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. Because of this, standardization has been slow, and fitting between companies is not always consistent. While dismounting, the slick sole allows the boot to easily come free of the stirrup. Often the heel of the sole is rubber for durability and traction, while the front is leather for style. Specialized shoes will often have modifications on this design: athletic cleats have spikes embedded in the outsole to grip the ground; many kinds of dancing shoes have much softer or harder soles. The insole is the interior bottom of a shoe, which sits directly beneath the foot..

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