Athletic shoe soles may be made of rubber. 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. One accessory used with cowboy boots is a spur, which is sometimes attached to the heel of each boot for the purpose of goading the horse while riding. The outsole may comprise a single piece, or may comprise separate pieces of different materials. Each manufacturer has developed its own proprietary lasts for producing boots, which are considered trade secrets and are highly guarded. Shoes with uppers made high to cover the ankles.

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