Shoes may vary from a simple flip-flop to a complex boot. The altered forces at the knee caused by walking in high heels, may predispose to degenerative changes in the knee joint. Dress shoes are categorized by smooth and supple leather uppers, leather soles, and narrow sleek shape. Casual shoes are characterized by sturdy leather uppers, non-leather outsoles, and wide profile. They have a high heel, rounded to pointed toe, high shaft, and no lacing. The Sabrina heel is the standard for court shoes and is named after a style of narrow-bladed knife, and is higher with a narrower base 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.

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