Extremely high-heeled shoes, such as those higher than 5", are normally worn only for aesthetic reasons and are not considered practical. Shoes may have high or low heels, although in western cultures, high heels are considered a woman's style. 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. 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. The outsole is the layer in direct contact with the ground. outsoles made of natural rubber or a synthetic.

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