The outsole may comprise a single piece, or may comprise separate pieces of different materials. Extremely high-heeled shoes, such as those higher than 5", are normally worn only for aesthetic reasons and are not considered practical. Cowboy boots refer to a specific style of riding boot, historically worn by cowboys. Shoes may have high or low heels, although in western cultures, high heels are considered a woman's style. The majority of dress shoes can be worn by either gender. The more that the feet are forced into this position, the more it may cause the Achilles tendon to shorten. Today, high-heels are typically worn by women, with heights varying from a Cuban heel of 1½" height to a stiletto heel (or spike heel) of 4" or more. Shoe materials include leather or canvas. The two exceptions are cowboy.

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