The material of the outsole depends on the function, dressiness, and quality of the shoe, but is generally very durable material, since it experiences the most stress. Dress shoes have leather outsoles; casual or work-oriented shoes have Extremely high-heeled shoes, such as those higher than 5", are normally worn only for aesthetic reasons and are not considered practical. When considering wearing a cowboy boot from a different manufacturer, it is recommended to seek assistance from a knowledgeable merchant who specializes in cowboy boots. The altered forces at the knee caused by walking in high heels, may predispose to degenerative changes in the knee joint. 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.

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