The altered forces at the knee caused by walking in high heels, may predispose to degenerative changes in the knee joint. Plain-toes - have a sleek appearance and no extra decorations on the vamp. 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. Cap-toes - has an extra layer of leather that 'caps' the toe. This is possibly the most popular decoration Shoe materials include leather or canvas. The insole is the interior bottom of a shoe, which sits directly beneath the foot. Many shoes have removable and replaceable insoles, and extra 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;.

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