The stiletto of certain kinds of high-heels can damage some types of floors. outsoles made of natural rubber or a synthetic imitation. 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. Sandals are shoes that use a system of straps to secure the sole to the foot, leaving much of the foot exposed to air. Shoe materials include leather or canvas. Shoes may have high or low heels, although in western cultures, high heels are considered a woman's style. Extremely high-heeled shoes, such as those higher than 5", are normally worn only for aesthetic reasons and are not considered practical. 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.

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