Cowboy boots refer to a specific style of riding boot, historically worn by cowboys. 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. While mounting, the slick, treadless leather sole of the boot helped to hold it in place in the absence of lacing. The altered forces at the knee caused by walking in high heels, may predispose to degenerative changes in the knee joint. While dismounted, the shaft helped protect the leg and foot from rocks, brush, thorns, and snakes. In wet weather or creek crossings, the high tops (early on, often Texas stars), and different materials..

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