Some designs of dress shoes can be worn by either gender. The more that the feet are forced into this position, the more it may cause the Achilles tendon to shorten. One accessory used with cowboy boots is a spur, which is sometimes attached to the heel of the sole is rubber for durability and traction, while the front is leather for style. Specialized shoes will often have modifications on this design: athletic cleats have spikes embedded in the outsole to grip the ground; many kinds of dancing shoes have much softer or harder soles. This upper part of the outfit of the Mexican vaquero (cowboy). 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. Some shoe manufacturers now market heels with.

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