The altered forces at the knee caused by walking in high heels, may predispose to degenerative changes in the knee joint. Shoes may vary from a simple flip-flop to a complex boot. 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. Modern cowboy boots are available in all colors of the rainbow and a pair has been made from just about every animal whose skin can be made into leather. Some shoe manufacturers now market heels with significantly larger sizes to accommodate men. Also, the Fall 2006 Dior Homme line by Hedi Slimane features 3.5 inch heels for men. Shoes with uppers made high to cover the ankles are also available; a shoe with the upper rising above the ankle.

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