller. The altered forces at the knee caused by walking in high heels, may predispose to degenerative changes in the knee joint. Shoe materials include leather or canvas. Usually, a high-topped shoe is secured by laces or zippers, although some styles have elastic inserts to ease slipping the shoe on. The more that the feet are forced into this position, the more it may cause the Achilles tendon to shorten..

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