While an extremely pointed toe is a modern stylization appearing in the 1940s, the toe of the shoe is covered with a perforated panel, the wing-tip, which extends down either side of the shoe. 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. Shoes with uppers made high to cover the ankles are also available; a shoe with the upper rising above the ankle is usually considered a boot but certain styles may be referred to as high-topped shoes or high-tops. 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.

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