While dismounting, the slick sole allows the boot to easily come free of the stirrup. The altered forces at the knee caused by walking in high heels, may predispose to degenerative changes in the knee joint. The outsole is the layer in direct contact with the ground. The more that the feet are forced into this position, the more it may cause the Achilles tendon to shorten. They have a high heel, rounded to pointed toe, high shaft, and no lacing. The insole is the interior bottom of a shoe, which sits directly beneath the foot. Many shoes have removable and replaceable insoles, and extra 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..

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