The more that the feet are forced into this position, the more it may cause the Achilles tendon to shorten. 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. While mounting, the slick, treadless leather sole of the boot allowed easy insertion of the foot exposed to air. with openings or even itself consist of a series of straps, e.g. an open toe featured in women's shoes. Today, high-heels are typically worn by women, with heights varying from a Cuban heel of 1½" height to a stiletto heel (or spike heel) of 4" or more. 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.

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