The outsole is the layer in direct contact with the ground. Although high heels originated as male footwear around 1500, since the late 1700s, men's shoes have had primarily low heels. Shoes fall into one of the following categories: dress, casual, work, snow, athletic, comfort and boots. 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. The more that the feet are forced into this position, the more it may cause the Achilles tendon to shorten. outsoles made of natural rubber or a synthetic imitation. 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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